Protein supplementation in a prehabilitation program in patients undergoing surgery for endometrial cancer

Enhanced recovery after surgery (ERAS) and prehabilitation programs are multidisciplinary care pathways to reduce stress response and improve perioperative outcomes, which also include nutritional interventions. The aim of this study is to assess the impact of protein supplementation with 20 mg per...

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Autores: Solé-Sedeño, Josep Maria, Miralpeix, Ester, Muns, Maria Dolors, Rodriguez-Cosmen, Cristina, Fabregó, Berta, Kanjou, Nadwa, Medina, Francesc-Xavier, Mancebo Moreno, Gemma
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/57910
Acceso en línea:http://hdl.handle.net/10230/57910
http://dx.doi.org/10.3390/ijerph20085502
Access Level:acceso abierto
Palabra clave:ERAS
Endometrial cancer
Prehabilitation
Protein supplementation
Surgery
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spelling Protein supplementation in a prehabilitation program in patients undergoing surgery for endometrial cancerSolé-Sedeño, Josep MariaMiralpeix, EsterMuns, Maria DolorsRodriguez-Cosmen, CristinaFabregó, BertaKanjou, NadwaMedina, Francesc-XavierMancebo Moreno, GemmaERASEndometrial cancerPrehabilitationProtein supplementationSurgeryEnhanced recovery after surgery (ERAS) and prehabilitation programs are multidisciplinary care pathways to reduce stress response and improve perioperative outcomes, which also include nutritional interventions. The aim of this study is to assess the impact of protein supplementation with 20 mg per day before surgery in a prehabilitation program in postoperative serum albumin, prealbumin, and total proteins in endometrial cancer patients undergoing laparoscopic surgery. Methods: A prospective study including patients who underwent laparoscopy for endometrial cancer was conducted. Three groups were identified according to ERAS and prehabilitation implementation (preERAS, ERAS, and Prehab). The primary outcome was levels of serum albumin, prealbumin, and total protein 24-48 h after surgery. Results: A total of 185 patients were included: 57 in the preERAS group, 60 in the ERAS group, and 68 in the Prehab group. There were no basal differences in serum albumin, prealbumin, or total protein between the three groups. After surgery, regardless of the nutritional intervention, the decrease in the values was also similar. Moreover, values in the Prehab group just before surgery were lower than the initial ones, despite the protein supplementation. Conclusions: Supplementation with 20 mg of protein per day does not impact serum protein levels in a prehabilitation program. Supplementations with higher quantities should be studied.MDPI202320232023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/57910http://dx.doi.org/10.3390/ijerph20085502reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésInt J Environ Res Public Health. 2023;20(8):5502© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/579102026-06-12T07:21:37Z
dc.title.none.fl_str_mv Protein supplementation in a prehabilitation program in patients undergoing surgery for endometrial cancer
title Protein supplementation in a prehabilitation program in patients undergoing surgery for endometrial cancer
spellingShingle Protein supplementation in a prehabilitation program in patients undergoing surgery for endometrial cancer
Solé-Sedeño, Josep Maria
ERAS
Endometrial cancer
Prehabilitation
Protein supplementation
Surgery
title_short Protein supplementation in a prehabilitation program in patients undergoing surgery for endometrial cancer
title_full Protein supplementation in a prehabilitation program in patients undergoing surgery for endometrial cancer
title_fullStr Protein supplementation in a prehabilitation program in patients undergoing surgery for endometrial cancer
title_full_unstemmed Protein supplementation in a prehabilitation program in patients undergoing surgery for endometrial cancer
title_sort Protein supplementation in a prehabilitation program in patients undergoing surgery for endometrial cancer
dc.creator.none.fl_str_mv Solé-Sedeño, Josep Maria
Miralpeix, Ester
Muns, Maria Dolors
Rodriguez-Cosmen, Cristina
Fabregó, Berta
Kanjou, Nadwa
Medina, Francesc-Xavier
Mancebo Moreno, Gemma
author Solé-Sedeño, Josep Maria
author_facet Solé-Sedeño, Josep Maria
Miralpeix, Ester
Muns, Maria Dolors
Rodriguez-Cosmen, Cristina
Fabregó, Berta
Kanjou, Nadwa
Medina, Francesc-Xavier
Mancebo Moreno, Gemma
author_role author
author2 Miralpeix, Ester
Muns, Maria Dolors
Rodriguez-Cosmen, Cristina
Fabregó, Berta
Kanjou, Nadwa
Medina, Francesc-Xavier
Mancebo Moreno, Gemma
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv ERAS
Endometrial cancer
Prehabilitation
Protein supplementation
Surgery
topic ERAS
Endometrial cancer
Prehabilitation
Protein supplementation
Surgery
description Enhanced recovery after surgery (ERAS) and prehabilitation programs are multidisciplinary care pathways to reduce stress response and improve perioperative outcomes, which also include nutritional interventions. The aim of this study is to assess the impact of protein supplementation with 20 mg per day before surgery in a prehabilitation program in postoperative serum albumin, prealbumin, and total proteins in endometrial cancer patients undergoing laparoscopic surgery. Methods: A prospective study including patients who underwent laparoscopy for endometrial cancer was conducted. Three groups were identified according to ERAS and prehabilitation implementation (preERAS, ERAS, and Prehab). The primary outcome was levels of serum albumin, prealbumin, and total protein 24-48 h after surgery. Results: A total of 185 patients were included: 57 in the preERAS group, 60 in the ERAS group, and 68 in the Prehab group. There were no basal differences in serum albumin, prealbumin, or total protein between the three groups. After surgery, regardless of the nutritional intervention, the decrease in the values was also similar. Moreover, values in the Prehab group just before surgery were lower than the initial ones, despite the protein supplementation. Conclusions: Supplementation with 20 mg of protein per day does not impact serum protein levels in a prehabilitation program. Supplementations with higher quantities should be studied.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/57910
http://dx.doi.org/10.3390/ijerph20085502
url http://hdl.handle.net/10230/57910
http://dx.doi.org/10.3390/ijerph20085502
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Int J Environ Res Public Health. 2023;20(8):5502
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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