The effects of inpatient exercise therapy on the length of hospital stay in stages I-III colon cancer patients: Randomized controlled trial

Ki Yong Ahn, Hyuk Hur, Dong Hyun Kim, Jihee Min, Duck Hyoun Jeong, Sang Hui Chu, Ji Won Lee, Jennifer A. Ligibel, Jeffrey A. Meyerhardt, Lee W. Jones, Justin Y. Jeon, Nam Kyu Kim

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Purpose: This study aimed to examine the effects of a postsurgical, inpatient exercise program on postoperative recovery in operable colon cancer patients Methods: We conducted the randomized controlled trial with two arms: postoperative exercise vs. usual care. Patients with stages I-III colon cancer who underwent colectomy between January and December 2011 from the Colorectal Cancer Clinic, were recruited for the study. Subjects in the intervention group participated in the postoperative inpatient exercise program consisted of twice daily exercise, including stretching, core, balance, and low-intensity resistance exercises. The usual care group was not prescribed a structured exercise program. The primary endpoint was the length of hospital stay. Secondary endpoints were time to flatus, time to first liquid diet, anthropometric measurements, and physical function measurements. Results: A total of 31 (86.1 %) patients completed the trial, with adherence to exercise interventions at 84.5 %. The mean length of hospital stay was 7.82 ± 1.07 days in the exercise group compared with 9.86 ± 2.66 days in usual care (mean difference, 2.03 days; 95 % confidence interval (CI), -3.47 to -0.60 days; p = 0.005) in per-protocol analysis. The mean time to flatus was 52.18 ± 21.55 h in the exercise group compared with 71.86 ± 29.2 h in the usual care group (mean difference, 19.69 h; 95 % CI, -38.33 to -1.04 h; p = 0.036). Conclusions: Low-to-moderate-intensity postsurgical exercise reduces length of hospital stay and improves bowel motility after colectomy procedure in patients with stages I-III colon cancer.

Original languageEnglish
Pages (from-to)643-651
Number of pages9
JournalInternational Journal of Colorectal Disease
Volume28
Issue number5
DOIs
Publication statusPublished - 2013 May 1

Fingerprint

Exercise Therapy
Colonic Neoplasms
Inpatients
Length of Stay
Randomized Controlled Trials
Exercise
Flatulence
Colectomy
Confidence Intervals
Colorectal Neoplasms
Diet

All Science Journal Classification (ASJC) codes

  • Gastroenterology

Cite this

Ahn, Ki Yong ; Hur, Hyuk ; Kim, Dong Hyun ; Min, Jihee ; Jeong, Duck Hyoun ; Chu, Sang Hui ; Lee, Ji Won ; Ligibel, Jennifer A. ; Meyerhardt, Jeffrey A. ; Jones, Lee W. ; Jeon, Justin Y. ; Kim, Nam Kyu. / The effects of inpatient exercise therapy on the length of hospital stay in stages I-III colon cancer patients : Randomized controlled trial. In: International Journal of Colorectal Disease. 2013 ; Vol. 28, No. 5. pp. 643-651.
@article{042e722e987f428c9cafbd3694c9c305,
title = "The effects of inpatient exercise therapy on the length of hospital stay in stages I-III colon cancer patients: Randomized controlled trial",
abstract = "Purpose: This study aimed to examine the effects of a postsurgical, inpatient exercise program on postoperative recovery in operable colon cancer patients Methods: We conducted the randomized controlled trial with two arms: postoperative exercise vs. usual care. Patients with stages I-III colon cancer who underwent colectomy between January and December 2011 from the Colorectal Cancer Clinic, were recruited for the study. Subjects in the intervention group participated in the postoperative inpatient exercise program consisted of twice daily exercise, including stretching, core, balance, and low-intensity resistance exercises. The usual care group was not prescribed a structured exercise program. The primary endpoint was the length of hospital stay. Secondary endpoints were time to flatus, time to first liquid diet, anthropometric measurements, and physical function measurements. Results: A total of 31 (86.1 {\%}) patients completed the trial, with adherence to exercise interventions at 84.5 {\%}. The mean length of hospital stay was 7.82 ± 1.07 days in the exercise group compared with 9.86 ± 2.66 days in usual care (mean difference, 2.03 days; 95 {\%} confidence interval (CI), -3.47 to -0.60 days; p = 0.005) in per-protocol analysis. The mean time to flatus was 52.18 ± 21.55 h in the exercise group compared with 71.86 ± 29.2 h in the usual care group (mean difference, 19.69 h; 95 {\%} CI, -38.33 to -1.04 h; p = 0.036). Conclusions: Low-to-moderate-intensity postsurgical exercise reduces length of hospital stay and improves bowel motility after colectomy procedure in patients with stages I-III colon cancer.",
author = "Ahn, {Ki Yong} and Hyuk Hur and Kim, {Dong Hyun} and Jihee Min and Jeong, {Duck Hyoun} and Chu, {Sang Hui} and Lee, {Ji Won} and Ligibel, {Jennifer A.} and Meyerhardt, {Jeffrey A.} and Jones, {Lee W.} and Jeon, {Justin Y.} and Kim, {Nam Kyu}",
year = "2013",
month = "5",
day = "1",
doi = "10.1007/s00384-013-1665-1",
language = "English",
volume = "28",
pages = "643--651",
journal = "International Journal of Colorectal Disease",
issn = "0179-1958",
publisher = "Springer Verlag",
number = "5",

