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Colon cancer is a real public health problem with more than 46,000 new cases diagnosed per year in France and about 650 cases in Burgundy. Muscle deconditioning (MD), which is characterized by a loss of muscle mass and function, is a frequent consequence in cancer patients and conditions the prognosis. Therefore, it is essential to understand its complex etiology in oncology in order to address the real need for therapeutic countermeasures in clinical practice. DM is a multifactorial process that is exacerbated by therapies. It induces neurogenic and muscular alterations that can profoundly affect patients' quality of life.
Currently, analyses of this phenomenon in oncology have been limited essentially to a global evaluation of physical performance, neglecting the muscular and nervous nature of the adaptations responsible for it.
Most studies analyzing the therapeutic effects of physical activity (PA) have shown numerous physiological and psychological benefits of aerobic exercise. However, this form of PA is still not very effective in preserving muscle mass.
Only muscle strengthening can have an anabolic effect by accelerating the rate of protein synthesis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients muscle strengthening | Experimental |
| |
| Aerobic Training Patients | Experimental |
| |
| Healthy patients | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Muscle biopsies | Procedure | Optional In pre-training: Biopsy performed during the digestive surgery procedure Final evaluation (minimum 1 day and maximum 7 days after the last training session): biopsy performed in the digestive surgery department. |
| Measure | Description | Time Frame |
|---|---|---|
| Acceptability of the program in terms of the number of sessions attended | Tolerance in terms of level of effort and pain will be tested at each session and will condition the continuation or not of the sessions and therefore acceptability | Up to Week 30 (evaluation 4) for patients |
| Acceptability of the program in terms of the number of sessions attended | Tolerance in terms of level of effort and pain will be tested at each session and will condition the continuation or not of the sessions and therefore acceptability | Up to Week 1 (evaluation 1) for healthy patients |
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Inclusion Criteria:
Criteria for inclusion of healthy subjects :
Exclusion Criteria:
Patient-specific exclusion criteria
- Patient with rectal cancer or other evolving cancer
Exclusion criteria specific to healthy subjects
Criteria for exclusion of patients and healthy subjects for biopsy:
SECONDARY EXCLUSION CRITERIA FOR TRAINING PATIENTS
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Anaïs GOUTERON | Contact | 03 80 29 38 15 | anais.gouteron@chu-dijon.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chu Dijon Bourgogne | Dijon | 21000 | France |
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| Muscle Strengthening | Other | 3 sessions per week for 18 weeks. Duration: 1 hour Training on different strength training machines for the main muscle groups of the lower and upper limbs. The training load will be gradually increased over the sessions. |
|
| Blood and urine samples | Biological | fasting blood sample taken at assessments 1, 2, 3 and 4 for patients and assessment 1 for controls |
|
| Aerobic Training | Other | 3 sessions per week for 18 weeks. Duration: 1 hour Training on a "classic" pedal bicycle (called an ergocycle). The intensity and duration of the training will be gradually increased over the sessions and according to the patient's abilities. |
|
| Evaluation 1 pre-surgery | Other | Carried out at least 15 days before surgery
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| Evaluation 2 post-surgery | Other |
|
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| Intermediate Evaluation 3 | Other | performed 9 weeks after the beginning of training Identical tests to evaluation 1 + TM6 |
|
| Final post-training evaluation 4 | Other | Tests identical to evaluation 1 + TM6 |
|
| ID | Term |
|---|---|
| D003110 | Colonic Neoplasms |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
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| ID | Term |
|---|---|
| D001800 | Blood Specimen Collection |
| ID | Term |
|---|---|
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D011677 | Punctures |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |
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