There is evidence that exercise, such as low intensity aerobics walking, Tai Chi, or cycling,
results in an overall decrease in fatigue levels over the course of cancer treatment.
Additionally, there is evidence that regular physical activity or exercise can decrease
emotional stress, blood pressure, the duration of neutropenia, thrombocytopenia, and pain.
Exercise also has been shown to increase quality of life and improve the maximal oxygen
uptake during exertion, sleep patterns, and cognition.
Exercise has also been used in the management of cancer-related symptoms, such as
nausea, fatigue, pain, anxiety, and depression.
Physical exercise has been demonstrated to improve body composition, enhance muscular
endurance, flexibility, and quality of life (QOL).
Cancer patient exercisers also reported a significantly improved quality of life compared to
non-exercisers.
The American Cancer Society recommends that adults should adopt a physically active
lifestyle that consists of moderate physical activity for at least 30 minutes 5 days per week.
Studies have shown that engaging in vigorous activity on 5 or more days per week may
further reduce risk of breast/colon cancer, and may forestall certain cancers and chronic
illnesses such as obesity, heart disease, and diabetes (McTiernan, 2000; Slattery, Edwards,
& Ma, 1997).
Many studies have concluded that with exercise, such as low intensity aerobics walking, Tai
Chi, or cycling, there was an overall decrease in fatigue levels over the course of cancer
treatment (MacVicar et al, 1989; Mock, 1994, 1997, 2001; Schwartz, 1998, 2000).
Additionally, there is evidence that regular physical activity or exercise can decrease
emotional stress, blood pressure, the duration of neutropenia, thrombocytopenia, and pain.
Exercise has also been shown to increase quality of life, improve V02 Max, sleep patterns,
and cognition (Courneya et al., 2003; Dimeo et al., 1997, 1999; Hayes, Davies, Parker,
Bashford, 2003; MacVicar et al, 1989; Schwartz et al., 2002; Young-McCaughn et al., 2003).
At this time, there is no clear evidence regarding the effects of exercise on cancer treatment.
It is recommended that individuals who are already engaged in an exercise program continue
their activities as much as possible. Sedentary patients should start an exercise program
slowly, beginning with stretching activities and short walks.
It may be prudent to do lower intensity exercises while undergoing treatment, and build up
slowly to more intense activity.
Reference
Exercise and Cancer Recovery. Constance Visovsky PhD, RN, ACNP; Colleen Dvorak BSN,
RN, OCN. Online J Issues Nurs. 2005;10(2) ©2005 Kent State University College of Nursing
Posted 08/30/2005. Constance Visovsky PhD, RN, ACNP; Colleen Dvorak BSN, RN, OCN
Online J Issues Nurs. 2005;10(2) ©2005 Kent State University College of Nursing. Posted
08/30/2005
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