Preoperative aerobic exercise therapy prior to abdominal surgery: What is the evidence? what dose?
Current Anesthesiology Reports
School of Medical and Health Sciences / Exercise Medicine Research Institute / Centre for Exercise and Sports Science Research
Purpose of Review: This review aims to provide an overview of the current evidence for the clinical utility of aerobic exercise therapy and discuss the practical considerations for prescribing exercise in the preoperative, intra-abdominal surgery setting. Recent Findings: There is a strong physiological rationale for exercise medicine and the association with significant and numerous health benefits in patient populations. Considerable heterogeneity exists in the prescription of exercise in the current literature. Due to the heterogeneity of preoperative exercise medicine research, there has been a paucity of detailed literature discussing specific dose and duration. Summary: When considering prescribing aerobic exercise, an individualised and patient-targeted approach should be employed. The FITT-VP (Frequency, Intensity, Time, Type, Volume and Progression) principle provides a framework for exercise prescription.