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Exercise AND oncology

Michelle B Nadler, Daryl Bainbridge, Angela J Fong, Jonathan Sussman, Jennifer R Tomasone, Sarah E Neil-Sztramko
Evidence supporting the benefits of exercise surrounding cancer treatment has led to internationally published guidelines, with minimal uptake by oncology care providers (OCPs). There is a need to understand how to implement research evidence into practice. Our team developed a questionnaire to assess OCPs' knowledge of exercise guidelines and barriers/facilitators to exercise counseling and program referral. We validated the questionnaire using the Theoretical Domains Framework, a knowledge translation (KT) framework used to implement evidence-based guidelines into practice...
February 14, 2019: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
C M Fairman, K L Kendall, N H Hart, D R Taaffe, D A Galvão, R U Newton
Low muscle mass in individuals with cancer has a profound impact on quality of life and independence and is associated with greater treatment toxicity and poorer prognosis. Exercise interventions are regularly being investigated as a means to ameliorate treatment-related adverse effects, and nutritional/supplementation strategies to augment adaptations to exercise are highly valuable. Creatine (Cr) is a naturally-occurring substance in the human body that plays a critical role in energy provision during muscle contraction...
January 2019: Critical Reviews in Oncology/hematology
Justin C Brown, Elizabeth M Cespedes Feliciano, Bette J Caan
There is growing interest from the oncology community to understand how body composition measures can be used to improve the delivery of clinical care for the 18.1 million individuals diagnosed with cancer annually. Methods that distinguish muscle from subcutaneous and visceral adipose tissue, such as computed tomography (CT), may offer new insights of important risk factors and improved prognostication of outcomes over alternative measures such as body mass index. In a meta-analysis of 38 studies, low muscle area assessed from clinically acquired CT was observed in 27...
January 13, 2019: Journal of Cachexia, Sarcopenia and Muscle
Lise Nottelmann, Lars Henrik Jensen, Tove Bahn Vejlgaard, Mogens Groenvold
PURPOSE: The aim of this paper is to describe a model of palliative rehabilitation for newly diagnosed advanced cancer patients and present data on how it was utilised during a randomised controlled trial (RCT). METHODS: We designed a highly flexible, multidisciplinary model of palliative rehabilitation consisting of a "basic offer" and tailored elements. The model was evaluated in the setting on an RCT investigating the effect of systematic referral to a palliative rehabilitation clinic concurrently with standard oncology treatment or standard treatment alone...
January 5, 2019: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Kadirhan Ozdemir, Ilke Keser, Ilker Sen, M Ozgur Tan
OBJECTIVES: The aim of this study was to investigate the relationship between the parameters of fatigue, quality of life and leisure time physical activity in prostate cancer (PCa) patients. This is the first study in the literature to report interaction between these parameters from the perspective of physiotherapy and rehabilitation. MATERIALS AND METHODS: Fifty-eight out-patients were enrolled in this study. In an oncologic rehabilitation unit, Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire (FACIT-F), Functional Assessment of Cancer Therapy-Prostate Questionnaire (FACT-P) and Godin Leisure Time Exercise Questionnaire (GLTEQ) were utilized to evaluate fatigue, quality of life and physical activity, respectively...
December 14, 2018: Journal of Back and Musculoskeletal Rehabilitation
John P Skendelas, Clara Lee, Ann Mangino, William E Carson
The oncologic safety of fat grafting procedures remains well-characterized in the recent literature; however, we recommend exercising vigilance when evaluating BRCA-positive and other patients at higher oncologic risk after reconstruction and fat grafting, whose cancer recurrence diagnosis may pose significant clinical challenges.
December 2018: Clinical Case Reports
S Mulcahy, J Prendergast, G Foley, A O Hare, E Murphy, E M Guinan, J Hussey
Aims This study aimed to identify the physiotherapy exercise rehabilitation services available to patients with cancer in Ireland and to identify barriers to the provision of services. Methods Physiotherapy department managers in specialised cancer centres, public and private hospitals and palliative care settings were surveyed to establish the availability of exercise rehabilitation services for patients with cancer. Results Of 40 managers contacted, 24 responded providing information about 26 services. Ten services employed a dedicated oncology physiotherapist...
