Objectively measured preoperative physical activity is associated with time to functional recovery after hepato-pancreato-biliary cancer surgery: a pilot study

Abstract Background Surgical resection is currently the cornerstone of hepato-pancreato-biliary (HPB) cancer treatment. A low preoperative aerobic fitness level has been identified as a modifiable risk factor associated with complications after major abdominal surgery. person’s influenced by performing moderate to vigorous physical activity (MVPA). This study aims determine monitor measured levels MVPA performed among patients on waiting list for HPB surgery and their association postoperative outcomes. Methods prospective, observational multi-center cohort pilot was conducted. Patients enlisted suspicion (pre)malignancy were enrolled. Performed an Actigraph wGT3X-BT. Additionally, via Incremental Shuttle Walk Test, (post)operative variables collected from electronic patient files. The between pre- determined univariate multivariable (logistic) robust regression. Results total 38 participants, median age 66.0 (IQR 58.25–74.75) years, daily 10.7 6.9–18.0) min; only 8 participants met Dutch guidelines. Participant’s statistical analysis. Time functional recovery 5–12) days type (major/minor) in Conclusion Seventy-six percent insufficient MVPA. higher shorter time recovery.