Can High Intensity Interval Training improve fitness before major abdominal surgery?

Not Applicable

Completed

• Conditions: Prehabilitation; Abdominal surgery; Surgery - Other surgery; Complications after surgery; Physical Medicine / Rehabilitation - Other physical medicine / rehabilitation

• Registration Number: ACTRN12617000587303
• Lead Sponsor: Dr John Woodfield

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2017-04-26
• Last Update Posted: 15 July 2019

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

Patients about to undergo major abdominal surgery. Major abdominal surgery includes any laparotomy. It does not include laparoscopic cholecystectomy or appendicectomy or TURP. It does include abdominal rectal prolapse surgery, nissan fundoplication, and abdominal hysterectomy. It also includes any procedures considered to be more major, in terms of their potential impact on the patient, than the above procedures.
There needs to be sufficient time to perform the preoperative exercise (enrolment needs to be approximately five weeks before surgery) and the participant needs to live close enough to the hospital to be able to attend the exercise sessions.

Exclusion Criteria

1) Inability to exercise or to perform a CPET
2) Uncontrolled hypertension (BP>180/100)
3) Experiencing clinical angina (Does not include those who are asymptomatic on Rx or those who have had successful revascularization)
4) Myocardial infarction in the past 3/12
5).Uncontrolled cardiac arrhythmias
6) Intracranial aneurysm
7) Aortic aneurysm >6.5cm
8) Severe obstructive pulmonary disease with a FEV1 < 1 litres
9) Inability to provide consent
10) Significant anaemia, Hb <80g/l
11) Short course preoperative radiotherapy
12) Preoperative chemotherapy

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The proportion of participants with an increase in peak oxygen consumption (Peak VO2) of >2ml/kg/min as measured by cardiopulmonary exercise testing before and after high intensity interval training. <br>[Testing will be performed prior to randomisation (where those in the intervention group will be randomised to 14 sessions of High intensity interval training) and then before surgery (which will usually be 4 to 5 weeks after randomisation).]