October 11, 2018: Irish Medical Journal
Jesper Frank Christensen, Casper Simonsen, Pernille Hojman
Exercise training is playing an increasing role in cancer care, as accumulating evidence demonstrates that exercise may prevent cancer, control disease progression, interact with anti-cancer therapies, and improve physical functioning and psychosocial outcomes. In this overview article, we present the current state of the field of exercise oncology, which currently comprises of nearly 700 unique exercise intervention trials with more than 50,000 cancer patients. First, we summarize the range of these interventions with regard to diagnoses, clinical setting, timing, and type of intervention...
December 13, 2018: Comprehensive Physiology
Vanessa Oschwald, Aram Prokop, Jonas Boehme, Nadja Gressler, Felicitas Harscheidt, Volker Maas, Wilhelm Bloch, Freerk T Baumann, Julia Daeggelmann
BACKGROUND: With improved survival rates in pediatric oncology, the detection of adverse side- and late-effects is gaining increased interest. This cross-sectional study investigated walking abilities and ankle dorsiflexion function in children with cancer. PATIENTS: Study participants included 16 children with various cancers (4-20 years, patient group) after completion of the intense treatment and 16 age- and gender-matched healthy peers (comparison group). METHOD: Walking speed (10-meter-walking-test, treadmill test assessing preferred transition speed), walking capacity (2-minute-walk-test), walking balance (Timed-Up-And-Go-Test), active/passive ankle dorsiflexion range of motion (ROM) (goniometer) and ankle dorsiflexion strength (hand-held dynamometer) were comprehensively assessed...
December 13, 2018: Klinische Pädiatrie
Stefano Palma, Mohammad Keilani, Timothy Hasenoehrl, Richard Crevenna
PURPOSE: To systematically review literature for interventional studies and their impact on autonomic dysfunction assessed by heart rate variability in cancer patients. METHODS: Research was conducted using the databases Medline/Pubmed, Scopus, and Web of science from their inception to October 2017. Original articles with an interventional design that reported changes in at least one heart rate variability parameter as outcome parameter were included and described...
December 4, 2018: Disability and Rehabilitation
Hsiu-Lan Su, Li-Min Wu, Shyh-Shin Chiou, Pei-Chin Lin, Yu-Mei Liao
PURPOSE: To examine the effects of walking exercise on exercise tolerance, fatigue, sleep quality, and quality of life (QOL) for children and adolescents with cancer. METHODS: A 6-week walking exercise regimen was implemented in pediatric hematological and oncological wards and in clinics of a medical center in Taiwan. A 6-min walk test (6MWT), fatigue, sleep quality, and QOL were measured at baseline and for six subsequent weeks. RESULTS: Adherence to the walking exercise regimen was achieved by 72-89% of the participants in this study...
December 2018: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
Teri M Kozik, Mary C Hickman, Sherri Schmidt, Therese F Connolly, Kim Paustenbach, Paul Vosti, Mouchumi Bhattacharyya
PURPOSE: The purpose of this study was to determine if a structured supervised outpatient exercise program specifically for cancer patients would be associated with improvements in insomnia and depression after attending for 10-weeks. DESIGN: Descriptive observational study. SAMPLE AND SETTING: 75 adult subjects attended an outpatient hospital based exercise program specifically for cancer patients and coordinated by an exercise physiologist and a physical therapist...
December 2018: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
Jun-Jun Liu, Jamileh Movassat, Bernard Portha
PURPOSE OF REVIEW: So far, the tryptophan catabolites generated in the kynurenine pathway have been mainly studied in relation to oncologic and mental health disorders. The current review provides an update on the emerging biomedical interest for kynurenine pathway activity in the field of energy homeostasis and metabolic diseases. RECENT FINDINGS: Kynurenine pathway enzymes are expressed in tissues relevant for energy homeostasis such as fat, skeletal muscle, liver and endocrine pancreas, blood vessel and heart, and are regulated by nutritional and inflammatory signals...
January 2019: Current Opinion in Clinical Nutrition and Metabolic Care
Fiona Streckmann, H C Lehmann, M Balke, A Schenk, M Oberste, A Heller, A Schürhörster, T Elter, W Bloch, F T Baumann
Chemotherapy-induced peripheral neuropathy (CIPN) is a prevalent and clinically relevant side effect of chemotherapy. The symptoms diminish patients' quality of life and represent a decisive limiting factor for medical therapy. To date, effective treatment options are lacking. Specific exercise interventions have proven promising to target relevant symptoms. We conducted a prospective, four-armed, randomized, controlled trial, to evaluate the effects of sensorimotor training (SMT) and whole-body vibration training (WBV) on patients with CIPN...
