Preoperative Exercise Habits are Associated with Post-gastrectomy Complications
| العنوان: | Preoperative Exercise Habits are Associated with Post-gastrectomy Complications |
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| المؤلفون: | Hiroharu Yamashita, Koichi Yagi, Koichiro Kawasaki, Sachiyo Nomura, Susumu Aikou, Yasuhiro Okumura, Yasuyuki Seto, Kotaro Wakamatsu, Tetsuro Toriumi |
| المصدر: | World Journal of Surgery. 44:2736-2742 |
| بيانات النشر: | Springer Science and Business Media LLC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, Sarcopenia, medicine.medical_specialty, medicine.medical_treatment, Comorbidity, Habits, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, Gastrectomy, Stomach Neoplasms, Internal medicine, medicine, Humans, Exercise, Aged, Retrospective Studies, Aged, 80 and over, Univariate analysis, business.industry, Retrospective cohort study, Middle Aged, Vascular surgery, medicine.disease, Cardiac surgery, 030220 oncology & carcinogenesis, Preoperative Period, Exercise Test, Female, 030211 gastroenterology & hepatology, Surgery, business, Abdominal surgery |
| الوصف: | Sarcopenia is reportedly associated with postoperative complications of gastrectomy, which would presumably be affected by exercise habits aimed at maintaining muscle quantity and quality. However, the potential benefits of exercise habits have yet to be clarified. We included 178 patients undergoing gastrectomy in this study. Postoperative complications above grade 2 according to the Clavien–Dindo classification were regarded as clinically significant. Patients were classified according to exercise quantity employing the International Physical Activity Questionnaire Short Form and relationships between exercise habits and complications were investigated. On univariate analysis, low exercise habits (p = 0.008) and total gastrectomy (p = 0.004) were significantly associated with morbidity after gastrectomy. Although severe comorbidity (p = 0.095) and combined resection (p = 0.064) tended to be associated with complications, multivariate analysis demonstrated only low levels of exercise (Odds ratio = 2.42, p = 0.014) and total gastrectomy (Odds ratio = 3.67, p = 0.028) to be independently associated with postoperative complications. Anastomotic leakage (p = 0.028) and systemic complications (p = 0.006), especially pneumonia, were significantly more frequent in the low exercise group. Preoperative exercise habits independently affected short-term postoperative outcomes. Our results raise the possibility that exercise intervention would reduce the morbidity experienced by gastrectomy patients. |
| تدمد: | 1432-2323 0364-2313 |
| DOI: | 10.1007/s00268-020-05493-3 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a965b67ada935badd5af48b177b56f67 https://doi.org/10.1007/s00268-020-05493-3 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....a965b67ada935badd5af48b177b56f67 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14322323 03642313 |
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| DOI: | 10.1007/s00268-020-05493-3 |