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Körperliche Aktivität und Sport bei Krebspatienten

Physical activity for cancer patients

  • Leitthema
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Der Onkologe Aims and scope

Zusammenfassung

Sport und körperliche Aktivität sind wirksame Maßnahmen der Gesundheitsförderung. Ihre Rolle bei Tumorpatienten wurde jedoch lange Zeit unterschätzt. Mittlerweile zeigen zahlreiche Untersuchungen, dass regelmäßige körperliche Aktivität bei Tumorpatienten nicht nur zu einer Verbesserung der körperlichen Leistungsfähigkeit, sondern auch zu einer Reduktion der Nebenwirkungen der Therapie (v. a. der Fatigue), einer Stimmungsaufhellung und einer Zunahme der Lebensqualität führt. Im folgenden Artikel wird die Rationale für die Anwendung von Sport bei Tumorpatienten beschrieben, es werden die Richtlinien für die Gestaltung von Trainingsprogrammen erklärt und die Indikationen und Kontraindikationen von Sport bei dieser Patientengruppe aufgelistet.

Abstract

Sports and physical activity are effective measures of health promotion. However, their role for cancer patients was underestimated in the past. Numerous studies have shown that regular physical activity not only improves the physical status of cancer patients but also reduces side effects of therapy (particularly fatigue) and increases quality of life. This article describes the rationale for prescribing physical activity for cancer patients, explains guidelines for organizing training programs, and lists the indications and contraindications to exercise for this group of patients.

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Literatur

  1. Dimeo FC (2001) Effects of exercise on cancer-related fatigue. Cancer 92: 1689–1693

    Article  PubMed  CAS  Google Scholar 

  2. Lucia A, Earnest C, Perez M (2003) Cancer-related fatigue: can exercise physiology assist oncologists? Lancet Oncol 4: 616–625

    Article  PubMed  Google Scholar 

  3. Dimeo F, Rumberger BG, Keul J (1998) Aerobic exercise as therapy for cancer fatigue. Med Sci Sports Exerc 30: 475–478

    PubMed  CAS  Google Scholar 

  4. National Comprehensive Cancer Network (2007) Cancer-related fatigue. http://www.nccn.org

  5. Smets EMA, Garssen B, Schuster-Uitterhoeve ALJ, de Haes JCJM de (1993) Fatigue in cancer patients. Br J Cancer 68: 220–224

    PubMed  CAS  Google Scholar 

  6. Mock V, Dow KH, Meares CJ et al. (1997) Effects of exercise on fatigue, physical functioning, and emotional distress during radiation therapy for breast cancer. Oncol Nurs Forum 24: 991–1000

    PubMed  CAS  Google Scholar 

  7. Mock V, Frangakis C, Davidson NE et al. (2004) Exercise manages fatigue during breast cancer treatment: A randomized controlled trial. Psychooncology 14: 464–477

    Google Scholar 

  8. Dimeo F, Bertz H, Finke J et al. (1996) An aerobic exercise program for patients with haematological malignancies after bone marrow transplantation. Bone Marrow Transplant 18: 1157–1160

    PubMed  CAS  Google Scholar 

  9. Dimeo F, Fetscher S, Lange W et al. (1997) Effects of aerobic exercise on the physical performance and incidence of treatment-related complications after high-dose chemotherapy. Blood 90: 3390–3394

    PubMed  CAS  Google Scholar 

  10. Dimeo F, Stieglitz RD, Novelli-Fischer U et al. (1999) Effects of physical activity on the fatigue and psychologic status of cancer patients during chemotherapy. Cancer 85: 2273–2277

    Article  PubMed  CAS  Google Scholar 

  11. Dimeo F, Schwartz S, Fietz T et al. (2003) Effects of endurance training on the physical performance of patients with hematological malignancies during chemotherapy. Support Care Cancer 11: 623–628

    Article  PubMed  Google Scholar 

  12. Dimeo FC, Thomas F, Raabe-Menssen C et al. (2004) Effect of aerobic exercise and relaxation training on fatigue and physical performance of cancer patients after surgery. A randomised controlled trial. Support Care Cancer 12: 774–779

    Article  PubMed  Google Scholar 

  13. Courneya KS, Keats MR, Turner AR (2000) Physical exercise and quality of life in cancer patients following high dose chemotherapy and autologous bone marrow transplantation. Psychooncology 9: 127–136

    Article  PubMed  CAS  Google Scholar 

  14. Courneya KS, Mackey JR, Bell GJ et al. (2003) Randomized controlled trial of exercise training in postmenopausal breast cancer survivors: cardiopulmonary and quality of life outcomes. J Clin Oncol 21: 1660–1668

    Article  PubMed  Google Scholar 

  15. Courneya KS, Friedenreich CM, Quinney HA et al. (2003) A randomized trial of exercise and quality of life in colorectal cancer survivors. Eur J Cancer Care (engl) 12: 347–357

    Google Scholar 

  16. Courneya KS, Segal RJ, Mackey JR et al. (2007) Effects of aerobic and resistance exercise in breast cancer patients receiving adjuvant chemotherapy: a multicenter randomized controlled trial. J Clin Oncol 0: 2006.08.8013v1

