Adherence to and Efficacy of the Nutritional Intervention in Multimodal Prehabilitation in Colorectal and Esophageal Cancer Patients

Abstract

Multimodal prehabilitation programs to improve physical fitness before surgery often include nutritional interventions. This study evaluates the efficacy of and adherence to a nutritional intervention among colorectal and esophageal cancer patients undergoing the multimodal Fit4Surgery prehabilitation program. The intervention aims to achieve an intake of ≥1.5 g of protein/kg body weight (BW) per day through dietary advice and daily nutritional supplementation (30 g whey protein). This study shows 56.3% of patients met this goal after prehabilitation. Mean daily protein intake significantly increased from 1.20 ± 0.39 g/kg BW at baseline to 1.61 ± 0.41 g/kg BW after prehabilitation (p < 0.001), with the main increase during the evening snack. BW, BMI, 5-CST, and protein intake at baseline were associated with adherence to the nutritional intervention. These outcomes suggest that dietary counseling and protein supplementation can significantly improve protein intake in different patient groups undergoing a multimodal prehabilitation program.

Nutrition and continuous nursing intervention following radical resection of esophageal cancer in a patient after liver transplantation: a case report

“…Problems faced by patients after liver transplantation are often related to the restriction of food intake due to the surgical removal of part or all of the esophagus. Nutritional intervention plays a crucial role in providing the necessary nutrients, meeting the body’s energy and nutritional requirements, and maintaining a normal nutritional status ( 14 , 15 ). This approach may be used as an example for the reference of future similar cases.…”

Feasibility of Introducing a Prehabilitation Program into the Care of Gynecological Oncology Patients—A Single Institution Experience

“…All patients undergoing elective surgery for (suspected) ovarian, uterine, or vulvar cancer at the Radboudumc between May 2022 and September 2023, and who were considered for the F4S PREHAB trial, were included in this cohort study. Inclusion and exclusion criteria for the F4S PREHAB trial have been previously defined [ 34 ]. Patients presenting at the outpatient gynecologic oncology clinic were screened for eligibility.…”

“…The intervention consisted of a multimodal prehabilitation program including an exercise, nutritional, and psychological component, and intoxication cessation, which participants received in addition to standard perioperative care. The program has been previously described [ 34 ]. The length of the program was determined by the time between diagnosis and surgery and was aimed to encompass a minimum of three weeks.…”