Research
Mixed
A trimodal prehabilitation program (moderate aerobic/resistance exercise, whey protein supplementation, and anxiety-reduction strategies) initiated 4 weeks before colorectal surgery significantly improves postoperative functional exercise capacity compared to initiating the identical program after surgery.
If you are scheduled for colorectal cancer surgery, start a moderate exercise and protein supplementation program 4 weeks before your operation. This 'prehabilitation' approach helps you maintain or improve your walking capacity before surgery, leading to better functional recovery afterward compared to starting these activities only after surgery.
GoodSupportsHIGH confidence
Meaningful changes in postoperative functional exercise capacity can be achieved with a prehabilitation program.
Why this rating
Single-center RCT with adequate blinding of outcome assessors, but potential lack of patient blinding.
Source
Prehabilitation versus Rehabilitation
Chelsia Gillis et al. · Anesthesiology · 2014
DOI 10.1097/aln.0000000000000393
rct · n=77Cited 848×
Read the paper DOI resolved against Crossref · corpus check 2026-06-10
Related findings · Mixed
- Bariatric surgery (VSG and RYGB) is the most effective and sustainable treatment for obesity, producing marked and sustained weight loss that non-surgical interventions cannot match.Strong
- Severely protein-deficient diets (2–3% energy) induce lean body mass loss and metabolic imbalance, whereas adequate protein intake (0.66 g/kg/d minimum) is a prerequisite for maintaining muscle, bone, and physiological function.Strong
- For patients with Class III obesity (BMI >39.9 kg/m2), metabolic bariatric surgery (MBS) is significantly more effective than any currently approved medication, with BilioPancreatic Diversion (BPD) showing the highest estimated weight loss.Strong
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