title: Effect of preoperative exercise on cardiorespiratory function and recovery after surgery: a systematic review.
abstract: BACKGROUND
  This systematic review aims to investigate the extent to which preoperative conditioning (PREHAB) improves physiologic function and whether it correlates with improved recovery after major surgery.
  
  
  METHODS
  An electronic database search identified randomized controlled trials (RCTs) investigating the safety and efficacy of PREHAB. The outcomes studied were changes in cardiorespiratory physiologic function, clinical outcomes (including length of hospital stay and rates of postoperative complications), and measures of changes in functional capacity (physical and psychological).
  
  
  RESULTS
  Eight low- to medium-quality RCTs were included in the final analysis. The patients were elderly (mean age >60 years), and the exercise programs were significantly varied. Adherence to PREHAB was low. Only one study found that PREHAB led to significant improvement in physiologic function correlating with improved clinical outcomes.
  
  
  CONCLUSIONS
  There are only limited data to suggest that PREHAB confers any measured physiologic improvement with subsequent clinical benefit. Further data are required to investigate the efficacy and safety of PREHAB in younger patients and to identify interventions that may help improve adherence to PREHAB.
authors.affiliation: Department of Surgery, South Auckland Clinical School, University of Auckland, Private Bag 93311, Auckland, 1640, New Zealand. daniel_lemanu@hotmail.com
authors.forename: Daniel P
authors.initials: DP
authors.lastname: Lemanu
authors.forename: Primal P
authors.initials: PP
authors.lastname: Singh
authors.forename: Andrew D
authors.initials: AD
authors.lastname: MacCormick
authors.forename: Bruce
authors.initials: B
authors.lastname: Arroll
authors.forename: Andrew G
authors.initials: AG
authors.lastname: Hill
mesh_terms: D002320:Cardiovascular Physiological Phenomena; D005080:Exercise Test; D005081:Exercise Therapy; D006801:Humans; D007902:Length of Stay; D053580:Muscle Strength; D010101:Oxygen Consumption; D011183:Postoperative Complications / Q000517:prevention & control*; D011300:Preoperative Care / Q000379:methods*; D011788:Quality of Life; D016032:Randomized Controlled Trials as Topic; D020127:Recovery of Function; D012129:Respiratory Function Tests; D012143:Respiratory Physiological Phenomena; D016896:Treatment Outcome