Exercise as supportive therapy in cancer patients-What is the best practical approach?

Exercise should be an inherent component of oncological treatment as it improves fitness, decreases fatigue symptoms and improves the quality of life in cancer patients. Beside these benefits, cohort studies with breast and colorectal cancer patients showed a better prognosis and survival for physically active patients. Therefore, exercise should always be part of the oncological treatment. The general physical activity recommendation for cancer patients includes exercising at least 150min per week with 2 times strength training per week. Often, cancer patients cannot realize the recommended amount of physical activity because of a reduced fitness level in the beginning. Therefore, exercise training must be recommended individually and adapted to the clinical status of the patient. Exercise should begin with short duration and low intensity and be increased over time. Resistance training increases muscle strength and prevents sarcopenia. After long periods of immobilization general strength training counteracts the reduction of musculature and a supervised setting is recommended especially for older patients. Patients under chemotherapy and radiation therapy also benefit from a structured exercise program and regular physical activity. Attention must be paid to contraindications. Exercise training for patients with bone metastases must be adapted to the diagnosis of the patient.     «

Exercise should be an inherent component of oncological treatment as it improves fitness, decreases fatigue symptoms and improves the quality of life in cancer patients. Beside these benefits, cohort studies with breast and colorectal cancer patients showed a better prognosis and survival for physically active patients. Therefore, exercise should always be part of the oncological treatment. The general physical activity recommendation for cancer patients includes exercising at least 150min per w...     »