Evidence map›Paper›PMID 40827144›Full record

ReviewCureus2025

Insights Into Contemporary Practices in the Prehabilitation of Sarcopenic Patients Prior to Surgery: An Up-to-Date Review.

Chenyi Mao, Madeline Rogers-Seeley, Samuel B Tay, Khang Duy Ricky Le

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Chenyi MaoGeneral Surgery, University of Melbourne, Melbourne, AUS.
Madeline Rogers-SeeleyGeneral Surgery, Royal Melbourne Hospital, Parkville, AUS.
Samuel B TayCritical Care Medicine, Eastern Health Box Hill, Box Hill, AUS.
Khang Duy Ricky LeSurgery, Northeast Health Wangaratta, Wangaratta, AUS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sarcopenia is increasingly recognised as a key predictor of adverse peri-operative outcomes, including longer hospital stays, increased post-operative complications, delayed recovery, and greater mortality. Multimodal prehabilitation targeted at sarcopenia has therefore gained recognition as a method to improve outcomes; however, standardised, evidence-based prehabilitation regimens to optimise sarcopenic patients prior to surgery remain poorly defined and highly heterogeneous. This review aims to synthesise current insights into contemporary multimodal prehabilitation approaches for patients with sarcopenia undergoing surgery, with a focus on improving clinical outcomes and reducing peri-operative risk. The review explores five core domains of prehabilitation: resistance exercise, nutritional optimisation, psychological support, inflammation management, and hormonal regulation. Resistance training, particularly at moderate to vigorous intensity, has robust evidence for improving muscle strength and function. Nutritional strategies, especially protein and leucine supplementation, play a key role but are limited by variable dosing and adherence. Psychological support, increasingly integrated into prehabilitation, improves patient readiness and quality of life. Managing chronic inflammation and hormonal imbalances is emerging as a complementary strategy to enhance muscle health. The pathophysiology of sarcopenia also varies, with oncologic sarcopenia driven by systemic inflammation and cachexia, necessitating tailored interventions. Given the ageing global population and rising surgical demand, effective prehabilitation for sarcopenic patients is critical. A multidisciplinary, individualised approach can help reduce variability in care, improve resilience to surgical stress, and ultimately enhance patient outcomes. Standardising these interventions within peri-operative pathways is a key step forward in modern surgical care.

Indexed as

multicomponent exercise for sarcopeniaperi-operative careprehabilitaitonresistance exercisesevere sarcopenia

Identifiers

PMID40827144
PMCPMC12358041

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.