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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

Share your health and fitness questions for Devi Sridhar, Mariella Frostrup, and Joel Snape

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Share your health and fitness questions for Devi Sridhar, Mariella Frostrup, and Joel Snape

There’s no bad time to take a more active interest in your health, but the new year, for lots of us, feels like a fresh start. Maybe you’re planning to sign up for a 10k or finally have a go at bouldering, eat a bit better or learn to swing a kettlebell. Maybe you want to keep up with your grandkids — or just be a little bit more physically prepared for whatever life throws at you.

To help things along, Guardian Live invites you to a special event with public health expert Devi Sridhar, journalist and author Mariella Frostrup, and health and fitness columnist Joel Snape. They’ll be joining the Guardian’s Today in Focus presenter Annie Kelly to discuss simple, actionable ways to stay fit and healthy as you move through the second half of life: whether that means staying strong and mobile or stressing less and sleeping better.

To make the whole event as helpful as possible, we’d love to hear from you about what you find most challenging — or confusing — when it comes to health and exercise. What should you actually be eating, and how are you going to find the time to make it? What sort of exercise is best, and how often should you be doing it? Is Pilates worth the effort — and should we really all be drinking mugfuls of piping hot creatine?

Whether your question is about exercise, eating, or general wellness, post it below and we’ll put a selection to our panel on the night.

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