Physical Activity and Cancer Survivorship

Abstract

There has been an increase in the cancer survivor population in the United States over the past several decades primarily due to improvements in early detection of first malignancies and effective treatment modalities. A wealth of evidence has demonstrated that regular physical activity is associated with a lower risk of death, all-cause mortality, cancer recurrence, and several chronic diseases, including type 2 diabetes and cardiovascular disease, common comorbid conditions in people who have survived cancer. Physical activity also is a central component of weight management. Methods This review summarizes the current physical activity recommendations and the evidence linking physical activity to improvements in weight management, physiological effects, and psychological health outcomes for cancer survivors. Results The available literature suggests physical activity is safe and is positively associated with weight management, cardiorespiratory fitness, muscular strength and endurance, quality of life, fatigue, and other psychosocial factors in cancer survivors. Yet relationships related to specific cancer diagnoses, treatments, and underlying cardiometabolic mechanisms associated with survival have not been thoroughly examined in randomized controlled trials. Furthermore, factors that influence adherence to physical activity behaviors must be identified to develop effective exercise programs. The use of objective measures of physical activity and the standardization of reporting outcome measures within intervention trials are needed to complement this effort. Conclusions Healthcare providers should consider individual differences among cancer survivors and tailor physical activity programs to meet the individual needs of the patient to assist in the adoption and maintenance of a physically active lifestyle.

Daganatos betegek fizioterápiája

“…A gyógytorna célja elsősorban az izomerő növelése, az ízületi mozgásterjedelem megőrzése vagy fokozása, illetve a stabilizáló izmok erejének fokozása révén az egyensúlyérzék növelése, a mozgáskoordináció javítása [24].…”

“…Át-lagosan heti 150 perc (heti ötször napi 30 perc) közepes intenzitású, vagy heti 75 perc (heti háromszor 25 perc) erős intenzitású, életkornak megfelelő nehézségű aerob, izomerősítő és flexibilitást növelő gyakorlatok végzése ajánlott [24,26].…”

“…Gyógytorna során fokozott figyelmet igényelnek, illetve adott esetben kontraindikációt jelentenek a következők [24]:…”

“…A fizikai aktivitásról (beleértve a gyógytornát) megjelent publikációk metaanalízise [24] alapján a daganatos betegség túlélése és a fizikai aktivitás közt egyértelmű, pozitív korreláció áll fenn. Nemcsak a gyógytorna, hanem általában véve a rendszeres testmozgás csökkenti a halá-lozási rizikót, a mortalitást, a tumorrecidívát és más kró-nikus betegségek -mint például a 2-es típusú diabetes mellitus -kialakulását.…”

REMEDY: Remote exercise monitoring using an evaluative data sensing system for cancer

“…Exercise is complementary to cancer prevention, care, and survivorship [1,2,3]. Cancerspecific exercise benefits include prevention of some cancers, improvement in symptom severity and disease management, enhanced prognosis, and lower risk of cancer recurrence and comorbid conditions [4,5,6]. Exercise is considered safe and effective during and after cancer treatment in reducing cancer and treatment-related effects while enhancing health-related quality of life (HRQOL) [2,3,7,8].…”