A Phase I Study Examining the Feasibility and Safety of an Aerobic Exercise Intervention in Patients With Rectal Cancer During and After Neoadjuvant Chemoradiotherapy.

PURPOSE/

OBJECTIVES

To assess the feasibility and safety of an aerobic exercise intervention in patients with rectal cancer during and after neoadjuvant chemoradiotherapy (NACRT).
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DESIGN

A prospective, single-group design with assessments at pre-NACRT, post-NACRT, and presurgery.
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SETTING

The Cross Cancer Institute and University of Alberta in Edmonton, Canada.
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SAMPLE: 18 patients with rectal cancer scheduled to receive long-course NACRT followed by definitive surgery. 
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METHODS

Participants received a supervised moderate-intensity aerobic exercise program three days per week during six weeks of NACRT followed by an unsupervised aerobic exercise program for 150 minutes or more per week for 6-8 weeks prior to surgery.
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MAIN RESEARCH VARIABLES: Eligibility rate, recruitment rate, follow-up rate, exercise adherence, serious adverse events, health-related fitness outcomes, and patient-reported outcomes.
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FINDINGS: Follow-up rates post-NACRT were 83% for health-related fitness outcomes and 94% for patient-reported outcomes. Patients attended a median of 83% of their supervised exercise sessions and completed a mean of 222 minutes per week (SD = 155) of their unsupervised exercise. No serious adverse events were observed or reported. Most health-related fitness outcomes and patient-reported outcomes declined during NACRT and recovered after NACRT. 
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CONCLUSIONS

Aerobic exercise is feasible and safe for patients with rectal cancer during and after NACRT.
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IMPLICATIONS FOR NURSING: Patients with rectal cancer are able to engage in moderate-intensity aerobic exercise during NACRT.