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This randomized control trial will determine the effect of short term high intensity interval training (HIIT) on physical fitness, in an elderly patient group with active cancer, prior to surgical resection.
Half of the recruited patients will act as a control group and the other half will undergo a HIIT protocol.
High intensity interval training (HIIT) has been shown to achieve similar and in some studies better improvements in aerobic fitness versus more traditional endurance based exercise over the same time period. HIIT has also been shown to produce these improvements over a shorter timescale than other methods, in the region of 2-6 weeks. One widely reported barrier to exercise is time availability, HIIT training may be a favorable option to increase fitness as the total time spent exercising is significantly less than other methods. HIIT induces improvements in cardiovascular parameters in healthy elderly subjects, investigators aim to investigate whether these improvements can be matched in patients with cancer and further elucidate the mechanisms behind improvements seen with this type of training.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | No Intervention | Control: This group of patients will receive 'current best practice' as per UK NHS recommendations for their specific cancer management prior to surgery. | |
| High intensity interval training | Experimental | Exercise: Participants in this group will attend 3-4 times per week to complete HIIT training during the period from diagnosis to surgery. High intensity interval training (HIIT) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| High intensity interval training (HIIT) | Other | Preoperative HIIT protocol. |
|
| Measure | Description | Time Frame |
|---|---|---|
| VO2AT (VO2 at anaerobic threshold) | Change in anaerobic threshold seen during maximal exercise test (pre and post intervention). | Baseline and 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| VO2peak | Change in peak volume of oxygen consumption during maximal exercise test (pre and post intervention). | Baseline and 4 weeks |
| Subjective acceptability of HIIT preoperatively (via questionnaire) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| John Williams, MBChB FRCA PhD | Nottingham University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Royal Derby Hospital | Derby | Derbyshire | DE22 3NE | United Kingdom |
No individual patient data will be made available.
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D000072696 | High-Intensity Interval Training |
| ID | Term |
|---|---|
| D064797 | Physical Conditioning, Human |
| D015444 | Exercise |
| D009043 | Motor Activity |
| D009068 | Movement |
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Assessment of whether our HIIT protocol is acceptable to patients in this age group.
| After 4 weeks of HIIT. |
| Muscle protein synthesis rate changes with HIIT. | Assessment of the effect HIIT has on rate of muscle protein synthesis in this group. | Baseline and 4 weeks. |
| D009142 |
| Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |