Mounting evidence shows even moderate exercise can be a valuable companion to cancer treatment
‘In the same way as they receive chemotherapy based on individual parameters, patients should receive a tailored exercise prescription at the start of their treatment.’‘In the same way as they receive chemotherapy based on individual parameters, patients should receive a tailored exercise prescription at the start of their treatment.’“Don’t take it personally, doctor, but it has been a dreadful experience.
If cancer is a “journey”, then patients are right to expect instructions along the way rather than being overwhelmed early and cast aside later. But truth be told, oncologists handle treatment well and survivorship poorly. Typically, we provide cursory advice to quit smoking and curb drinking and direct patients to their GP to rehabilitate the rest of their life. If only it were so easy.
This finding did not surprise me; it may be explained from inertia and fatigue combined with poor health literacy. It is not uncommon to find that patients stop exercising during cancer because of a perceived need to conserve energy. But sedentary patients end up gaining weight and losing muscle mass and aerobic capacity, which affects them for years.
Exercise influences the body in many ways through affecting inflammation, immunity, cellular stress and insulin regulation, each of which can influence cancer progression. Future studies using wearable devices and artificial intelligence to interrogate data might help shed light on new ways to incorporate exercise into treatment regimens and elicit behaviour change.Just as they urge compliance with drug treatment, oncologists as trusted providers must encourage patients to embrace exercise.
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