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. 2023 May 10;2023(5):CD013259. doi: 10.1002/14651858.CD013259.pub3

1. Multimodal prehabilitation programmes.

  Gillis 2014 Bousquet‐Dion 2018 Carli 2020
 Exercise  General:
  • home‐based

  • 50‐minute sessions

  • at least 3 days per week


Aerobic:
  • 20 minutes walking/ cycling/ jogging, or swimming

  • intensity: moderate, started at 40% of heart rate reserve


Resistance:
  • eight exercises for major muscle groups using resistance bands

  • intensity: 8‐12 repetitions maximal

General:
  • home‐based

  • once a week supervised session

  • 60‐minute sessions

  • 3‐4 days per week 


Aerobic:
  • home‐based: 30 minutes walking, jogging, or cycling

  • Supervised: 30 minutes recumbent stepper/ treadmill

  • intensity: moderate, 60‐70% maximal heart rate


Resistance:
  • eight exercises for major muscle groups using resistance bands

  • intensity: 8‐15 repetitions maximal

General:
  • home‐based

  • once a week supervised session 

  • aerobic: daily, 30‐minute sessions

  • resistance: 3 days per week, 25‐minute sessions


Aerobic:
  • home based: 30‐minute daily walk

  • Supervised: 30 minutes recumbent stepper

  • intensity: moderate, 60‐70% maximal heart rate


Resistance:
  • eight exercises for major muscle groups using resistance bands

  • intensity: 8‐15 repetitions maximal

 Nutrition
  • extensive nutritional counselling

  • target protein intake: 1.2 grams per kilogram body weight

  • whey protein supplementation, ingested within 1 hour of exercise regimen

  • extensive nutritional counselling

  • target protein intake: 1.2 grams per kilogram body weight

  • whey protein supplementation when protein requirements were not met by intake alone;  ingested within 1 hour of exercise regimen

  • extensive nutritional counselling

  • target protein intake: 1.5 grams per kilogram body weight

  • whey protein supplementation when protein requirements were not met by intake alone;  ingested within 1 hour of exercise regimen

Mental health
  • 60‐minute consult psychologist 

  • coping strategies, anxiety reducing techniques

  • compact disc with instructions provided

  • motivational advices

  • 60‐minute consult psychology‐trained member of research team

  • coping strategies, anxiety reducing techniques

  • compact disc with instructions provided

  • assessment by psychology‐trained nurse

  • coping strategies focusing on anxiety, depression, and fatigue

  • compact disc with instructions provided

  • counselling regarding smoking and alcohol cessation

This programme was being offered to the patients in the prehabilitation group four weeks preoperatively in Bousquet‐Dion 2018Carli 2020, and Gillis 2014. In Bousquet‐Dion 2018 and Gillis 2014 patients resumed this programme in the prehabilitation group postoperatively until eight weeks after surgery (minus the supervised sessions in Bousquet‐Dion 2018). The programme did not continue postoperatively in Carli 2020.

The rehabilitation or control group did not follow a preoperative programme. Subjects started this identical, postsurgical rehabilitation programme until eight weeks postoperatively inBousquet‐Dion 2018 and Gillis 2014, and until four weeks after surgery in Carli 2020.