Physical fitness and quality of life in rectal cancer patients

  • Research type

    Research Study

  • Full title

    A pilot study to investigate improvements in physical fitness and quality of life resulting from a 9 week structured responsive endurance training programme (SRETP) following neoadjuvant chemoradiotherapy prior to elective rectal cancer surgery

  • IRAS ID

    123715

  • Contact name

    Sandy Jack

  • Contact email

    Sandy.Jack@uhs.nhs.uk

  • Sponsor organisation

    Southampton University Hospital NHS Trust

  • Research summary

    Neoadjuvant chemoradiotherapy (NACRT) for advanced rectal cancer is associated with better local disease control, with minimal impact on survival. Cancer and chemotherapy are known to cause fatigue via oxidative stress, leading to muscle weakness and poor quality of life. Aerobic exercise decreases oxidative stress. We have pilot data showing that NACRT reduces physical fitness in upper and lower GI cancer surgery. The literature shows that low fitness is associated with a higher risk of adverse outcome after major surgery. Literature also shows that exercise training improves Health Related Quality of Life (HRQL),reduces complications and is safe in elderly cancer patients. We have feasibility and pilot data showing that the reduction in fitness caused by NACRT can be improved with exercise training. This proposal therefore outlines a randomly allocated trial to explore the effect of a 9-week training programme compared with a no exercise group in patients who have had NACRT prior to cancer surgery.

  • REC name

    North West - Liverpool Central Research Ethics Committee

  • REC reference

    13/NW/0259

  • Date of REC Opinion

    20 May 2013

  • REC opinion

    Further Information Favourable Opinion