Preoperative Care, Colorectal Neoplasms, Aged, Exercise
Conditions
Brief summary
The primary aim of this study is to determine whether an improvement in aerobic fitness, as judged by an increase in VO2peak, can be achieved within 31 days via HIT programme in a group of older, colorectal cancer patients.
Detailed description
12 high intensity interval training exercise sessions on a static cycle ergometer, over a period of 31 days. Each session lasts 18 minutes. At the beginning and end of the study the following measures will be used to assess change in fitness, body composition and muscle metabolism. DXA scan, USS of thigh, VO2 peak cycling test, short performance battery tests, quality of life questionnaires and muscle biopsy.
Interventions
12 HIT exercise sessions in 31 days on a stationary cycle ergometer
Sponsors
Study design
Eligibility
Inclusion criteria
* Confirmed colorectal cancer * Offered curative treatment by the Royal Derby Hospital NHS Foundation Trust Colorectal Cancer Multidisciplinary Team * Male and female * 18-88 years of age
Exclusion criteria
* Uncontrolled hypertension (BP \> 160/100), * Angina, * Heart failure (class III/IV), * Cardiac arrthymias, * Right to left cardiac shunt, * Recent cardiac event, * Previous stroke/TIA, * Aneurysm (large vessel or intracranial), * Severe respiratory disease including pulmonary hypertension, * COPD/asthma with an FEV1 less than 1.5 l, * Coagulation disorders, * Scarring disorders. * Current neoadjuvant chemo/radiotherapy * Inability to complete the consent process Involvement in invasive research study in previous 3 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| VO2 peak | After 31 days of HIT | Mean difference in VO2 peak following a HIT programme |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anaerobic threshold | After 31 days of HIT | Mean difference in anaerobic threshold following a HIT programme |
| Muscle protein synthesis | After 31 days of HIT | Assessment of D2O evaluated muscle protein synthesis following HIT programme |
| Body composition | After 31 days of HIT | DXA and USS assessed changes in lean muscle mass and architecture following a HIT programme |
| Feasibility | After 31 days of HIT | Determination of patient compliance and adherence to HIT programme |
| Quality of life | After 31 days of HIT | Quality of life and performance questionnaires to measure subjective outcomes (EQ-5D, IPAQ, DASI, WEMWBS) |
Countries
United Kingdom