Skip to content

Journal · Steps and oxygenation

Preparing for Surgery Like an Athlete: Prehabilitation That Reduces Complications by 36%.

Prehabilitation programmes combining exercise and nutrition reduce post-operative complications by 36% and shorten hospital stay.

Updated October 2, 2026

Prehabilitation programmes — combining moderate physical exercise and structured nutritional interventions in the weeks preceding surgery — reduce post-operative complications by up to 36% and shorten hospital length of stay.

Pre-operative room of a premium clinic: warm clinical light, a fingertip pulse oximeter and vitals monitor; absolute order; no faces.

What a prehabilitation programme includes

Macro detail of tissue oxygenation: microcirculation rendered on a clinical screen, warm red-amber tones; no faces.

Progressive aerobic exercise (target 5,000–10,000 steps/day + moderate exercise 3x/week), nutritional optimisation (adequate protein, antioxidants) and stress management (optimised sleep, cortisol reduction).

Bright ward with large windows onto the mountains, an empty bed and premium-standard instrumentation; no faces.

All monitorable by the Digital Twin.

The mechanism: a virtuous biological cycle

Gloves and instruments ready on a sterile drape under soft surgical light, wound healing as the outcome; no faces.

Exercise improves blood circulation → increased oxygen and nutrients available to tissues → improved collagen synthesis and immune response → fewer infections → faster healing and earlier discharge.

The economic impact

Pre-operative room of a premium clinic: warm clinical light, a fingertip pulse oximeter and vitals monitor; absolute order; no faces.

A patient leaving 2–3 days earlier frees a bed, reduces management costs and improves clinical KPIs. For Klinik Dubai, this is a measurable competitive advantage.

The Digital Twin as biological readiness certification

Macro detail of tissue oxygenation: microcirculation rendered on a clinical screen, warm red-amber tones; no faces.

At the end of prehabilitation, the Digital Twin generates a Biological Readiness Report: VO₂max, average weekly steps, sleep variability, HRV and average nocturnal SpO₂. This document accompanies the patient to the procedure.

Bright ward with large windows onto the mountains, an empty bed and premium-standard instrumentation; no faces.

Dr. M. MacDonald — Lifestyle Factors and Surgical Results (2025) — https://www.drmmacdonald.com/blog/how-lifestyle-factors-can-impact-your-surgical-results · www.drmmacdonald.com

On the same topic

All the research in the Journal →