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Sport und Bewegung als unterstützende Maßnahmen während der Tumortherapie

  • Thorsten Schmidt
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Zusammenfassung

Die Diagnose und die Therapie einer Krebserkrankung sind mit einer Einschränkung auf physischer und psychischer Ebene verbunden. Darüber hinaus stellen die Nebenwirkungen einen potenziell therapielimitierenden Faktor dar, der Dosisreduktion, Verzögerung oder gar Abbruch einer Therapie erfordern kann. Dies hat negative Folgen für das Outcome und die mittlere Überlebensdauer. Zahlreiche Untersuchungen zeigen, dass körperliche Trainingsprogramme bei onkologischen Patienten während der Akutphase nicht nur durchführbar, sondern auch empfehlenswert sind. Eine zeitnahe Einbindung der Bewegungstherapie in Form von Physio- und Sporttherapie dient u. a. dazu, Bewegungsmangel sowie therapieassoziierten Nebenwirkungen vorzubeugen. Des Weiteren sollen Ängste und Unsicherheiten gegenüber einer körperlichen Aktivität abgebaut werden. Die bisherige Datenlage beschreibt eine Verbesserung der motorischen Hauptfähigkeiten und der psychischen Parameter, ein besseres Vertragen der medizinischen Therapie sowie eine Reduktion der Nebenwirkungen. Insgesamt ist ein großer Wissensfundus über die Optionen einer körperlichen Aktivität für die verschiedenen Therapiephasen und Nebenwirkungen bei einigen Entitäten vorhanden. In der aktuellen S3-Leitlinie zum Mammakarzinom wurde das Thema „körperliche Aktivität“ aufgenommen, was den inzwischen erlangten Stellenwert der Thematik unterstreicht.

Schlüsselwörter

Körperliche Aktivität Krebs Chemotherapie Nebenwirkungen Psychologische Faktoren 

Sport and exercise as support measures during cancer treatment

Abstract

The diagnosis and treatment of cancer is associated with impairment at the physical and at the psychological level. In addition, side effects are a potentially treatment-limiting factor that may necessitate dose reduction, delay, or even discontinuation of therapy, with negative consequences for outcome and mean survival time. Numerous studies have shown that physical training programs are not only practicable but also recommendable for oncologic patients during the acute phase. A timely integration of exercise therapy in the form of physiotherapy and sports therapy serves to prevent physical inactivity and reduce treatment-associated side effects. Furthermore, fears and uncertainties regarding physical activity should be reduced. Existing data describe an improvement of main motor skills and psychological parameters, as well as better tolerance of the medical therapy and a reduction in side effects. Overall, there is a great deal of knowledge regarding physical therapy options for the various treatment phases and side effects in some entities. The topic of physical activity is included in the current S3 guideline for breast cancer, which underscores the significance the topic has attained.

Keywords

Physical activity Cancer Chemotherapy Drug side effects Psychological factors 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

T. Schmidt gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine vom Autor durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Supportivangebote Sport- und Bewegungstherapie, Krebszentrum Nord CCCUniversitätsklinikum Schleswig-Holstein, Campus KielKielDeutschland

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