PWE-029 Objective assessment of physical activity as a measure of functional recovery and quality of life following oesophago-gastric cancer resection

Autor: Simon Paterson-Brown, Richard J E Skipworth, P. O. Hendry, Kenneth C. H. Fearon
Rok vydání: 2012
Předmět:
Zdroj: Gut. 61:A308.2-A309
ISSN: 1468-3288
0017-5749
DOI: 10.1136/gutjnl-2012-302514d.29
Popis: Introduction Functional recovery following surgery is determined by the interaction between pre-operative performance, post-operative catabolism, nutritional status, and mood. Physical activity (PA) is an important domain of health-related quality-of-life (HRQL), and may be a useful objective index of recovery. We aimed to use an accelerometer-based activity metre (ActivPAL) to monitor post-operative PA in oesophago-gastric (OG) cancer patients undergoing surgery with curative intent. Methods PA measures, including step count, time spent in various body positions, and energy expenditure of activity, were assessed over 7-day periods in patients undergoing oesophagectomy or gastrectomy (n=16). Nutritional status, HRQL (FAACT, FACIT-F and EORTC-QLQC30 questionnaires), and mood (HADS questionnaire) were also assessed. Time-points were pre-operatively and 1–2 weeks, 5–6 weeks, 3 months and 6 months post-operatively. Results Compared with pre-operative results, PA measures were decreased by 23–89% (p Conclusion There is marked impairment of PA at the time of hospital discharge and a gradual recovery over 3–6 months. This carries significant implications in a disease where surgical patients may survive Competing interests None declared.
Databáze: OpenAIRE