Prehabilitation's effect on skeletal muscle mass in cardiac patients

  • Research type

    Research Study

  • Full title

    The effect of Prehabilitation on appendicular skeletal muscle mass in cardiac patients awaiting first time elective surgery

  • IRAS ID

    330187

  • Contact name

    Stefan Birkett

  • Contact email

    S.Birkett@mmu.ac.uk

  • Sponsor organisation

    Manchester Metropolitan University

  • Duration of Study in the UK

    2 years, 0 months, 6 days

  • Research summary

    Cardiac surgery is a medical intervention that aims to improve patient short- and long-term outcomes (Weerink et al., 2020). There are less than 20,000 cardiac procedures that take place in the United Kingdom each year (NACSA, 2022). It is stated, the number of patients waiting over one year for cardiac surgery or procedure is 267 times higher than before COVID 19 (BHF, 2022). With further data suggesting the average wait time for elective cardiac surgery is 104 days (NACSA, 2022). It is predicted these figures will continue to rise, with an estimated 395,000 people to be waiting for a cardiac test or procedure by April 2023 (BHF, 2022). The continuing delay for cardiac procedures, inevitably creates worry and uncertainty for patients, initiating patient deterioration, physically and mentally. Thus, increasing the risk of post operative complications (Waite et al., 2017). Frailty and low muscle mass correlate with poor post-operative outcomes, lower physical function, and lower quality of life (Yuguchi et al., 2019; Murphy et al., 2020). Research regarding prehabilitation in cancer patients has demonstrated positive findings. Additionally, early pilot data for cardiac patients is encouraging. However, there are limited studies regarding prehabilitation in this cohort of patients, with no study assessing the impact of prehabilitation on skeletal muscle mass.

    Therefore, the aim of this research is to examine the effect of prehabilitation on appendicular skeletal muscle mass in cardiac patients. We will assess appendicular skeletal muscle mass via dual energy x-ray absorptiometry (DEXA) over three time points (baseline, 1 week pre-operation and 6 weeks post operation).

  • REC name

    Wales REC 1

  • REC reference

    24/WA/0098

  • Date of REC Opinion

    18 Apr 2024

  • REC opinion

    Further Information Favourable Opinion