IMPROVE-BMT: A Pilot Randomized Controlled Trial of Prehabilitation Exercise for Adult Hematopoietic Stem Cell Transplant Recipients
<b>Background</b>: There is limited evidence on the effects of aerobic and resistance training exercise interventions to improve physical function and patient-reported outcomes prior to autologous and allogeneic hematopoietic stem cell transplant (HSCT). IMPROVE-BMT was a single-site, pi...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/7/2052 |
| _version_ | 1797212377677037568 |
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| author | Melanie Potiaumpai Maxime Caru Shin Mineishi Seema Naik Babette S. Zemel Kathryn H. Schmitz |
| author_facet | Melanie Potiaumpai Maxime Caru Shin Mineishi Seema Naik Babette S. Zemel Kathryn H. Schmitz |
| author_sort | Melanie Potiaumpai |
| collection | DOAJ |
| description | <b>Background</b>: There is limited evidence on the effects of aerobic and resistance training exercise interventions to improve physical function and patient-reported outcomes prior to autologous and allogeneic hematopoietic stem cell transplant (HSCT). IMPROVE-BMT was a single-site, pilot randomized controlled trial investigating the feasibility, acceptability, and safety of a pragmatic resistance training exercise program prior to HSCT compared to usual HSCT care. Secondary aims included differences in physical function between the exercise group (EX) and usual care control group (UC). <b>Methods</b>: Outcome measurements were assessed: prior to HSCT, on/around day of HSCT admission, +30 days post-HSCT, and +100 days post-HSCT. The exercise intervention was a home-based exercise program that incorporated resistance-band and bodyweight exercises. <b>Results</b>: Acceptability among participants was 83%; exercise adherence averaged at 92%; and there were zero exercise-related adverse or serious adverse events. The average pre-transplant exercise phase was 6.28 weeks (2.71–18.29 weeks). EX (<i>n</i> = 36) demonstrated larger increases in the six-minute walk test distance, short physical performance battery scores, and 30-s chair stands compared to UC (<i>n</i> = 38) and demonstrated significant within-group improvements for the six-minute walk test, the short physical performance battery, the 30-s chair stands, and the timed up-and-go test. <b>Conclusions</b>: IMPROVE-BMT demonstrates that pragmatic exercise is highly feasible for HSCT recipients and can potentially lead to enhanced recovery that may not be achievable in non-exercisers. |
| first_indexed | 2024-04-24T10:41:25Z |
| format | Article |
| id | doaj.art-998478edff2646e38389eb22febdd61d |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-04-24T10:41:25Z |
| publishDate | 2024-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-998478edff2646e38389eb22febdd61d2024-04-12T13:21:24ZengMDPI AGJournal of Clinical Medicine2077-03832024-04-01137205210.3390/jcm13072052IMPROVE-BMT: A Pilot Randomized Controlled Trial of Prehabilitation Exercise for Adult Hematopoietic Stem Cell Transplant RecipientsMelanie Potiaumpai0Maxime Caru1Shin Mineishi2Seema Naik3Babette S. Zemel4Kathryn H. Schmitz5Department of Medicine, School of Medicine, University of Pittsburgh, 5051 Centre Ave, Pittsburgh, PA 15213, USADepartment of Pediatrics, College of Medicine, Penn State University, 500 University Drive, P.O. Box 850, Hershey, PA 17033, USAPenn State Cancer Institute, College of Medicine, Penn State University, 500 University Drive, P.O. Box 850, Hershey, PA 17033, USAPenn State Cancer Institute, College of Medicine, Penn State University, 500 University Drive, P.O. Box 850, Hershey, PA 17033, USADivision of Gastroenterology, Hepatology and Nutrition, The Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, USADepartment of Medicine, School of Medicine, University of Pittsburgh, 5051 Centre Ave, Pittsburgh, PA 15213, USA<b>Background</b>: There is limited evidence on the effects of aerobic and resistance training exercise interventions to improve physical function and patient-reported outcomes prior to autologous and allogeneic hematopoietic stem cell transplant (HSCT). IMPROVE-BMT was a single-site, pilot randomized controlled trial investigating the feasibility, acceptability, and safety of a pragmatic resistance training exercise program prior to HSCT compared to usual HSCT care. Secondary aims included differences in physical function between the exercise group (EX) and usual care control group (UC). <b>Methods</b>: Outcome measurements were assessed: prior to HSCT, on/around day of HSCT admission, +30 days post-HSCT, and +100 days post-HSCT. The exercise intervention was a home-based exercise program that incorporated resistance-band and bodyweight exercises. <b>Results</b>: Acceptability among participants was 83%; exercise adherence averaged at 92%; and there were zero exercise-related adverse or serious adverse events. The average pre-transplant exercise phase was 6.28 weeks (2.71–18.29 weeks). EX (<i>n</i> = 36) demonstrated larger increases in the six-minute walk test distance, short physical performance battery scores, and 30-s chair stands compared to UC (<i>n</i> = 38) and demonstrated significant within-group improvements for the six-minute walk test, the short physical performance battery, the 30-s chair stands, and the timed up-and-go test. <b>Conclusions</b>: IMPROVE-BMT demonstrates that pragmatic exercise is highly feasible for HSCT recipients and can potentially lead to enhanced recovery that may not be achievable in non-exercisers.https://www.mdpi.com/2077-0383/13/7/2052allogeneic stem cell transplantautologous stem cell transplantcancerexerciseexercise oncologyoncology |
| spellingShingle | Melanie Potiaumpai Maxime Caru Shin Mineishi Seema Naik Babette S. Zemel Kathryn H. Schmitz IMPROVE-BMT: A Pilot Randomized Controlled Trial of Prehabilitation Exercise for Adult Hematopoietic Stem Cell Transplant Recipients Journal of Clinical Medicine allogeneic stem cell transplant autologous stem cell transplant cancer exercise exercise oncology oncology |
| title | IMPROVE-BMT: A Pilot Randomized Controlled Trial of Prehabilitation Exercise for Adult Hematopoietic Stem Cell Transplant Recipients |
| title_full | IMPROVE-BMT: A Pilot Randomized Controlled Trial of Prehabilitation Exercise for Adult Hematopoietic Stem Cell Transplant Recipients |
| title_fullStr | IMPROVE-BMT: A Pilot Randomized Controlled Trial of Prehabilitation Exercise for Adult Hematopoietic Stem Cell Transplant Recipients |
| title_full_unstemmed | IMPROVE-BMT: A Pilot Randomized Controlled Trial of Prehabilitation Exercise for Adult Hematopoietic Stem Cell Transplant Recipients |
| title_short | IMPROVE-BMT: A Pilot Randomized Controlled Trial of Prehabilitation Exercise for Adult Hematopoietic Stem Cell Transplant Recipients |
| title_sort | improve bmt a pilot randomized controlled trial of prehabilitation exercise for adult hematopoietic stem cell transplant recipients |
| topic | allogeneic stem cell transplant autologous stem cell transplant cancer exercise exercise oncology oncology |
| url | https://www.mdpi.com/2077-0383/13/7/2052 |
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