The purpose of the study is to examine the feasibility and acceptability of an exercise and nutrition "prehabilitation" program for patients preparing for pancreatic cancer resection (removal).
Age 18 years or older
Biopsy-proven pancreatic ductal adenocarcinoma (PDAC), borderline resectable at diagnosis
Eastern Cooperative Oncology Group (ECOG) performance status 0-2
Undergoing neoadjuvant chemotherapy with treatment plan including chemoradiation therapy and surgical resection
Regular engagement in RT (2x/week targeting all major muscle groups)
Screen failure for exercise safety based on PAR-Q
Underlying unstable cardiac or pulmonary disease or symptomatic cardiac disease
Recent fracture or acute musculoskeletal injury that precludes ability to participate in RT