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, Volume 34, Issue 1, pp 35–38 | Cite as

Bedeutung von Sport und Bewegung für „cancer survivors“

  • P. WirtzEmail author
  • A. Tomanek
  • F. T. Baumann
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Zusammenfassung

Gezielte Bewegungstherapie kann die physischen, psychischen und psychosozialen Einschränkungen onkologischer Patienten in der Nachsorge positiv beeinflussen. Die Verbesserung der Lebensqualität, die Reduktion bzw. Verhinderung von Nebenwirkungen sowie die Rezidiv- und Mortalitätsprophylaxe sind zentrale Ansatzpunkte bewegungstherapeutischer Studien. Verschiedene Untersuchungen zeigen den positiven Einfluss auf z. B. das Fatigue-Syndrom, die chemotherapieinduzierte Polyneuropathie und das sekundäre Lymphödem. Körperliche Aktivität kann zudem womöglich nach der Diagnose die krebsspezifische und die allgemeine Mortalität senken. Aufgrund der positiven Auswirkungen von Bewegungsinterventionen in der Tumornachsorge besteht die Notwendigkeit, Versorgungsangebote zu schaffen, um den individuellen Bedürfnissen zur Steigerung der Lebensqualität gerecht zu werden. Diese müssen Krebspatienten in der Nachsorge flächendeckend und barrierefrei zur Verfügung gestellt sowie qualitätsgesichert nach Evidenz und den aktuellen Leitlinien umgesetzt werden.

Schlüsselwörter

Krebs Nachsorge Mortalität Rezidiv Lebensqualität 

Importance of sport and exercise for cancer survivors

Abstract

Targeted exercise therapy can positively influence the physical, psychological, and psychosocial impairments of oncological patients in aftercare. The improvement of quality of life, reduction of side effects, and prophylaxis of recurrence and mortality are central approaches of exercise therapy interventions. Various studies show the positive influence on fatigue syndrome, chemotherapy-induced polyneuropathy and secondary lymphoedema. Physical activity may also be able to reduce cancer-specific and general mortality after diagnosis. Due to the positive effects of physical activity in tumor aftercare, there is a need to create more care services. Targeted exercise should meet individual needs to improve quality of life. These offers must be made available and readily accessible to cancer patients nationwide, and implemented according to current evidence and guidelines in a quality-assured manner.

Keywords

Tumor Aftercare Mortality Recurrence Quality of life 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

