Exercise for Cancer Patients and Survivors

00:04:04
https://www.youtube.com/watch?v=yScVPdHpKpM

概要

TLDRThe presentation emphasizes the critical role of exercise for cancer patients and survivors, highlighting both physiological and psychological benefits during and after treatment. Exercise has shown to enhance cardiovascular fitness, muscle strength, bone health, and body composition. It improves range of motion, balance, and flexibility. Importantly, exercise can reduce the risk of cancer recurrence, especially in breast, colon, and prostate cancers. Psychological benefits include decreased anxiety, depression, and fatigue while improving mood, self-esteem, and overall quality of life. The American College of Sports Medicine (ACSM) began advocating for exercise in cancer care in 2010, followed by endorsements from the American Cancer Society and the National Comprehensive Cancer Network. These guidelines propose incorporating exercise as a vital component of cancer treatment and survivorship care, supported by peer-reviewed evidence. While BMI concerns are noted, patients often emphasize the quality of life over their BMI.

収穫

  • 💪 Exercise improves physiological outcomes for cancer survivors.
  • 🏃 Cardiovascular fitness can increase even during cancer treatment.
  • 🧠 Exercise reduces cancer-related anxiety and depression.
  • 📉 Risk of cancer recurrence decreases with regular exercise.
  • 🫀 Institutions like ACSM and NCCN endorse exercise guidelines.
  • 📚 Evidence-based guidelines promote the inclusion of exercise in cancer care.
  • 🏋️ Muscle strength and bone health benefit from regular exercise.
  • 🔄 Quality of Life (QoL) is often prioritized by patients over BMI concerns.
  • 💬 Positive psychological impacts include enhanced mood and self-esteem.
  • 🔬 Observational studies support exercise benefits in reducing cancer risk.

タイムライン

  • 00:00:00 - 00:04:04

    The speaker discusses the importance of recognizing cancer survivors not just for their triumph over cancer, but for enduring toxic treatments with adverse effects. They highlight the role of exercise in improving physiological outcomes in cancer patients and survivors, such as cardiovascular fitness, muscle strength, and reduced cancer recurrence risk. Exercise also improves symptoms like anxiety, depression, and quality of life. Despite initial resistance, guidelines from the American College of Sports Medicine (ACSM), American Cancer Society, and National Comprehensive Cancer Network now endorse exercise, marking a pivotal step in exercise oncology.

マインドマップ

Mind Map

よくある質問

  • Why is exercise important for cancer survivors?

    Exercise is crucial for cancer survivors as it helps improve cardiovascular fitness, muscle strength, bone health, and reduces the risk of cancer recurrence.

  • What improvements can exercise bring to cancer patients during treatment?

    Exercise can enhance cardiovascular fitness, muscle strength, bone health, and body composition. It also reduces anxiety, depression, fatigue, and improves quality of life.

  • Is exercise beneficial for all types of cancers?

    Although most research has focused on breast cancer, the benefits of exercise are expected to apply to other tumor types as well.

  • What organizations have published guidelines for exercise in cancer patients?

    The American College of Sports Medicine (ACSM), the American Cancer Society, and the National Comprehensive Cancer Network have published guidelines endorsing exercise for cancer patients.

  • Does exercise reduce the risk of cancer recurrence?

    Yes, large epidemiologic observational studies have shown that exercise may reduce the risk of recurrence in breast, colon, and prostate cancer.

  • What physiological outcomes does exercise improve for cancer patients?

    Exercise improves cardiovascular fitness, muscle strength, bone health, body composition, range of motion, balance, and flexibility.

  • How does exercise affect the quality of life for cancer survivors?

    Exercise improves mood, self-esteem, reduces anxiety and depression, reduces fatigue, and generally enhances quality of life for cancer survivors.

  • When were the guidelines for exercise and cancer published?

    The American College of Sports Medicine published guidelines in 2010, followed by the American Cancer Society in 2012, and the National Comprehensive Cancer Network in 2013.

  • What is the role of the National Comprehensive Cancer Network regarding exercise guidelines?

    The National Comprehensive Cancer Network includes almost 50 large cancer centers and provides comprehensive care guidelines, acknowledging exercise as a key component in cancer treatment and survivorship care.

  • Does BMI affect cancer recurrence, according to patient perspectives?

    Patients often prioritize quality of life over BMI, expressing more concern over living well rather than their BMI's role in cancer recurrence.

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  • 00:00:00
    [Music]
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    this is the first slide of many to talk
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    to you about a very simple fact and that
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    is the reason why we need to pay
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    attention to the fact that these folks
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    are survivors doesn't have hardly
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    anything to do with their cancer it has
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    to do with the treatments the treatments
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    are toxic the treatments are difficult
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    and there are a number of adverse
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    effects of those treatments this is a
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    table that is directly out of the first
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    round table fun exercise in cancer from
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    ACSM it's available as a free download
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    on the website so we're gonna go through
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    a few of those things rather than look
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    at one table for 10 minutes how about
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    that cool
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    so there are a number of physiologic
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    outcomes that are expected to be
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    improved by exercise training for
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    patients and survivors cardiovascular
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    fitness believe it or not we actually
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    have seen an improvement in
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    cardiovascular fitness in metastatic
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    patients while they're undergoing their
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    treatment muscle strength bone health
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    body composition range of motion balance
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    and flexibility and in breast colon and
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    prostate cancer we have a reduced risk
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    of recurrence of those cancers from
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    large epidemiologic observational
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    studies and there are ongoing trials to
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    verify that
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    then there are a number of symptoms and
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    psychological attributes that are
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    improved by exercise training during and
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    after treatment in cancer patients and
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    survivors the majority of the research
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    in this area has been done in breast
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    cancer patients but there is no reason
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    to believe that it would be different in
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    other tumor types the improvements
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    include improvements and anxiety and
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    depression mood and self-esteem fatigue
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    and quality of life so there's that
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    quality of life mi so and I'm not
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    kidding that is a term that I have heard
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    multiple times from the patients and
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    survivors when I talk about well you
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    know we need to be worried about your
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    BMI because it could have something to
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    do with your recurrence and I've heard I
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    don't care about my BMI I care about my
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    quality of life MI I've heard that from
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    patients so in 2010 the American College
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    of Sports Medicine published the first
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    ACSM roundtable guidance on exercise for
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    those who have had a diagnosis of cancer
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    and then in 2012 the American Cancer
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    Society followed suit they have been
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    publishing guidelines for a number of
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    years for cancer survivors but they
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    quoted the 2010 ACSM guidelines as being
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    right on this is you know we're in
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    agreement we endorsed those and then in
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    2013 the National Comprehensive Cancer
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    Network followed suit and you can see
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    that I'm sure you can read that tiny
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    print that they actually also cited the
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    2010 Schmidt said all ACSM round table
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    paper as their source for their guidance
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    as well
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    this one is pretty important the
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    National Comprehensive Cancer Network is
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    an affiliation of almost 50 large cancer
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    centers across the United States that
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    come together to form the guidance for
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    how cancer patients should be treated
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    from the point of diagnosis through
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    recurrence and death for all elements of
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    treatment and survivorship care
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    and the fact that they saw fit to add
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    exercise because ACSM had come forward
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    with these this you know peer-reviewed
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    evidence-based guidance was was a pretty
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    important step in the field of exercise
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    oncology
タグ
  • Cancer
  • Exercise
  • Cancer Survivors
  • Cardiovascular Fitness
  • Quality of Life
  • Depression
  • Anxiety
  • Cancer Recurrence
  • Bone Health
  • ACSM Guidelines