Physical exercise results in the improved subjective well-being of a few or is effective rehabilitation for all cancer patients?

Oldervoll, Line Merethe; Kaasa, Stein; Hjermstad, Marianne Jensen; Lund, Jo Åsmund; Loge, Jon Håvard

doi:10.1016/j.ejca.2003.12.005

Cited by 142 publications

(110 citation statements)

References 38 publications

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“…Numerous intervention studies and several reviews suggest that physical activity after diagnosis can be helpful in reducing cancer-related symptoms and improving HRQOL (19)(20)(21)(22)(23)(24)(25). Our results were consistent with this emerging literature.…”

Section: Post-diagnosis Physical Activity: Relationships With Symptomsupporting

confidence: 82%

“…Several recent reviews on the impact of physical activity interventions in cancer survivors both on-and off-treatment show that physical activity can have positive effects on physical symptoms such as fatigue, pain, cognition, and sleep, on fitness measures, body composition, and biological changes such as immune functioning, and on psychosocial measures including depression, anxiety, selfesteem, and multiple aspects of QOL, including HRQOL (19)(20)(21)(22)(23)(24)(25).…”

Section: Introductionmentioning

confidence: 99%

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Physical activity, long-term symptoms, and physical health-related quality of life among breast cancer survivors: A prospective analysis

et al. 2007

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Section: Post-diagnosis Physical Activity: Relationships With Symptomsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Physical activity, long-term symptoms, and physical health-related quality of life among breast cancer survivors: A prospective analysis

et al. 2007

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“…However, the majority of cancer survivors maintained the same level and a small proportion even decreased physical activity post diagnosis. This is concerning because physical activity is a practical and effective way to combat many side effects of cancer treatment and also to improve quality of life [31][32][33]. It is possible that many health practitioners encourage cancer survivors to make positive changes in their diets and to quit smoking, but may not be as encouraging with regards to physical activity.…”

Section: Health Behavior Change Cancer Non-cancer Significancementioning

confidence: 99%

The impact of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends

Humpel

Magee

Jones

2007

Support Care Cancer

124

111

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Goals The aim of this study was to examine the effect of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends, and to determine whether a cancer diagnosis could be a teachable moment for intervention. Materials and methods This was a cross-sectional study of the health behaviors of individuals taking part in a cancer fundraising event. The questionnaire was completed by 657 participants. Main results Participants were 81.4% women, had a mean age of 46 years, and comprised of 17.2% cancer survivors. For cancer survivors, 31.3% reported an increase in physical activity, 50% of smokers quit, and 59 to 72% reported dietary improvements within 1 month of diagnosis. Significant differences in behavior change were found by age, but not by gender or education. For individuals without cancer, 24.3% reported improved physical activity and the majority reported some dietary changes. A greater proportion of family and friends who perceived they were at greater risk of developing cancer increased physical activity and sun-smart behavior but did not improve dietary habits. Conclusions The results indicate that the cancer survivors made significantly more positive health behavior changes compared to the non-cancer group. For this sample, a personal diagnosis of cancer, or a diagnosis in a family member or friend, may have acted as a 'cue to action' to improve lifestyle health behaviors. This field of research is still at an early stage, and further studies are needed to confirm if this situation could be useful as a 'teachable moment' for intervention purposes. Abstract GoalsThe aim of this study was to examine the effect of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends, and to determine whether a cancer diagnosis could be a teachable moment for intervention. Materials and methodsThis was a cross-sectional study of the health behaviors of individuals taking part in a cancer fundraising event. The questionnaire was completed by 657 participants. Main resultsParticipants were 81.4% women, had a mean age of 46 years, and comprised of 17.2% cancer survivors. For cancer survivors, 31.3% reported an increase in physical activity, 50% of smokers quit, and 59 to 72% reported dietary improvements within 1 month of diagnosis. Significant differences in behavior change were found by age, but not by gender or education. For individuals without cancer, 24.3% reported improved physical activity and the majority reported some dietary changes. A greater proportion of family and friends who perceived they were at greater risk of developing cancer increased physical activity and sun-smart behavior but did not improve dietary habits. ConclusionsThe results indicate that the cancer survivors made significantly more positive health behavior changes compared to the non-cancer group. For this sample, a personal diagnosis of cancer, or a diagnosis in a family member or friend, may have acted as a 'cue to action' to improve lifestyle health behaviors. This fi...

