Perioperative medicine & outcomes

The impact of preoperative regular exercise on mental health in patients undergoing Type II incision surgery

Perioper Med (Lond)Published Observational cohort study

Authors' conclusion

Preoperative regular exercise significantly alleviates postoperative anxiety and improves both physical and mental function in patients undergoing Type II incision surgery, with these effects remaining significant after adjusting for confounders. However, its effect on improving postoperative depression is not significant.

Study context

Population
Patients undergoing Type II incision surgery at a tertiary Grade A hospital in Pingxiang, July 2024 to June 2025
Participants
480 patients
Exposure
Preoperative regular exercise vs no regular exercise
  • EHn = 133
  • NEHn = 347reference
Outcome
Postoperative mental health (Hospital Anxiety and Depression Scale (HADS) and SF-12)
Follow-up
14th postoperative day
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

HADS-Anxiety score

EH

5.3

± 2.0

NEH

8.5

± 3.3

Observational data: associations, not effects.

Further findings

OutcomeEHNEH
SF-12 Mental Component Summary (MCS) · 14th postoperative day49.1 ± 7.542.1 ± 8.3
SF-12 Physical Component Summary (PCS) · 14th postoperative day47.3 ± 7.142.8 ± 7.6

SF-12 Mental Component Summary (MCS) · 14th postoperative day

Significantly higher in EH

SF-12 Physical Component Summary (PCS) · 14th postoperative day

Significantly higher in EH

Correlation of preoperative exercise with postoperative outcomes (EH)

Anxiety, r
−0.55
SF-12 PCS, r
0.72
SF-12 MCS, r
0.60

Correlation with anxiety or depression (NEH)

No significant correlations in NEH for anxiety or depression

Original publication

The impact of preoperative regular exercise on mental health in patients undergoing Type II incision surgery. Perioper Med (Lond). Published 7 May 2026. doi:10.1186/s13741-026-00694-1

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