Perioperative risk factors associated with postoperative physical deconditioning in patients with colorectal cancer

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  • Yabe Hiroki
    Department of Physical Therapy, School of Rehabilitation Sciences, Seirei Christopher University Department of Rehabilitation, Nagoya Kyoritsu Hospital
  • Tsukamoto Mizuki
    Department of Rehabilitation, Nagoya Kyoritsu Hospital
  • Nakane Mariko
    Department of Nutritional Management, Nagoya Kyoritsu Hospital
  • Takao Mariko
    Department of Nutritional Management, Nagoya Kyoritsu Hospital
  • Omi Kan
    Department of Gastroenterological Surgery, Nagoya Kyoritsu Hospital

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  • 大腸がん術後身体機能低下に影響する周術期要因の検討
  • ダイチョウ ガン ジュツゴ シンタイ キノウ テイカ ニ エイキョウ スル シュウジュツキ ヨウイン ノ ケントウ

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Abstract

<p>Aim: The aim of this study was to investigate the factors affecting physical deconditioning after curative resection for colonic cancer.</p><p>Subjects and Methods: Fifty-five patients with colonic cancer for whom surgical treatment was planned were enrolled in this study. Perioperative physical deconditioning was measured by changes in test results with the Short Physical Performance Battery before and after surgery, and subjects were categorized by the presence or absence of perioperative physical deconditioning. Before surgery, the following parameters were evaluated: body weight, body mass index, muscle mass, percentage of body fat, distance covered in the six-minute walk test, grip strength, leg strength, 10-m gait speed, serum albumin, and CRP. After surgery, the number of days until the start of early mobilization, number of days required before patients could walk around the hospital ward, nutrient adequacy, serum albumin, and CRP were measured.</p><p>Results: Subjects who experienced physical deconditioning after curative resection for colonic cancer required a significantly higher number of days before they began to regain mobility after surgery and had a higher postoperative CRP. In a multiple logistic regression analysis, the delay until early mobilization and a higher CRP after surgery were significant variables affecting physical deconditioning. Other measurements were not significantly related to perioperative physical deconditioning.</p><p>Conclusion: Postoperative early mobilization and inflammation were factors affecting physical deconditioning after curative resection for colonic cancer.</p>

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