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North Wales patients given gym workouts before major surgery

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North Wales patients given gym workouts before major surgery
BBC Patient using a rowing machine at the 'prehabilitation' gymBBC

“Prehab” is believed to help patients recover from surgery faster

Hospital patients are being offered intensive workout programmes to get them fit for major operations.

The “prehabilitation” service run by Betsi Cadwaladr Health Board has been used by more than 200 patients since it was set up a year ago following a successful pilot in 2019.

Patients attend three gym sessions a week in the month before undergoing surgeries, which alongside dietary advice is thought to help improve recovery times.

The gym was funded by Wrexham’s Shooting Star Cancer Support charity, and the health board said “prehab” had halved post-surgery complications and reduced hospital stays.

Patient Tracey Griffiths using a treadmill

Patient Tracey Griffiths says she was nervous about attending

Tracey Griffiths, in her second week of prehab ahead of major surgery to treat her endometrial cancer, said her initial fears about hitting the treadmill were put to rest by staff.

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“I was very nervous because I’ve not been to a gym and I was thinking: ‘Oh, God’ as I’m a larger lady,” said Ms Griffiths, from Brymbo, Wrexham.

“But they make you feel welcome, they’re brilliant.”

She said she wants to improve her physical and emotional resilience, adding: “I’m hoping that it’ll build strength and help me mentally because I was very anxious about the surgery.”

Prehab is designed for those with additional risk factors. Patients leave hospital two-and-a-half days earlier on average and readmissions are also decreased.

Staff member teaching Tai Chi

Tai Chi is one of the skills being taught in the workout classes
Dr Neil Agnew in a gym smiling at the camera

Dr Neil Agnew describes major surgery as the equivalent of running a marathon

Consultant anaesthetist Dr Neil Agnew said people often do not appreciate how much of a toll surgery can take.

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“Major surgery has been linked to things like running a marathon,” he said.

“We do high-intensity exercise. We look at their nutrition and diet to get that optimised as well.

“Psychology is also really important. These patients have had a cancer diagnosis so they’ve got to come to terms with that, but also get themselves ready for this big operation.”

Jeremy Norton, wearing T-shirt and casual top, smiling at the camera

Jeremy Norton, who had a bowel cancer diagnosis, says the service gave him back control

Jeremy Norton, 63, who has been through the whole process is still using tips he learned in prehab even post-surgery.

Mr Norton, from Broughton, Flintshire, said his bowel cancer diagnosis last December came as a shock.

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“It was a time when my life went upside down, really. It was a time of great uncertainty, everything else was out of control, I just thought this was something that I could control, something I could do for myself to get me stronger.”

He found it helpful to be exercising alongside others going through their own health issues and that his recovery was much faster as a result.

“I was out of the hospital in five days which I didn’t expect,” he said.

“In on the Thursday, out on the Monday and back at work in four weeks.

“So I put that down to prehab – the strength it gave me was part of that recovery process.”

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Fitness

Put the fun back in your fitness routine with this 10-minute follow-along workout from The Curvy Girl Trainer Lacee Green

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Put the fun back in your fitness routine with this 10-minute follow-along workout from The Curvy Girl Trainer Lacee Green

Ever feel like beginner-friendly workouts are anything but?

That’s how BODi Super Trainer Lacee Green felt, so she devised a three-week, entry-level program designed for genuine newcomers to exercise—or those just getting back into it.

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Higher fitness levels linked to lower risk of depression, dementia – Harvard Health

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Higher fitness levels linked to lower risk of depression, dementia – Harvard Health
research review

People with high cardiorespiratory fitness were 36% less likely to experience depression and 39% less likely to develop dementia than those with low cardiorespiratory fitness. Even small improvements in fitness were linked to a lower risk. Experts believe that exercise’s ability to boost blood flow to the brain, reduce bodywide inflammation, and improve stress regulation may explain the connection.

