Association of perioperative step count tracked by a wristband with surgical outcomes in minimally invasive lung cancer surgery: a prospective observational study
BackgroundPhysical activity has been reported to be associated with surgical outcomes, but most previous studies have focused solely on postoperative step counts. To better understand the relationship between step count at different phases and surgical outcomes, we prospectively recorded patients’ s...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-07-01
|
| Series: | Frontiers in Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1590327/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849245909652602880 |
|---|---|
| author | Yuanyuan Yao Ying Wang Yi Liu Yang Yu Xuena Wang Xuena Wang Tingting Wang Bin Zheng Min Yan |
| author_facet | Yuanyuan Yao Ying Wang Yi Liu Yang Yu Xuena Wang Xuena Wang Tingting Wang Bin Zheng Min Yan |
| author_sort | Yuanyuan Yao |
| collection | DOAJ |
| description | BackgroundPhysical activity has been reported to be associated with surgical outcomes, but most previous studies have focused solely on postoperative step counts. To better understand the relationship between step count at different phases and surgical outcomes, we prospectively recorded patients’ step counts before and after lung surgery.MethodsStep count data were collected from 244 patients who underwent minimally invasive surgery for lung cancer using Mi Band 5 to track preoperative and 3-day postoperative activity. Patients’ quality of life was assessed using the 12-Item Short Form Health Survey (SF-12) preoperatively and at 1 and 3 months postoperatively. Correlation and regression analyses were conducted to evaluate the impact of perioperative step count on hospital length of stay and quality of life.ResultsPreoperative (r = −0.146, p = 0.023) and postoperative day 1 (r = −0.172, p = 0.018) step count were significantly correlated with the length of hospital stay. Postoperative day 1 step count was positively correlated with changes in SF-12 Physical Component Score (PCS) at 1 month (r = 0.186, p = 0.013). Pain significantly affected PCS changes at both 1 (β = −3.33, p < 0.001) and 3 months (β = −3.06, p < 0.001).ConclusionHigher preoperative step counts are associated with a shorter hospital stay, while early postoperative physical activity is linked to both reduced hospital stay and improved short-term quality of life.Clinical trial registrationClinicaltrials.gov, identifier NCT 04934657. |
| format | Article |
| id | doaj-art-ffb1577640f3432da9bfa61708f2cc23 |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-ffb1577640f3432da9bfa61708f2cc232025-08-20T03:58:40ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-07-011210.3389/fmed.2025.15903271590327Association of perioperative step count tracked by a wristband with surgical outcomes in minimally invasive lung cancer surgery: a prospective observational studyYuanyuan Yao0Ying Wang1Yi Liu2Yang Yu3Xuena Wang4Xuena Wang5Tingting Wang6Bin Zheng7Min Yan8Department of Anesthesiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Anesthesiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Anesthesiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaSchool of Anesthesiology, Weifang Medical University, Weifang, ChinaDepartment of Anesthesiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Anesthesiology, The First People’s Hospital of Huzhou, Huzhou, ChinaDepartment of Anesthesiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Surgery, University of Alberta, Edmonton, AB, CanadaDepartment of Anesthesiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaBackgroundPhysical activity has been reported to be associated with surgical outcomes, but most previous studies have focused solely on postoperative step counts. To better understand the relationship between step count at different phases and surgical outcomes, we prospectively recorded patients’ step counts before and after lung surgery.MethodsStep count data were collected from 244 patients who underwent minimally invasive surgery for lung cancer using Mi Band 5 to track preoperative and 3-day postoperative activity. Patients’ quality of life was assessed using the 12-Item Short Form Health Survey (SF-12) preoperatively and at 1 and 3 months postoperatively. Correlation and regression analyses were conducted to evaluate the impact of perioperative step count on hospital length of stay and quality of life.ResultsPreoperative (r = −0.146, p = 0.023) and postoperative day 1 (r = −0.172, p = 0.018) step count were significantly correlated with the length of hospital stay. Postoperative day 1 step count was positively correlated with changes in SF-12 Physical Component Score (PCS) at 1 month (r = 0.186, p = 0.013). Pain significantly affected PCS changes at both 1 (β = −3.33, p < 0.001) and 3 months (β = −3.06, p < 0.001).ConclusionHigher preoperative step counts are associated with a shorter hospital stay, while early postoperative physical activity is linked to both reduced hospital stay and improved short-term quality of life.Clinical trial registrationClinicaltrials.gov, identifier NCT 04934657.https://www.frontiersin.org/articles/10.3389/fmed.2025.1590327/fulllung surgerypatient recoveryphysical activitystep countsurgical outcomewearable device |
| spellingShingle | Yuanyuan Yao Ying Wang Yi Liu Yang Yu Xuena Wang Xuena Wang Tingting Wang Bin Zheng Min Yan Association of perioperative step count tracked by a wristband with surgical outcomes in minimally invasive lung cancer surgery: a prospective observational study Frontiers in Medicine lung surgery patient recovery physical activity step count surgical outcome wearable device |
| title | Association of perioperative step count tracked by a wristband with surgical outcomes in minimally invasive lung cancer surgery: a prospective observational study |
| title_full | Association of perioperative step count tracked by a wristband with surgical outcomes in minimally invasive lung cancer surgery: a prospective observational study |
| title_fullStr | Association of perioperative step count tracked by a wristband with surgical outcomes in minimally invasive lung cancer surgery: a prospective observational study |
| title_full_unstemmed | Association of perioperative step count tracked by a wristband with surgical outcomes in minimally invasive lung cancer surgery: a prospective observational study |
| title_short | Association of perioperative step count tracked by a wristband with surgical outcomes in minimally invasive lung cancer surgery: a prospective observational study |
| title_sort | association of perioperative step count tracked by a wristband with surgical outcomes in minimally invasive lung cancer surgery a prospective observational study |
| topic | lung surgery patient recovery physical activity step count surgical outcome wearable device |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1590327/full |
| work_keys_str_mv | AT yuanyuanyao associationofperioperativestepcounttrackedbyawristbandwithsurgicaloutcomesinminimallyinvasivelungcancersurgeryaprospectiveobservationalstudy AT yingwang associationofperioperativestepcounttrackedbyawristbandwithsurgicaloutcomesinminimallyinvasivelungcancersurgeryaprospectiveobservationalstudy AT yiliu associationofperioperativestepcounttrackedbyawristbandwithsurgicaloutcomesinminimallyinvasivelungcancersurgeryaprospectiveobservationalstudy AT yangyu associationofperioperativestepcounttrackedbyawristbandwithsurgicaloutcomesinminimallyinvasivelungcancersurgeryaprospectiveobservationalstudy AT xuenawang associationofperioperativestepcounttrackedbyawristbandwithsurgicaloutcomesinminimallyinvasivelungcancersurgeryaprospectiveobservationalstudy AT xuenawang associationofperioperativestepcounttrackedbyawristbandwithsurgicaloutcomesinminimallyinvasivelungcancersurgeryaprospectiveobservationalstudy AT tingtingwang associationofperioperativestepcounttrackedbyawristbandwithsurgicaloutcomesinminimallyinvasivelungcancersurgeryaprospectiveobservationalstudy AT binzheng associationofperioperativestepcounttrackedbyawristbandwithsurgicaloutcomesinminimallyinvasivelungcancersurgeryaprospectiveobservationalstudy AT minyan associationofperioperativestepcounttrackedbyawristbandwithsurgicaloutcomesinminimallyinvasivelungcancersurgeryaprospectiveobservationalstudy |