P. Wirtz, A. Tomanek und F.T. Baumann geben an, dass kein Interessenkonflikt besteht.

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

Literatur

  1. 1.
    Baumann FT, Reike A, Hallek M et al (2018) Does exercise have a preventive effect on secondary Lymphedema in breast cancer patients following local treatment—a systematic review. Breast Care 13:380–385PubMedCrossRefGoogle Scholar
  2. 2.
    Baumann FT, Reike A, Reimer V et al (2018) Effects of physical exercise on breast cancer-related secondary lymphedema: a systematic review. Breast Cancer Res Treat 170(1):1–13PubMedCrossRefGoogle Scholar
  3. 3.
    Blanchard CM, Denniston MM, Baker F et al (2003) Do adults change their lifestyle behaviors after a cancer diagnosis? Am J Health Behav 27:246–256PubMedCrossRefGoogle Scholar
  4. 4.
    Bluethmann SM, Vernon SW, Gabriel KP et al (2015) Taking the next step: a systematic review and meta-analysis of physical activity and behavior change interventions in recent post-treatment breast cancer survivors. Breast Cancer Res Treat 149:331–342PubMedPubMedCentralCrossRefGoogle Scholar
  5. 5.
    Brown JC, Zemel BS, Troxel AB et al (2017) Dose-response effects of aerobic exercise on body composition among colon cancer survivors: a randomised controlled trial. Br J Cancer 117:1614PubMedPubMedCentralCrossRefGoogle Scholar
  6. 6.
    Chaddock-Heyman L, Mackenzie MJ, Zuniga K et al (2015) Higher cardiorespiratory fitness levels are associated with greater hippocampal volume in breast cancer survivors. Front Hum Neurosci 9:465PubMedPubMedCentralCrossRefGoogle Scholar
  7. 7.
    Cormie P, Zopf EM, Zhang X et al (2017) The impact of exercise on cancer mortality, recurrence, and treatment-related adverse effects. Epidemiol Rev 39:71–92PubMedCrossRefGoogle Scholar
  8. 8.
    Cox M, Basen-Engquist K, Carmack CL et al (2017) Comparison of internet and telephone interventions for weight loss among cancer survivors: randomized controlled trial and feasibility study. JMIR Cancer 3:e16PubMedPubMedCentralCrossRefGoogle Scholar
  9. 9.
    Duncan M, Moschopoulou E, Herrington E et al (2017) Review of systematic reviews of non-pharmacological interventions to improve quality of life in cancer survivors. BMJ Open 7:e15860PubMedPubMedCentralCrossRefGoogle Scholar
  10. 10.
    Fong DY, Ho JW, Hui BP et al (2012) Physical activity for cancer survivors: meta-analysis of randomised controlled trials. BMJ 344:e70PubMedPubMedCentralCrossRefGoogle Scholar
  11. 11.
    Friedenreich C (2016) Abstract SY22-01: The role of exercise in cancer progression and mortality: Observational and molecular epidemiologic evidence. Cancer Res.  https://doi.org/10.1158/1538-7445.AM2016-SY22-01 CrossRefGoogle Scholar
  12. 12.
    Gjerset GM, Fossa SD, Courneya KS et al (2011) Exercise behavior in cancer survivors and associated factors. J Cancer Surviv 5:35–43PubMedCrossRefGoogle Scholar
  13. 13.
    Gopalakrishna A, Longo TA, Fantony JJ et al (2017) Physical activity patterns and associations with health-related quality of life in bladder cancer survivors. Urol Oncol 35:540.e1–540.e6CrossRefGoogle Scholar
  14. 14.
    Hutnick NA, Williams NI, Kraemer WJ et al (2005) Exercise and lymphocyte activation following chemotherapy for breast cancer. Med Sci Sports Exerc 37:1827–1835PubMedCrossRefGoogle Scholar
  15. 15.
    Huy C, Schmidt ME, Vrieling A et al (2012) Physical activity in a German breast cancer patient cohort: one-year trends and characteristics associated with change in activity level. Eur J Cancer 48:297–304PubMedCrossRefGoogle Scholar
  16. 16.
    Ibrahim EM, Al-Homaidh A (2011) Physical activity and survival after breast cancer diagnosis: meta-analysis of published studies. Med Oncol 28:753–765PubMedCrossRefGoogle Scholar
  17. 17.
    Jakobisiak M, Lasek W, Golab J (2003) Natural mechanisms protecting against cancer. Immunol Lett 90:103–122PubMedCrossRefGoogle Scholar
  18. 18.
    Koch-Institut R (2016) Bericht zum Krebsgeschehen in Deutschland 2016. In: Zentrum für Krebsregisterdaten (http://www.krebsdaten.de/Krebs/DE/Content/Publikationen/Krebsgeschehen/Krebsgeschehen_node.html)Google Scholar
  19. 19.
    Lahart IM, Metsios GS, Nevill AM et al (2015) Physical activity, risk of death and recurrence in breast cancer survivors: a systematic review and meta-analysis of epidemiological studies. Acta Oncol 54:635–654PubMedCrossRefGoogle Scholar
  20. 20.
    Mcneely ML, Courneya KS (2010) Exercise programs for cancer-related fatigue: evidence and clinical guidelines. J Natl Compr Canc Netw 8:945–953PubMedCrossRefGoogle Scholar
  21. 21.
