19/10/2018
EXERCISING DURING TREATMENT FOR CANCER.
How does it work?
With lots of people interested in how to maintain conditioning and some level of fitness during treatment for cancer I want to talk about this in my post today. The most important thing to remember during this phase of the cancer journey is that it’s all about maintaince, adjusting to a new normal and understanding that every little bit counts, even if it’s a 5 minute walk.
✅During cancer treatment patients can typically lose cardiovascular and muscular fitness, experience debilitating cancer related fatigue and report demised psychological wellbeing. Additionally, many patients are advised to rest throughout treatment and an overemphasis on energy conservation can exacerbate the treatment related losses of physical conditioning and muscle strength.
Current evidence supports the recommendation of exercise during treatment to prevent decline in functional outcomes without increasing fatigue. Positive effects on aspects of psychological wellbeing such as anxiety and self-esteem can also be achieved.
However it is important to remember that a one size fits all approach does not fit all as we need to understand diagnosis, treatment pathway, surgeries. patient’s current health status, needs and goals.
On treatment you may face primary barriers such as infections, nausea, diarrhoea and fatigue.
Below are some strategies to overcome the barriers of fatigue and start exercising safely during treatment ;
- 🔸Stick to light-moderate intensity exercise for example 50-60% of max capacity
🔸Shorter duration of exercise.
- Interval exercise is good, so alternating exercise with rest bouts
🔸And/or exercising during days for example not on the day that you have had chemotherapy, doing it before chemotherapy in the morning would be fine. Focus ontimes for example early in the morning when fatigue is at its lowest.
Firsts step would be to lay the foundations. So I would suggest walking based activities first and home or hospital based functional exercises which just use your body weight to help maintain muscle strength and function. These exercises could include sit to stand squats, calf raises, lunges, wall press ups or Pilates or yoga based exercises.