    Google Scholar 

  17. Jones LW, Peddle CJ, Eves ND et al. (2007) Effects of presurgical exercise training on cardiorespiratory fitness among patients undergoing thoracic surgery for malignant lung lesions. Cancer 110: 590–598

    Article  PubMed  Google Scholar 

  18. Milne HM, Wallman KE, Gordon S, Courneya KS (2007) Effects of a combined aerobic and resistance exercise program in breast cancer survivors: a randomized controlled trial. Breast Cancer Res Treat doi: 10.1007/s10549-007-9602-z

    Google Scholar 

  19. Segal RJ, Reid RD, Courneya KS et al. (2003) Resistance exercise in men receiving androgen deprivation therapy for prostate cancer. J Clin Oncol 21: 1653–1659

    Article  PubMed  Google Scholar 

  20. Segal R, Evans W, Johnson D et al. (2001) Structured exercise improves physical functioning in women with stages I and II breast cancer: results of a randomized controlled trial. J Clin Oncol 19: 657–665

    PubMed  CAS  Google Scholar 

  21. Dimeo F, Tilmann MH, Bertz H et al. (1997) Aerobic exercise in the rehabilitation of cancer patients after high dose chemotherapy and autologous peripheral stem cell transplantation. Cancer 79: 1717–1722

    Article  PubMed  CAS  Google Scholar 

  22. Dimeo F (2004) Standards in der Sportmedizin: Körperliche Aktivität und Krebs. Deutsche Zeitschrift für Sportmedizin 4: 106–107, Ref Type: Generic

  23. MacVicar MG, Winningham ML, Nickel JL (1989) Effects of aerobic interval training on cancer patients‘ functional capacity. Nurs Res 38: 348–351

    Article  PubMed  CAS  Google Scholar 

  24. Mock V, Barton B, Sheehan P et al. (1994) A nursing rehabilitation program for women with breast cancer receiving adjuvant chemotherapy. Oncology Nurse Forum 21: 899–907

    CAS  Google Scholar 

  25. Schwartz AL (2000) Exercise and weight gain in breast cancer patients receiving chemotherapy. Cancer Pract 8: 231–237

    Article  PubMed  CAS  Google Scholar 

  26. Schwartz AL, Mori M, Gao R (2001) Exercise reduces daily fatigue in women with breast cancer receiving chemotherapy. Med Sci Sports Exerc 33: 718–723

    Article  PubMed  CAS  Google Scholar 

  27. Daley AJ, Crank H, Saxton JM et al. (2007) Randomized trial of exercise therapy in women treated for breast cancer. J Clin Oncol 25: 1713–1721

    Article  PubMed  Google Scholar 

  28. Ohira T, Schmitz KH, Ahmed RL, Yee D (2006) Effects of weight training on quality of life in recent breast cancer survivors: the Weight Training for Breast Cancer Survivors (WTBS) study. Cancer 106: 2076–2083

    Article  PubMed  Google Scholar 

  29. Adamsen L, Quist M, Midtgaard J et al. (2006) The effect of a multidimensional exercise intervention on physical capacity, well-being and quality of life in cancer patients undergoing chemotherapy. Support Care Cancer 14: 116–127

    Article  PubMed  Google Scholar 

  30. Porock D, Kristjanson LJ, Tinnelly K et al. (2000) An exercise intervention for advanced cancer patients experiencing fatigue: a pilot study. J Palliat Care 16: 30–36

    PubMed  CAS  Google Scholar 

  31. Schwartz AL, Thompson JA, Masood N (2002) Interferon-induced fatigue in patients with melanoma: a pilot study of exercise and methylphenidate. Oncol Nurs Forum 29: E85–E90

    Article  PubMed  Google Scholar 

  32. Carlson LE, Smith D, Russell J et al. (2006) Individualized exercise program for the treatment of severe fatigue in patients after allogeneic hematopoietic stem-cell transplant: a pilot study. Bone Marrow Transplant 37: 945–954

    Article  PubMed  CAS  Google Scholar 

  33. Holmes MD, Chen WY, Feskanich D et al. (2005) Physical activity and survival after breast cancer diagnosis. JAMA 293: 2479–2486

    Article  PubMed  CAS  Google Scholar 

  34. Meyerhardt JA, Heseltine D, Niedzwiecki D et al. (2006) Impact of physical activity on cancer recurrence and survival in patients with stage III colon cancer: findings from CALGB 89803. J Clin Oncol 24: 3535–3541

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Medizinische Klinik III (Hämatologie, Onkologie und Transfusionsmedizin), Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12200, Berlin, Deutschland

    F.C. Dimeo & E. Thiel

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  1. F.C. Dimeo
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  2. E. Thiel
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Correspondence to F.C. Dimeo.

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Dimeo, F., Thiel, E. Körperliche Aktivität und Sport bei Krebspatienten. Onkologe 14, 31–37 (2008). https://doi.org/10.1007/s00761-007-1288-7

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