    Mustian KM, Alfano CM, Heckler C et al (2017) Comparison of pharmaceutical, psychological, and exercise treatments for cancer-related fatigue: a meta-analysis. JAMA Oncol 3:961–968PubMedPubMedCentralCrossRefGoogle Scholar
  22. 22.
    Mustian KM, Sprod LK, Palesh OG et al (2009) Exercise for the management of side effects and quality of life among cancer survivors. Curr Sports Med Rep 8:325–330PubMedPubMedCentralCrossRefGoogle Scholar
  23. 23.
    Niels T, Schürhörster A, Wirtz P et al (2018) Die Onkologische Trainings- und Bewegungstherapie (OTT). Bewegungsther Gesundheitssport 34:50–54CrossRefGoogle Scholar
  24. 24.
    Park J, Kim JH, Park Y et al (2018) Resting heart rate is an independent predictor of advanced colorectal adenoma recurrence. PLoS ONE 13:e193753PubMedPubMedCentralCrossRefGoogle Scholar
  25. 25.
    Pedersen L, Idorn M, Olofsson GH et al (2016) Voluntary running suppresses tumor growth through epinephrine- and IL-6-dependent NK cell mobilization and redistribution. Cell Metab 23:554–562PubMedCrossRefGoogle Scholar
  26. 26.
    Pehlivan E, Turna A, Gurses A et al (2011) The effects of preoperative short-term intense physical therapy in lung cancer patients: a randomized controlled trial. Ann Thorac Cardiovasc Surg 17:461–468PubMedCrossRefGoogle Scholar
  27. 27.
    Pesendorfer Lm ZP, Galvao Da DA, Bloch W, Baumann FT (2016) Impact of physical inactivity on the multifactorial process of developing cancer-related cognitive impairments. J Cancer Sci Ther 8:222–227Google Scholar
  28. 28.
    Schmid D, Leitzmann MF (2014) Association between physical activity and mortality among breast cancer and colorectal cancer survivors: a systematic review and meta-analysis. Ann Oncol 25:1293–1311PubMedCrossRefGoogle Scholar
  29. 29.
    Singh F, Newton RU, Galvao DA et al (2013) A systematic review of pre-surgical exercise intervention studies with cancer patients. Surg Oncol 22:92–104PubMedCrossRefGoogle Scholar
  30. 30.
    Sloan JA, Cheville AL, Liu H et al (2016) Impact of self-reported physical activity and health promotion behaviors on lung cancer survivorship. Health Qual Life Outcomes 14:66PubMedPubMedCentralCrossRefGoogle Scholar
  31. 31.
    Streckmann F, Zopf EM, Lehmann HC et al (2014) Exercise intervention studies in patients with peripheral neuropathy: a systematic review. Sports Med 44:1289–1304PubMedCrossRefGoogle Scholar
  32. 32.
    Swartz MC, Lewis ZH, Lyons EJ et al (2017) Effect of home- and community-based physical activity interventions on physical function among cancer survivors: a systematic review and meta-analysis. Arch Phys Med Rehabil 98:1652–1665PubMedPubMedCentralCrossRefGoogle Scholar
  33. 33.
    Van Vledder MG, Levolger S, Ayez N et al (2012) Body composition and outcome in patients undergoing resection of colorectal liver metastases. Br J Surg 99:550–557PubMedCrossRefGoogle Scholar
  34. 34.
    Wirtz P, Baumann FT (2018) Bewegungstherapeutische Interventionen in der Onkologie – eine Struktur- und Angebotsanalyse der onkologischen Rehabilitationskliniken in Deutschland. Phys Med Rehabil Kurort.  https://doi.org/10.1055/a-0649-1154 CrossRefGoogle Scholar
  35. 35.
    Xiao J, Mazurak VC, Olobatuyi TA et al (2018) Visceral adiposity and cancer survival: a review of imaging studies. Eur J Cancer Care (engl) 27:e12611CrossRefGoogle Scholar
  36. 36.
    Zhong S, Jiang T, Ma T et al (2014) Association between physical activity and mortality in breast cancer: a meta-analysis of cohort studies. Eur J Epidemiol 29:391–404PubMedCrossRefGoogle Scholar
  37. 37.
    Zimmer P, Baumann FT, Oberste M et al (2017) Influence of personalized exercise recommendations during rehabilitation on the sustainability of objectively measured physical activity levels, fatigue, and fatigue-related Biomarkers in patients with breast cancer. Integr Cancer Ther.  https://doi.org/10.1177/1534735417713301 PubMedPubMedCentralCrossRefGoogle Scholar
  38. 38.
    Zimmer P, Baumann FT, Oberste M et al (2016) Effects of exercise interventions and physical activity behavior on cancer related cognitive impairments: a systematic review. Biomed Res Int.  https://doi.org/10.1155/2016/1820954 PubMedPubMedCentralCrossRefGoogle Scholar
  39. 39.
    Zopf EM, Baumann FT, Pfeifer K (2014) Korperliche Aktivitat und korperliches Training in der Rehabilitation einer Krebserkrankung. Rehabilitation (Stuttg) 53:2–7Google Scholar

Copyright information

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

Authors and Affiliations

  1. 1.Centrum für Integrierte Onkologie Köln Bonn, Innere Medizin 1Uniklinik KölnKölnDeutschland

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