Tele-Resistance Training During Chemotherapy For Advanced Upper Gastrointestinal Cancer
Summary
The purpose of the study is to evaluate a tele-resistance training exercise program for individuals undergoing chemotherapy for advanced upper gastrointestinal cancer.
Objective
Specific Aim #1
Evaluate the feasibility (enrollment, retention, and adherence to exercise sessions and
prescribed exercise volumes), safety, and acceptability of a 12-week tele-RT
intervention during first-line chemotherapy for advanced upper GI cancer.
Specific Aim #2
Compare 12-week changes in muscular strength and muscular endurance, skeletal
muscle index (SMI) and skeletal muscle density (SMD), quality of life, fatigue, and
physical functioning between patients randomized to tele-RT vs. usual care (UC)
during first-line chemotherapy for advanced upper GI cancer.
Regular engagement in RT (2x/week targeting all major muscle groups)
Screen failure for exercise safety based on Physical Activity Readiness Questionnaire (PAR-Q) and Patient-Reported Measurement Information System (PROMIS) screening questions
Underlying unstable cardiac or pulmonary disease or symptomatic cardiac disease (New York Heart Association functional class III or IV).
Recent fracture or acute musculoskeletal injury that precludes ability to participate in RT
Numeric pain rating scale of >7 out of 10
Myopathic or rheumatologic disease that impacts physical function
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