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. 2022 Apr 22;14(9):2096. doi: 10.3390/cancers14092096

Table 2.

Structure of interventions in prehabilitation programs for esophagogastric cancer surgery.

Author; Year Prehabilitation Group Control Group
Type of Prehabilitation (Unimodal vs. Multimodal) Timing of Prehabilitation Interventions Used for Prehabilitation
Allen et al. [21]; 2021 Multimodal Prehabilitation was initiated for 15 preoperative weeks.
  • Exercise intervention: supervised aerobic, resistance, and flexibility training twice a week and home-based exercise training three times per week;

  • Nutritional intervention: needs-based nutritional interventions with frequent, tailored dietetic input from specialist dieticians, increasing calorie and protein intake where appropriate depending on assessments and physical activity levels;

  • Psychological intervention: six sessions of medical coaching, which included discussion of health status, strength recognition, resilience profiling and development, social and support systems, emotional management, and goal setting.

  • Standard of care

Minnella et al. [17]; 2018 Multimodal Prehabilitation was initiated before the initial surgery or at the time of neoadjuvant therapy.
  • Exercise intervention: individualized, home-based exercise training program including aerobic and strengthening exercise;

  • Nutritional intervention: metabolic requirement was adjusted to meet the increased nutritional demand. Food-based dietary advice was given, and a whey protein supplement was prescribed to guarantee a daily protein intake.

  • Standard of care

Valkenet et al. [18]; 2018 Unimodal Prehabilitation was initiated for 2 weeks or longer. When neoadjuvant therapy was administered, prehabilitation started afterward.
  • Exercise intervention: inspiratory muscle training.

  • Standard of care

van Adrichem et al. [19]; 2014 Unimodal Prehabilitation was initiated for 3 weeks. When neoadjuvant therapy was administered, prehabilitation started afterward.
  • Exercise intervention: high-intensity inspiratory muscle training.

  • Exercise intervention: endurance inspiratory muscle training

Xu et al. [24]; 2015 Multimodal Prehabilitation was initiated for 4–5 weeks during the neoadjuvant chemoradiotherapy.
  • Exercise intervention: nurse-supervised walking;

  • Nutritional intervention: nutritional advice.

  • Standard of care

Yamana et al. [20]; 2015 Unimodal Prehabilitation was initiated for ≥7 days before the surgery.
  • Exercise intervention: respiratory muscle training; muscle strengthening exercises for the lower limbs and abdominal muscles; biking on an ergometer.

  • Standard of care

Christensen et al. [25]; 2018 Unimodal Prehabilitation was initiated at the time of neoadjuvant treatment.
  • Exercise intervention: supervised high-intensity aerobic and resistance exercise.

  • Standard of care

Dettling et al. [26]; 2013 Unimodal Prehabilitation was initiated for 2 weeks or longer.
  • Exercise intervention: inspiratory muscle training.

  • Standard of care

Argudo et al. [21]; 2020 Multimodal Prehabilitation was initiated after neoadjuvant chemotherapy for 5 weeks.
  • Exercise intervention: high-intensity interval training on the ergometric bicycle; respiratory muscle training using a respiratory muscle trainer.

  • Nutritional intervention: individualized nutritional therapy based on nutritional status and ability to fulfill caloric-protein requirements.

  • N/A

Piraux et al. [22]; 2020 Unimodal Prehabilitation was initiated for 2–4 weeks before the surgery.
  • Exercise intervention: aerobic, resistance, and respiratory muscle training using an online tele-prehabilitation platform.

  • N/A

Yamamoto et al. [23]; 2016 Multimodal Prehabilitation was initiated for 3 weeks, although the actual duration differed depending on the surgery date.
  • Exercise intervention: handgrip training, walking, and resistance training;

  • Nutritional intervention: nutritional advice and 2.4 g daily oral supplementation with leucine metabolite b-hydroxy-b-methylbutyrate (HMB).

  • N/A

Cho et al. [27]; 2014 Unimodal Prehabilitation was initiated for 4 weeks.
  • Exercise intervention: aerobic exercise, resistance training, and stretching.

  • Standard of care

CRT: chemoradiotherapy; N/A: not applicable.