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Exercise prescriptions aren't perfect for all sizes for cancer patients

Exercise prescriptions aren't perfect for all sizes for cancer patients

 


Researchers have created a new framework for clinicians to effectively integrate the right types of exercise at the right time and into cancer treatments, maximizing patient benefits and minimizing risks. did.

“They aim are to make clinicians and researchers think about exercise within the treatment package, not as a single treatment.” Kelly Clooneyexercise oncologists Faculty of Kinesiology, Sports and Recreation and Canadian Research Committee on Physical Activity and Cancer.

“It will help you become strategic about how and when exercise will be introduced as part of your personal care. Margaret McNeelyprofessor of Rehabilitation Medicine School and adjunct professor Department of Oncology.

A framework called Exercise across the cancer continuum after diagnosis (EPICC)providing key terms and structured ways to approach movements that play a different role in cancer treatment, from treatment to supportive interventions.

Advances in medicine have led to new cancer treatments along with chemotherapy and radiation therapy, giving clinicians more options when developing treatment plans for patients. However, this means finding the ideal combination of treatments becomes increasingly complicated.

Exercise is often an essential component of cancer treatment, but like medication, there are no prescriptions in all sizes. Different types and exercise intensity are appropriate at different stages of patient treatment. Clinicians should also consider how exercise interacts with other treatments patients are receiving.

“In the past, we thought cancer treatment was peculiar. You've been treated and then you've missed it,” says Courneya. “Due to the modern cancer treatment situation, there are so many options, and clinical oncologists are trying to find out how to combine them, which should go together, and how to sequence them.”

The framework created by Courteya and McNeely with Christopher Booth at Queens University and Christine Friedenreich at the University of Calgary identifies six key periods in which movement plays a key role. Failed during treatment, survival and end-of-life post-treatment.

As explained by McNeely, this framework provides guidance for incorporating exercise as part of a key treatment and care plan and as part of a recovery and support care plan. It also highlights future research directions and questions for exercise oncologists to consider when deciding how exercise is to be placed within treatment plans.

There is a misconception that exercise is always beneficial, but Courneya points out that ideal exercise prescriptions require the same level of thinking as determining the appropriate dosage of a particular patient's medication. It's there.

For example, exercise can pose more risk than benefits, as patients experiencing challenging chemotherapy may be optimally provided by booking as much energy as possible for treatment. It has sex. Meanwhile, newly diagnosed patients may want to focus on building fitness as they prepare for a series of treatments.

This framework also helps clinicians explain what their exercise recommendations are intended to be achieved to patients. McNeely adds: of their cancer. ”

“This framework allows for much more accuracy,” says Courneya. “You can get the right exercise prescriptions for the right patients at the right time.”

McNeely is a member Women and Children's Health Research Institute And both McNeely and Courneya are members of the Northern Alberta Cancer Institute.

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