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Der Gynäkologe

, Volume 52, Issue 1, pp 69–80 | Cite as

Körperliche Bewegung von Brustkrebspatientinnen während der Chemotherapie

  • H. HelbrichEmail author
  • K. Friese
  • K. Härtl
CME
  • 31 Downloads

Zusammenfassung

Körperliche Bewegung („physical activity“, PA) beeinflusst über körperliche und psychische Mechanismen Lebensqualität, Morbidität und Mortalität von Brustkrebspatientinnen. Besonders Fatigue und Armmorbidität, aber auch Schlafqualität, Depression, Körperbild und Selbstbewusstsein werden verbessert, auch während der Chemotherapie. Daher werden mehrmals wöchentlich Ausdauer- und Krafttraining empfohlen. Viele Patientinnen sind an einer Steigerung ihrer PA interessiert. Die wenigen absoluten Kontraindikationen umfassen schwere akute Beschwerden und Knochenbruchgefahr. Subjektive internale Hindernisse sind Therapienebenwirkungen, Fehlannahmen über PA und psychische Belastungen. Das Umfeld beeinflusst PA über organisatorische Gegebenheiten und soziale Unterstützung. Um PA zu fördern, können Informationen und Strategien vermittelt, individuelle Trainingspläne erstellt und der Verlauf begleitet werden.

Schlüsselwörter

Physische Fitness Fatigue Körperbild Depression Lebensqualität 

Physical activity of breast cancer patients during chemotherapy

Abstract

Physical activity (PA) affects the quality of life, morbidity and mortality of breast cancer patients through various physical and psychological mechanisms. In particular, fatigue and arm morbidity as well as sleep quality, depression, body image and self-confidence are improved also during chemotherapy. Hence multiple sessions of aerobic and strength training per week are recommended and many patients are interested in raising their PA levels. There are only a few absolute contraindications, such as acute and severe medical conditions and risk of fractures. Subjective internal obstacles are side effects of treatment, incorrect assumptions on PA and psychological burden. External factors include organizational difficulties and social support. To promote PA clinicians should make information available, help to develop an individualized training schedule with strategies for intricacies and offer ongoing assistance.

Keywords

Physical fitness Fatigue Body image Depression Quality of life 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

H. Helbrich, K. Friese und K. Härtl geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  1. 1.Hochschule FreseniusUniversity of Applied Sciences, Psychology SchoolMünchenDeutschland
  2. 2.Klinik Bad TrisslOberaudorfDeutschland

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