Hierarchical Personalized Nutrition and Exercise Interventions Based on the ADOPT Model Effectively Improve the Health of Patients with Colorectal Cancer

Abstract

This study aimed to assess the efficacy of hierarchical personalized nutrition and exercise interventions based on the Attitude-Definition-Open-mindedness-Plan-Trial model in improving gastrointestinal function, nutritional status, muscle function, and quality of life in patients with colorectal cancer. A retrospective analysis compared the outcomes of patients with rectal cancer receiving standard interventions (control group) and those receiving hierarchical personalized nutrition and exercise interventions based on the Attitude-Definition-Open-mindedness-Plan-Trial model (treatment group). The findings indicate that before the interventions, the two groups observed no statistically significant differences between the serum concentrations of nutritional markers (hemoglobin, transferrin, albumin, and prealbumin). However, these markers exhibited significantly higher levels in the treatment group than in the control group. Furthermore, the treatment group had higher SF-36 scores, shorter recovery times for gastrointestinal function, shorter hospital stays, and lower rates of complications. There were no significant differences in muscle co-contraction rates and mass between the two groups before the intervention. The treatment group had lower co-contraction rates and higher muscle mass post-intervention than the control group. In conclusion, hierarchical personalized nutrition and exercise interventions based on the Attitude-Definition-Open-mindedness-Plan-Trial model effectively improve gastrointestinal function, nutritional status, muscle function, and quality of life in colorectal cancer patients.