Surgical Prehabilitation: Nutrition and Exercise.

Journal Article (Journal Article;Review)

Complications after major surgery account for a disproportionate amount of in-hospital morbidity and mortality. Recent efforts have focused on preoperative optimization in an attempt to modify the risk associated with major surgery. Underaddressed, but important, modifiable risk factors are physical fitness and nutritional status. Surgical patients are particularly at risk of 3 related, but distinct, conditions: frailty, sarcopenia, and reduced physical fitness. Exercise-based prehabilitation strategies have shown promise in terms of improving aerobic fitness, although their impact on key clinical perioperative outcome measures have not been fully determined. Preoperative nutritional status also has a strong bearing on perioperative outcome.

Full Text

Duke Authors

Cited Authors

  • Whittle, J; Wischmeyer, PE; Grocott, MPW; Miller, TE

Published Date

  • December 2018

Published In

Volume / Issue

  • 36 / 4

Start / End Page

  • 567 - 580

PubMed ID

  • 30390779

International Standard Serial Number (ISSN)

  • 1932-2275

Digital Object Identifier (DOI)

  • 10.1016/j.anclin.2018.07.013


  • eng

Conference Location

  • United States