Prehabilitation in Patients on a Waiting List for a Transplant

Individualized Prehabilitation Program for Patients on a Waiting List for a Transplant.

The aim of this study is to prove the effects of a individualized prehabilitation program (muscular strength and endurance) in patients in a waiting list for a transplant. The investigators want to see if patients that did a prehabilitation program have better results in the postoperative period.

Some characteristics of the fragile people, like as sarcopenia, are related with worse results after a transplant. Increasing the cardiorespiratory fitness with an exercise program during the preoperative period has shown improvements in patients after a surgery. It is produced a decreased in his functions, including a loss of muscle mass.

Prehabilitation is a exercise program before a surgery. This program will improve the patient's starting functional status and therefore recovery.

Physical activity is one of the most powerful predictors of mortality risk. Several studies say that a improved cardiorespiratory fitness by exercise before a surgery has a great impact in the patients after the intervention in short and long term.

Inclusion Criteria:

• Patients on a waiting list for a transplant.
• Fried Fragility Index >3
• Space more than 6 week between the beginning of the exercise program and the surgery.

Exclusion Criteria:

• Severe cardiovascular disease.