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. 2023 Apr 13;20(8):5502.
doi: 10.3390/ijerph20085502.

Protein Supplementation in a Prehabilitation Program in Patients Undergoing Surgery for Endometrial Cancer

Josep M Sole-Sedeno  1   2 , Ester Miralpeix  1   2 , Maria-Dolors Muns  3 , Cristina Rodriguez-Cosmen  4 , Berta Fabrego  1 , Nadwa Kanjou  1 , Francesc-Xavier Medina  5 , Gemma Mancebo  1   2
Affiliations

Protein Supplementation in a Prehabilitation Program in Patients Undergoing Surgery for Endometrial Cancer

Josep M Sole-Sedeno et al. Int J Environ Res Public Health. .

Abstract

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.

Keywords: ERAS; endometrial cancer; prehabilitation; protein supplementation; surgery.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Variation of serum levels according to intervention groups.
See this image and copyright information in PMC

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