Supervised Versus Non-supervised Exercise on Adherence and Functional Outcomes in Colorectal Patients
Colorectal Cancer
About this trial
This is an interventional treatment trial for Colorectal Cancer
Eligibility Criteria
Inclusion Criteria:
- referred electively for resection of malignant, non metastasized, colorectal lesions.
- French or English speaking
Exclusion Criteria:
- ASA class 4-5
- co-morbid medical, physical and mental conditions (e.g. dementia, disabling orthopedic and neuromuscular disease, psychosis)
- cardiac abnormalities
- severe end-organ disease such as cardiac failure (New York Heart Association classes I-IV), COPD, renal failure (creatinine > 1.5mg/dl, and hepatic failure ALT and AST > 50% over the normal range)
- Sepsis
- Morbid obesity (BMI > 40)
- Anemia (hematocrit < 30%, haemoglobin < 10g/dl, albumin < 25mg/dl).
Sites / Locations
- Montreal General Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
No Intervention
Prehabilitation Plus
Rehabilitation
Patients in this group will be enrolled in a multimodal program before surgery involving supervised exercise, nutrition counseling and relaxation strategies. Supervised exercise is provided once a week for four weeks before surgery as well as during the hospital stay post surgery. Patients are to continue with a home-based exercise program for 8 weeks after discharge.
Patients in this group are provided with in-hospital supervised exercises with a kinesiologist post surgery until discharge. Patients, upon discharge are provided with a home-based exercise program, nutritional counseling and relaxation strategies for 8 weeks.