Exercise for Cancer Patients: Guidelines and Precautions

Winningham, Maryl L.; MacVicar, Mary G.; Burke, Carol A.

doi:10.1080/00913847.1986.11709201

Cited by 72 publications

(51 citation statements)

References 2 publications

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“…Regarding safety and tolerability, several authors have highlighted the potential risks connected with offering vigorous exercise to cancer patients undergoing chemotherapy [19,26,72]. One of these is the initial investigation in the field, from which guidelines and safety precautions were developed [72].…”

Section: Discussionmentioning

confidence: 99%

“…In accordance with the guidelines and safety precautions determined by Winnningham et al [72] and Dimeo et al [26], daily pre-exercise screening was performed. If one of the following criteria was met, the patient was excluded from the physical training component of the program on that specific day: diastolic blood pressure <45 or >95 mmHg; pulse at rest >100/min, temperature >38°C, respiration frequency at rest >20/min, infection requiring treatment with antibiotics, ongoing bleeding, fresh petechiae, bruises, thrombocytes <50×10 9 /l, or leukocytes <1.0×10 9 /l.…”

Section: Screening and Monitoringmentioning

confidence: 99%

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Feasibility, physical capacity, and health benefits of a multidimensional exercise program for cancer patients undergoing chemotherapy

Adamsen

Midtgaard

Rørth

et al. 2003

Supportive Care in Cancer

111

120

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Cancer patients frequently experience considerable loss of physical capacity and general wellbeing when diagnosed and treated for their disease. The aim of this study was to evaluate the feasibility, physical capacity, and health benefits of a multidimensional exercise program for cancer patients during advanced stages of disease who are undergoing adjuvant or high-dose chemotherapy. The supervised program included high- and low-intensity activities (physical exercise, relaxation, massage, and body-awareness training). A total of 23 patients between 18 and 65 years of age (median 40 years) participated in groups of seven to nine patients for 9 h weekly for 6 weeks. Physical capacity in terms of repetition maximum (RM) and maximal oxygen uptake (VO(2)max), physical activity level and psychosocial wellbeing (EORTC QLQ-C30, SF-36, HAD) were compared prior to and after completion of the program. The program was safe and well tolerated. The completion rate was 85.2%. Highly significant increases in physical capacity (1RM, VO(2)max) and an improved level of physical activity were achieved. Quality of life and general wellbeing assessments indicated improvements in several measures, but without reaching significance. It is concluded that an exercise program, which combines high- and low-intensity physical activities, may be used to prevent and/or minimize physical inactivity, fatigue, muscle wasting and energy loss in cancer patients undergoing chemotherapy.

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Section: Discussionmentioning

confidence: 99%

Section: Screening and Monitoringmentioning

confidence: 99%

Feasibility, physical capacity, and health benefits of a multidimensional exercise program for cancer patients undergoing chemotherapy

Adamsen

Midtgaard

Rørth

et al. 2003

Supportive Care in Cancer

111

120

View full text Add to dashboard Cite

show abstract

“…Some research has focused on physical exercise in relation to well-being for all dimensions of QOL [1,9,10,11,12,13,14,16,17,18,22,24,28,32,33,37,46,49,51,52,53,54,55]. A multidisciplinary rehabilitation concept including low-cost interventions such as psychological support and early exercise (endurance and strength training performed in groups) to improve physical performance and to help patients fulfill their social role (family, friends, household, work) earlier could improve the HRQOL of patients suffering from non-metastatic thyroid cancer even under thyroxine therapy.…”

Section: Discussionmentioning

confidence: 99%

Quality of life in patients with non-metastatic differentiated thyroid cancer under thyroxine supplementation therapy

Crevenna

Zettinig

Kéilani

et al. 2003

Supportive Care in Cancer

101

105

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These findings indicate that "Vitality", "Role-physical", "Mental Health", "Role-emotional" and "Social functioning" are significantly impaired during the first year after diagnosis. Thereafter, quality of life improves correlating with the time since initial diagnosis. However, "Vitality" and "Role-emotional" remain permanently impaired in thyroid cancer patients. A multidisciplinary rehabilitation concept should include psychological support and an early start to exercise to improve physical performance of these patients leading to better HRQOL and to help them fulfill their social role earlier.

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“…75 When psychological outcomes are considered, women who exercise during or after cancer treatments report reductions in anxiety 75,88 and depression, 88 and improvements in body esteem. 89 The programs have documented that it is safe and feasible for patients with cancer to participate in supervised exercise programs (see guidelines 4,90 ). In addition, retention rates in the exercise conditions have been impressive (73-100%).…”

Section: Effects Of Exercise Interventionsmentioning

confidence: 99%

Health behaviors during and after a cancer diagnosis

Pinto

Trunzo

2005

Cancer

128

104

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With improvements in cancer survival rates, more patients with cancer are living longer, and hence, cancer is becoming viewed as a chronic illness requiring long-term management. An important aspect of patient care during and after cancer treatment is patient health behaviors. For example, sequelae from various cancer treatments, such as chemotherapy and radiotherapy (RT), can compromise health in a variety ways, including decreased immune functioning, cardiotoxic effects of chemotherapy and/or RT, and weight gain. In addition, the stress caused by a cancer diagnosis and its treatment can disrupt existing health behaviors or exacerbate unhealthy behaviors. Continued smoking or alcohol use can complicate treatment and increase risk for further malignancy. Furthermore, decreased physical activity and poor nutrition can cause weight gain, which may contribute to secondary health problems such as cardiovascular disease and diabetes. The authors reviewed the extant literature on four key health behaviors among patients with cancer and survivors: healthy diet, reduced tobacco use, reduced alcohol use, and increased physical activity. They described the prevalence of these behaviors, reviewed the effects of interventions designed to alter unhealthy behaviors, and discussed the implications and future directions for this emerging area of research. With primary prevention efforts, improved detection, and treatment, cancer incidence rates have decreased among men (Surveillance, Epidemiology, and End Results program and National Program of Cancer Registries data, 1992-1998) and overall mortality rates have decreased in both men and women.1 According to the Office of Cancer Survivorship, 2 9.6 million individuals in the U.S. have been diagnosed with cancer (a majority with breast, prostate, and colorectal cancers): 39% were diagnosed 0 to Ͻ 5 years ago, 47% were diagnosed 5 to Ͻ 20 years ago, and 14% were diagnosed Ͼ 20 years previously.With improvements in survival and the possibility that cancer may be viewed as a chronic disease, the reduction of risk behaviors such as smoking, sedentary behavior, and unhealthy diets or, conversely, the adoption and maintenance of healthy behaviors, becomes more salient. Cancer treatments are known to disrupt health behaviors. For example, retrospective reports show that patients report reduction in exercise behavior during the phase of active treatment 3 and changes in taste sensitivity associated with chemotherapy alter food preferences and nutritional intake. 4 Furthermore, the stress associated with a cancer diagnosis may disrupt health behaviors and potentially increase unhealthy behaviors. In some instances, continued unhealthy behaviors such as smoking can adversely affect responsiveness to RT (e.g., increased side effects such as oral mucosi- 2614

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Exercise for Cancer Patients: Guidelines and Precautions

Cited by 72 publications

References 2 publications

Feasibility, physical capacity, and health benefits of a multidimensional exercise program for cancer patients undergoing chemotherapy

Feasibility, physical capacity, and health benefits of a multidimensional exercise program for cancer patients undergoing chemotherapy

Quality of life in patients with non-metastatic differentiated thyroid cancer under thyroxine supplementation therapy

Health behaviors during and after a cancer diagnosis

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