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“…Evidence supports the benefit of exercise in managing fatigue during and after treatment for patients with breast cancer and other solid tumors (Courneya & Friedenreich, 1999;Galvao & Newton, 2005;Knols, Aaronson, Uebelhart, Fransen, & Aufdemkampe, 2005;Oldervoll, Kaasa, Hjermstad, Lund, & Loge, 2004;Schmitz et al, 2005;Stevinson, Lawlor, & Fox, 2004;Stricker, Drake, Hoyer, & Mock, 2004), as well as for those receiving hematopoietic stem cell transplantations, including patients with multiple myeloma (Strong, Karavatas, & Reicherter, 2006). Although limited by small sample size, results from a recent randomized controlled trial (Drouin et al, 2006) suggest that exercise increases hemoglobin levels.…”

Section: Key Pointsmentioning

confidence: 99%

Effects of Exercise in Combination With Epoetin Alfa During High-Dose Chemotherapy and Autologous Peripheral Blood Stem Cell Transplantation for Multiple Myeloma

Coleman

Coon²,

Kennedy³

et al. 2008

Oncology Nursing Forum

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Purpose/Objectives-To determine the effect of aerobic and strength resistance training and epoetin alfa (EPO) therapy on transfusions, stem cell collections, transplantation recovery, and multiple myeloma treatment response. Design-Randomized clinical trial.Setting-A myeloma research and therapy center in the south central United States.Sample-135 patients with multiple myeloma, 120 evaluable.Methods-Random assignment to exercise or usual care groups. All patients received EPO based on an algorithm. Aerobic capacity, using the six-minute walk test, was assessed prior to induction chemotherapy, prior to stem cell mobilization, and following stem cell collection for all patients and before and after transplantation for patients continuing in the study. Data analysis included analysis of variance to compare other outcome variables by groups.Main Research Variables-Number of red blood cell and platelet transfusions during transplantation, number of attempts at and total number of days of stem cell collection, time to recovery after transplantation, and response to intensive therapy for multiple myeloma.Findings-Recovery and treatment response were not significantly different between groups after transplantation. The exercise group had significantly fewer red blood cell transfusions and fewer attempts at stem cell collection. Serious adverse events were similar in each group.Conclusions-Exercise with prophylactic EPO therapy reduces the number of RBC transfusions and attempts at stem cell collection for patients receiving intensive treatment for multiple myeloma.Implications for Nursing-Exercise is safe and has many physiologic benefits for patients receiving multiple myeloma treatment. Key Points • Exercise in combination with epoetin alfa therapy reduced the number of transfusions and the number of attempts at stem cell collection while improving aerobic capacity.• Patients receiving chemotherapy and autologous peripheral blood stem cell transplantation can exercise safely.• Nurses should use exercise as an intervention to reduce the need for transfusions and improve stem cell collection.At least 60% of patients with multiple myeloma are anemic (hemoglobin less than 12 g/dl) at diagnosis (Multiple Myeloma Research Foundation, 2002), and almost all become anemic during treatment, often requiring red blood cell (RBC) transfusions (Knight, Wade, & Balducci, 2004). Epoetin alfa (EPO) increases hemoglobin levels and reduces the need for RBC transfusions in diverse groups of patients with cancer-related anemia (Henry, 2005), particularly patients with multiple myeloma receiving chemotherapy treatment (Barlogie & Beck, 1993).Evidence supports the benefit of exercise in managing fatigue during and after treatment for patients with breast cancer and other solid tumors (Courneya & Friedenreich, 1999;Galvao & Newton, 2005 (Drouin et al., 2006) suggest that exercise increases hemoglobin levels. Women receiving radiation treatment for breast cancer (N = 20) were randomly assigned to aerobic exercise or to placebo stretc...

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Physical exercise results in the improved subjective well-being of a few or is effective rehabilitation for all cancer patients?

Cited by 142 publications

References 38 publications

Physical activity, long-term symptoms, and physical health-related quality of life among breast cancer survivors: A prospective analysis

Physical activity, long-term symptoms, and physical health-related quality of life among breast cancer survivors: A prospective analysis

The impact of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends

Effects of Exercise in Combination With Epoetin Alfa During High-Dose Chemotherapy and Autologous Peripheral Blood Stem Cell Transplantation for Multiple Myeloma

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