Exercise in Patients Undergoing Urologic Surgery
- Conditions
- Perioperative Complication
- Interventions
- Behavioral: Exercise GroupDietary Supplement: Nutrition Group
- Registration Number
- NCT03954678
- Lead Sponsor
- Emory University
- Brief Summary
Patients who are being scheduled for an operative procedure with an inpatient postoperative stay are eligible for this study. Participants will be selected to start a physical fitness plan or a nutrition plan at the time of surgical scheduling. Each participant will be asked to continue their current lifestyle for two days after their pre-operative appointment to get a baseline of activity (by pedometer and functional tests) and nutritional risk (by questionnaire). After two days, patients in the activity group will start their activity plans. They will be encouraged to get 10,000 steps per day and to perform whole body strength training exercises 3 times a week. Five days before and after surgery, participants in the nutrition group will be asked to consume a standard liquid nutrition supplement (i.e. Boost or Ensure) two times per day. Participants in the activity group will record steps and number of strength training sessions completed, while patients in the nutrition group will record the number of supplements consumed.
- Detailed Description
Increases in physical activity and nutritional status are associated with improvements in a number of health conditions, including coronary artery disease, hypertension, stroke, insulin sensitivity, osteoporosis, and depression. Regretfully, despite the evidence supporting the benefits of physical activity, greater than half of adults in the United States do not get adequate activity and approximately one quarter do not get any activity. As such, many people, especially the elderly and those with comorbid diseases, have low levels of physical fitness. Additionally, up to 45% of community dwelling older adults are malnourished. Patients undergoing surgery with poor exercise tolerance and suboptimal nutritional status may be at an increased risk of perioperative complications. Thus, increasing physical activity and dietary intake quality prior to surgery is recommended, to hopefully decrease these risks. The primary objective is to determine if recommended physical activity or dietary intake results in an increase in patient physical function performance and if so, to what extent. The secondary goal is to examine if increased exercise or nutrition reduces perioperative complications.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 400
- Patients scheduled for operative procedure with an inpatient postoperative stay are eligible for this study
- Patients willing and able to give blood sample as part of standard of care labs
- Patients willing and able to fill out questionnaire
- Patients who will fill out the step log daily
- Patients willing and able to sign informed consent
- None
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Exercise Group Exercise Group Participants randomized to the activity intervention will aim for taking 10,000 steps per day and completing strength training exercises three times per week. Nutrition Group Nutrition Group Participants randomized to the nutrition intervention will consume a liquid over-the-counter nutrition supplement two times per day.
- Primary Outcome Measures
Name Time Method Change in Short-Length Food Frequency Questionnaire Baseline, Day of surgery (up to 50 days after Baseline), Follow-up (30 days after surgery) Nutritional risk will be assessed with the Short-Length Food Frequency Questionnaire. This 18-item instrument asks participants how frequently they consume certain foods, such as alcohol, produce, grains, and fried foods. There is not a summary score for this questionnaire, rather, the researchers can examine changes over time in foods consumed in a variety of ways.
Change in Body Mass Index (BMI) Baseline, Day of surgery (up to 50 days after Baseline), Follow-up (30 days after surgery) Body Mass Index is a weight-to-height ratio, calculated by dividing one's weight in kilograms by the square of one's height in meters (kg/m\^2) and used as an indicator of underweight, normal, overweight and obese weights.
Change in Timed Up and Go (TUG) Task Baseline, Day of surgery (up to 50 days after Baseline), Follow-up (30 days after surgery) Participants will be timed, in seconds, to see how quickly they can rise from a chair, walk 3 meters, turn around, walk back, and sit down.
Change in grip strength Baseline, Day of surgery (up to 50 days after Baseline), Follow-up (30 days after surgery) Hand grip is measured in pounds using a dynamometer to test the maximum isometric strength of the hand and forearm muscles. Grip strength is a measurement of muscle strength and tends to decline with frail states.
Change in 6 Minute Walk Test (6MWT) Distance Baseline, Day of surgery (up to 50 days after Baseline), Follow-up (30 days after surgery) The 6 minute walk test (6MWT) assesses distance, in meters, walked over 6 minutes as a sub-maximal test of aerobic capacity and endurance.
Change in Standing Task Time Baseline, Day of surgery (up to 50 days after Baseline), Follow-up (30 days after surgery) Participants will be timed, in seconds, to see how quickly they can stand up and sit down in a chair 5 times.
- Secondary Outcome Measures
Name Time Method Perioperative Complications 30 days after surgery The number of perioperative complications will be compared between study arms.
Trial Locations
- Locations (1)
Emory University Hospital
🇺🇸Atlanta, Georgia, United States