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These 20-Minute Burpee Workouts Replaced His Entire Gym Routine – and Transformed His Physique

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These 20-Minute Burpee Workouts Replaced His Entire Gym Routine – and Transformed His Physique

While many swear by them, most people see burpees as a form of punishment – usually dished out drill sergeant-style by overzealous bootcamp PTs. Often the final blow in an already brutal workout, burpees are designed to test cardiovascular fitness, muscular endurance and mental grit. Love them or loathe them, they deliver every time.

For Max Edwards – aka Busy Dad Training on YouTube – they became a simple but highly effective way to stay fit and lean during lockdown. Once a committed powerlifter, spending upwards of 80 minutes a day in the gym, he was forced to overhaul his approach due to fatherhood, lockdown and a schedule that no longer allowed for long, structured lifting sessions.

‘Even though I was putting in hours and hours into the gym and even though my physique was pretty good, I wasn’t becoming truly excellent at any physical discipline,’ he explained in a YouTube video.

‘I loved the intentionality of training,’ says Edwards. ‘The fact that every session has a point, every rep in every set is helping you get towards a training goal, and I loved that there was a clear way of gauging progression – feeling like I was developing competence and moving towards mastery.’

Why He Walked Away From Powerlifting

Despite that structure, Edwards began to question whether powerlifting was sustainable long-term.

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‘My sessions were very taxing on my central nervous system. I was exhausted between sessions. It felt as if I needed at least nine hours of sleep each night just to function.’

He also noted that his appetite was consistently high.

But the biggest drawback was time.

‘I could not justify taking 80 minutes a day away from my family for what felt like a self-centred pursuit,’ he says.

A Simpler Approach That Stuck

‘Over the course of that year I fixed my relationship with alcohol and I developed, for the first time in my adult life, a relationship with physical training,’ says Edwards.

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With limited time and no access to equipment, he turned to burpees. Just two variations, four times a week, with each session lasting 20 minutes.

‘My approach in each workout was very simple. On a six-count training day I would do as many six-counts as I possibly could within 20 minutes. On a Navy Seal training day I would do as many Navy Seal burpees as I could within 20 minutes – then in the next workout I would simply try to beat the number I had managed previously.’

This style of training is known as AMRAP – as many reps (or rounds) as possible.

The Results

Edwards initially saw the routine as nothing more than a six-month stopgap to stay in shape. But that quickly changed.

‘I remember catching sight of myself in the mirror one morning and I was utterly baffled by the man I saw looking back at me.’

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He found himself in the best shape of his life. His energy levels improved, his resting heart rate dropped and his physique changed in ways that powerlifting hadn’t quite delivered.

‘It has been five years since I have set foot in a gym,’ he says. ‘That six-month training practice has become the defining training practice of my life – and for five years I have trained for no more than 80 minutes per week.’

The Burpee Workouts

1/ 6-Count Burpees

20-minute AMRAP, twice a week

How to do them:

  • Start standing, feet shoulder-width apart
  • Crouch down and place your hands on the floor (count 1)
  • Jump your feet back into a high plank (count 2)
  • Lower into the bottom of a push-up (count 3)
  • Push back up to plank (count 4)
  • Jump your feet forward to your hands (count 5)
  • Stand up straight (count 6)

20-minute AMRAP, twice a week

How to do them:

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  • Start standing, feet shoulder-width apart
  • Crouch down and place your hands on the floor
  • Jump your feet back into a high plank
  • Perform a push-up (chest to floor)
  • At the top, bring your right knee to your right elbow, then return
  • Perform another push-up
  • Bring your left knee to your left elbow, then return
  • Perform a third push-up
  • Jump your feet forward
  • Stand or jump to finish

Headshot of Kate Neudecker

Kate is a fitness writer for Men’s Health UK where she contributes regular workouts, training tips and nutrition guides. She has a post graduate diploma in Sports Performance Nutrition and before joining Men’s Health she was a nutritionist, fitness writer and personal trainer with over 5k hours coaching on the gym floor. Kate has a keen interest in volunteering for animal shelters and when she isn’t lifting weights in her garden, she can be found walking her rescue dog.

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