}

The effects of inpatient exercise therapy on the length of hospital stay in stages I-III colon cancer patients : Randomized controlled trial. / Ahn, Ki Yong; Hur, Hyuk; Kim, Dong Hyun; Min, Jihee; Jeong, Duck Hyoun; Chu, Sang Hui; Lee, Ji Won; Ligibel, Jennifer A.; Meyerhardt, Jeffrey A.; Jones, Lee W.; Jeon, Justin Y.; Kim, Nam Kyu.

In: International Journal of Colorectal Disease, Vol. 28, No. 5, 01.05.2013, p. 643-651.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The effects of inpatient exercise therapy on the length of hospital stay in stages I-III colon cancer patients

T2 - Randomized controlled trial

AU - Ahn, Ki Yong

AU - Hur, Hyuk

AU - Kim, Dong Hyun

AU - Min, Jihee

AU - Jeong, Duck Hyoun

AU - Chu, Sang Hui

AU - Lee, Ji Won

AU - Ligibel, Jennifer A.

AU - Meyerhardt, Jeffrey A.

AU - Jones, Lee W.

AU - Jeon, Justin Y.

AU - Kim, Nam Kyu

PY - 2013/5/1

Y1 - 2013/5/1

N2 - Purpose: This study aimed to examine the effects of a postsurgical, inpatient exercise program on postoperative recovery in operable colon cancer patients Methods: We conducted the randomized controlled trial with two arms: postoperative exercise vs. usual care. Patients with stages I-III colon cancer who underwent colectomy between January and December 2011 from the Colorectal Cancer Clinic, were recruited for the study. Subjects in the intervention group participated in the postoperative inpatient exercise program consisted of twice daily exercise, including stretching, core, balance, and low-intensity resistance exercises. The usual care group was not prescribed a structured exercise program. The primary endpoint was the length of hospital stay. Secondary endpoints were time to flatus, time to first liquid diet, anthropometric measurements, and physical function measurements. Results: A total of 31 (86.1 %) patients completed the trial, with adherence to exercise interventions at 84.5 %. The mean length of hospital stay was 7.82 ± 1.07 days in the exercise group compared with 9.86 ± 2.66 days in usual care (mean difference, 2.03 days; 95 % confidence interval (CI), -3.47 to -0.60 days; p = 0.005) in per-protocol analysis. The mean time to flatus was 52.18 ± 21.55 h in the exercise group compared with 71.86 ± 29.2 h in the usual care group (mean difference, 19.69 h; 95 % CI, -38.33 to -1.04 h; p = 0.036). Conclusions: Low-to-moderate-intensity postsurgical exercise reduces length of hospital stay and improves bowel motility after colectomy procedure in patients with stages I-III colon cancer.

AB - Purpose: This study aimed to examine the effects of a postsurgical, inpatient exercise program on postoperative recovery in operable colon cancer patients Methods: We conducted the randomized controlled trial with two arms: postoperative exercise vs. usual care. Patients with stages I-III colon cancer who underwent colectomy between January and December 2011 from the Colorectal Cancer Clinic, were recruited for the study. Subjects in the intervention group participated in the postoperative inpatient exercise program consisted of twice daily exercise, including stretching, core, balance, and low-intensity resistance exercises. The usual care group was not prescribed a structured exercise program. The primary endpoint was the length of hospital stay. Secondary endpoints were time to flatus, time to first liquid diet, anthropometric measurements, and physical function measurements. Results: A total of 31 (86.1 %) patients completed the trial, with adherence to exercise interventions at 84.5 %. The mean length of hospital stay was 7.82 ± 1.07 days in the exercise group compared with 9.86 ± 2.66 days in usual care (mean difference, 2.03 days; 95 % confidence interval (CI), -3.47 to -0.60 days; p = 0.005) in per-protocol analysis. The mean time to flatus was 52.18 ± 21.55 h in the exercise group compared with 71.86 ± 29.2 h in the usual care group (mean difference, 19.69 h; 95 % CI, -38.33 to -1.04 h; p = 0.036). Conclusions: Low-to-moderate-intensity postsurgical exercise reduces length of hospital stay and improves bowel motility after colectomy procedure in patients with stages I-III colon cancer.

UR - http://www.scopus.com/inward/record.url?scp=84877717056&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84877717056&partnerID=8YFLogxK

U2 - 10.1007/s00384-013-1665-1

DO - 10.1007/s00384-013-1665-1

M3 - Article

C2 - 23417645

AN - SCOPUS:84877717056

VL - 28

SP - 643

EP - 651

JO - International Journal of Colorectal Disease

JF - International Journal of Colorectal Disease

SN - 0179-1958

IS - 5

ER -