October 31, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Rudolf A Werner, Xinyu Chen, Steven P Rowe, Constantin Lapa, Mehrbod S Javadi, Takahiro Higuchi
The heart failure epidemic continues to rise with coronary artery disease as one of its main causes. Novel concepts for risk stratification to guide the referring cardiologist towards revascularization procedures are of significant value. Myocardial perfusion imaging using single-photon emission computed tomography (SPECT) agents has demonstrated high accuracy for the detection of clinically relevant stenoses. With positron emission tomography (PET) becoming more widely available, mainly due to its diagnostic performance in oncology, perfusion imaging with that modality is more practical than in the past and overcomes existing limitations of SPECT MPI...
October 17, 2018: International Journal of Cardiovascular Imaging
Kevin T Dyer, Christopher P Hogrefe
Exertional limb pain is a common problem encountered in recreational and competitive athletes. Affecting both the upper and lower extremities, this broad entity can be musculoskeletal, vascular, neurologic, oncologic, or infectious in origin. This article focuses on the vascular causes of exercise-related extremity pain, which encompass a cadre of elusive diagnoses. Specifically, we examine arterial endofibrosis, popliteal artery entrapment syndrome, and chronic exertional compartment syndrome of both the upper and lower extremities...
October 2018: Current Sports Medicine Reports
D Pfirrmann, P Simon, M Mehdorn, M Hänsig, S Stehr, L Selig, A Weimann, M Knödler, F Lordick, A Mehnert, I Gockel
BACKGROUND: Postoperative complications after complex visceral oncological surgery can lead to substantial impairment of patients. In addition, preoperative physical performance and the severity of postoperative complications determine the long-term recovery process of physical function. Therefore, preconditioning in the preoperative period should be an important part of the preoperative/neoadjuvant treatment. OBJECTIVE: The aim of this article is a critical appraisal of current concepts of prehabilitation as well as their development potential and applicability in visceral surgery...
November 2018: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Shirin M Shallwani, Anna Towers
Purpose: Malignant lymphedema is an accumulation of interstitial fluid caused by tumour infiltration or compression of lymphatic vessels. Our objective is to describe self-management strategies for malignant lymphedema using a case report. Client Description: A 50-year-old woman with advanced breast cancer was referred to our centre with a 3-month history of unexplained left-arm edema, subsequently diagnosed as malignant lymphedema caused by tumour compression of the axillary lymph nodes. Intervention: She undertook a physiotherapist-guided, modified lymphedema treatment programme, with self-management interventions including self-bandaging and exercise...
2018: Physiotherapy Canada. Physiothérapie Canada
Marta Kramer Mikkelsen, Cecilia Margareta Lund, Anders Vinther, Anders Tolver, Anne-Mette Ragle, Julia Sidenius Johansen, Inna Chen, Lotte Engell-Noerregaard, Finn Ole Larsen, Bo Zerahn, Dorte Lisbet Nielsen, Mary Jarden
BACKGROUND: Several intervention studies have demonstrated that exercise training has beneficial effects among cancer patients. However, older cancer patients are underrepresented in clinical trials, and only few exercise-based studies have focused specifically on older patients with cancer. In particular, research investigating the effects of exercise training among older patients with advanced cancer is lacking. The purpose of the current study is to investigate the effect of a 12-week multimodal and exercise-based intervention among older patients (≥65 years) with advanced pancreatic, biliary tract or lung cancer, who are treated with first-line palliative chemotherapy, immunotherapy or targeted therapy...
September 27, 2018: BMC Cancer
Amy A Kirkham, Matthew G Lloyd, Victoria E Claydon, Karen A Gelmon, Donald C McKenzie, Kristin L Campbell
BACKGROUND: Cardiovascular autonomic dysfunction is an early marker for cardiovascular disease. Anthracycline chemotherapy and left-sided radiation for breast cancer are associated with negative autonomic function changes. This study's objectives were to characterize changes in, and the association of exercise training with, clinical indices of cardiovascular autonomic function across the trajectory of breast cancer therapy. SUBJECTS, MATERIALS, AND METHODS: Seventy-three patients receiving adjuvant chemotherapy participated to varying degrees in supervised aerobic and resistance exercise during chemotherapy ± radiation and for 20 weeks after...
September 26, 2018: Oncologist
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