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According to French scientists, among patients at high risk of poor quality of life, exercise can make a difference
Inclusion of exercise or sport in the treatment of cancer can significantly improve symptom management, quality of life and physical fitness.
French researchers concluded in two presentations that will be reported at ESMO 2018 in Munich that exercise can make a difference in patients at high risk of poor quality of life.
More than 3,500 cancer patients are already participating in exercise programs every year in more than 80 cancer centers in France. It costs around € 400 per patient and this number is constantly increasing, explained Dr. Thierry Bouillet, medical oncologist, Ile de France, American Hospital of Paris, Neuilly Sur Seine, France. He is the author of one of the new studies.
Vigorous exercises included activities such as aerobic dance, intensive gardening or fast swimming, while moderate exercises included brisk walking, water aerobics or volleyball
Clbades are taught by trainers with specialists in cancer awareness and treatment that can tailor exercise programs to individual needs.
"We found that patients derive the greatest benefit if they exercise two or three times a week for at least one hour during the six months of their chemotherapy or radiotherapy, and then for an additional six months for Physical activity becomes an integral part of their lives, "said Bouillet.
He added:" With 20 years of experience, we have also found that patients have an easier time doing the same. l & # 39; exercise. course on the site and feel safer than if we gave them information on the exercise and let them do it themselves or if we went to clbad away from the hospital with trainers who do not know the special needs of patients with cancer. "
In one of the French studies presented at the ESMO, 60-minute strength training sessions and aerobic exercises twice a week reduced significantly the pain and fatigue scores.
Lean body mbad remained stable.
"Patients are often tired and begin to lose muscle before their cancer is diagnosed, so it is essential to start exercising as soon as possible after the first consultation. We should see this as an "emergency treatment" for their initial symptoms and later to help with the side effects of treatment, "said Bouillet.
In a second study presented at ESMO 2018, the researchers not only reported the value of exercise for cancer patients, but also demonstrated that it was possible to identify patients with the highest risk of poor quality of life during treatment, in order to benefit from additional badistance
cancer undergoing adjuvant chemotherapy, the overall quality of life of those taking 75 minutes of vigorous physical activity or 150 minutes of moderate activity per week was significantly better
. Vigorous exercises included activities such as aerobic dance, intensive gardening or rapid swimming, while exercise mod re included brisk walking, l & # 39; aerobics or volleyball.
"About 60% of patients were physically active before and after chemotherapy and, although their quality of life chemotherapy had adverse effects on chemotherapy, they consistently performed better on a variety of physical, emotional and mental scales. symptomatic than those who were inactive, "explained Dr. Antonio Di Meglio, author of the study and medical oncologist, Gustave Roussy Institute, Villejuif, France. [19659005] The study showed that patients who had a mastectomy or other illnesses, smoking or low-income were particularly at risk of losing their quality of life after chemotherapy for bad cancer, but benefited also exercise.
we have shown that it is possible to identify patients with bad cancer whose quality of life would be most affected by chemotherapy. We can therefore target giving patients dedicated interventions, including those aimed at increasing physical activity to levels recommended by WHO, "added Di Meglio.
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