Preoperative High Intensity Interval Training: The PHIIT Trial
NCT02674815 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 20
Last updated 2017-05-18
Summary
Colorectal and thoracic surgical patients are susceptible to poor postoperative outcome including complications, mortality and increased length of stay. Preoperative physical fitness is protective against poor postoperative outcome in intra-abdominal and thoracic surgery.
The current colorectal/thoracic pathway from diagnosis to surgery is about 2 weeks and therefore interventions of longer duration are not feasible. Clinicians may be presented with a difficult choice in delaying surgery to perform prehab or cancel the pre-op intervention.
To create greater improvements in aerobic fitness, participants are required to exercise at high levels of VO2peak (e.g. ≥80% VO2peak). High intensity interval training (HIIT) requires participants to exercise at high levels of VO2peak (≥80% VO2peak) for short periods (e.g. 15 seconds) followed by a recovery (active or passive) and typically continue this pattern for 30 minutes or until exhaustion.
HIIT programmes are safe and a recent meta-analysis noted that HIIT produced a more pronounced incremental gain in participants' mean VO2peak when compared with continuous moderate intensity exercise (+1.78mL/kg/min, 95% CI: 0.45-3.11).
HITT has not been investigated as a preoperative intervention to either optimize fitness prior to surgery or reduce post-surgical complications. Preoperative HIIT is an intense intervention which will require significant participant adherence. The safety, cost and clinical application of such a programme needs to be performed. This feasibility study aims to assess the ability of HIIT to improve aerobic fitness two weeks prior to surgery and determine its feasibility.
Conditions
- Colorectal Neoplasms
- Lung Neoplasms
Interventions
- OTHER
-
High Intensity Interval Training Exercise programme
High intensity interval training (HIIT) requires participants to exercise at high levels of VO2peak (≥80% VO2peak). Participants exercise for short periods (e.g. 15-30 seconds) followed by periods of rest (active or passive) and typically continue this pattern for a set time period or until exhaustion.
Sponsors & Collaborators
-
University of Dublin, Trinity College
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-02-29
- Primary Completion
- 2016-12-31
- Completion
- 2016-12-31
Countries
- Ireland
Study Locations
More Related Trials
-
Optimizing Physical Function Before Cancer Surgery in Older People at Risk
NCT04878185 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Exercise Training in Colorectal Cancer Patients
NCT01325909 ·Status: COMPLETED ·Phase: NA
-
Supervised Versus Non-supervised Exercise on Adherence and Functional Outcomes in Colorectal Patients
NCT02586701 ·Status: COMPLETED ·Phase: NA
-
Pragmatic Prehabilitation for Colorectal Surgery
NCT04247776 ·Status: COMPLETED ·Phase: NA
-
Association Between New Effort-independent Cardiopulmonary Exercise Test Variables and Postoperative Complications After Elective Colorectal Surgery
NCT05483179 ·Status: COMPLETED
-
CPET in Colorectal Surgery
NCT02298907 ·Status: COMPLETED
-
Feasibility of Home-based Preoperative Exercise in Older People
NCT02895464 ·Status: COMPLETED ·Phase: NA
-
Cardiopulmonary Exercise Test Data Averaging Methods and Preoperative Risk Assessment
NCT05353127 ·Status: COMPLETED
-
Using Multimodal Prehabilitation to Improve Outcomes for Frail Patients Undergoing Resection of Colorectal Cancer
NCT02502760 ·Status: COMPLETED ·Phase: NA
-
Observing the Perioperative Effects of Prehabilitation in Colorectal Cancer Patients
NCT04762914 ·Status: COMPLETED
-
Early Pelvic Floor Muscle Training Improves Pelvic Floor Muscle Strength in Patient After Low Anterior Resection
NCT01146769 ·Status: UNKNOWN ·Phase: NA
-
Prehabilitation in Colorectal Cancer
NCT03096951 ·Status: COMPLETED ·Phase: NA
-
Effect of a Post-operative Protocol of Early Mobilization on Functional Recovery and Postoperative Complications After Immediate Internal Pudendal Artery Perforator Flap Reconstruction for Irradiated Abdominoperineal Resection Defects: a Prospective, Randomized and Controlled Clinical Study.
NCT04795609 ·Status: UNKNOWN ·Phase: NA
-
PRIORITY-CONNECT 2 Pilot Trial
NCT06212700 ·Status: RECRUITING ·Phase: NA
-
Investigation of Waist Circumference and Waist/Hip Ratio as a Predictive Risk Factor for Morbidity and Mortality After Colorectal Surgery
NCT01737515 ·Status: COMPLETED
-
Supplemental Oxygen in Colorectal Surgery: A Quality Improvement Project
NCT01777568 ·Status: COMPLETED ·Phase: NA
-
Prehabilitation in Elective Colorectal Resection: A Pilot Study (Prehab)
NCT02531620 ·Status: UNKNOWN ·Phase: NA
-
Early Mobilization After Colorectal Surgery
NCT02131844 ·Status: COMPLETED ·Phase: NA
-
Enhancing Outcomes After Colon Surgery
NCT00227526 ·Status: COMPLETED ·Phase: PHASE2
-
Fit for Surgery. Multimodal Prehabilitation in Colorectal Cancer Patients
NCT04167436 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Multimodal Prehabilitation for Colorectal Surgery
NCT01356264 ·Status: COMPLETED ·Phase: PHASE2
-
Prognostic Value of Effort-independent Cardiopulmonary Exercise Test Variables for Postoperative Complications After Elective Colorectal Surgery
NCT05331196 ·Status: COMPLETED
-
An Observational Cohort Study to Assess the Postop Activity of Colorectal Patients Undergoing Elective Surgery (PHYSPAL)
NCT05934643 ·Status: COMPLETED
-
Prehabilitation in Oncological Patients Undergoing Major Gastrointestinal Surgery (PROGRESS)
NCT06404489 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
A Pilot Randomized Trial of a Comprehensive Transitional Care Program for Colorectal Cancer Patients
NCT02202096 ·Status: WITHDRAWN ·Phase: NA