Prehabilitative high-intensity interval training and resistance exercise in patients prior allogeneic stem cell transplantation

• Verfasst von: Kühl, Rea [VerfasserIn]
• Verfasst von: Feyer, Jule [VerfasserIn]
• Verfasst von: Limbach, Matthias [VerfasserIn]
• Verfasst von: Pahl, Antonia [VerfasserIn]
• Verfasst von: Stoelzel, Friederike [VerfasserIn]
• Verfasst von: Beck, Heidrun [VerfasserIn]
• Verfasst von: Wegner, Annika [VerfasserIn]
• Verfasst von: Rosenberger, Friederike [VerfasserIn]
• Verfasst von: Dreger, Peter [VerfasserIn]
• Verfasst von: Luft, Thomas [VerfasserIn]
• Verfasst von: Wiskemann, Joachim [VerfasserIn]
• Titel: Prehabilitative high-intensity interval training and resistance exercise in patients prior allogeneic stem cell transplantation
• Verf.angabe: Rea Kuehl, Jule Feyer, Matthias Limbach, Antonia Pahl, Friederike Stoelzel, Heidrun Beck, Annika Wegner, Friederike Rosenberger, Peter Dreger, Thomas Luft & Joachim Wiskemann
• E-Jahr: 2023
• Jahr: 12 December 2023
• Umfang: 10 S.
• Illustrationen: Illustrationen
• Fussnoten: Gesehen am 04.04.2024
• Titel Quelle: Enthalten in: Scientific reports
• Ort Quelle: [London] : Springer Nature, 2011
• Jahr Quelle: 2023
• Band/Heft Quelle: 13(2023), Artikel-ID 22069, Seite 1-10
• ISSN Quelle: 2045-2322
• DOI: doi:10.1038/s41598-023-49420-7
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Cancer
• Sach-SW: Haematological cancer
• Sach-SW: Oncology
• K10plus-PPN: 1885028628

Abstract

Physical capacity prior allogeneic stem cell transplantation (allo-HCT) has been shown as a relevant prognostic factor for survival after transplant. Therefore, we evaluated feasibility and preliminary efficacy of a high-intensity interval training (HIIT) and moderate to high-intensity resistance exercise (RE) to increase physical capacity in patient’s prior allo-HCT. In this multicentre single arm pilot study, a supervised exercise program was performed twice weekly for 4-12 weeks prior allo-HCT, depending on the individual time remaining. Outcomes were feasibility (recruitment, adherence, safety), physical capacity (cardiorespiratory fitness [VO2peak], muscle strength) and patient reported outcomes (physical functioning, fatigue). Thirty patients were intended, 16 could be included, and 14 completed post intervention assessment (75% male, 55 ± 11 years). The study was stopped early due to a low recruitment rate. Nine patients (64%) reached the initial minimum planned number of eight exercise sessions. Individual adherence was high with 92% for HIIT and 85% for RE. 87% of all performed exercise sessions were completed without complaints and VO2peak increased significantly from 20.4 to 23.4 ml/kg/min. The low recruitment rate suggests that initiation of the intervention concept immediately before allo-HCT is feasible only in a small number of patients. In particular, the timeframe directly prior allo-HCT seems too short for exercise interventions, although the exercise program was designed to improve outcomes in a very short time frame. HIIT and RE were feasible, effective and well accepted by the included patients.