Sport und Bewegung in der onkologischen Rehabilitation

Exercise and physical activity in oncological rehabilitation

Zusammenfassung

Sport und Bewegung sind wesentliche Therapieformen in der onkologischen Rehabilitation. Ihre Bedeutung liegt in der Überwindung von Schwäche und Abgeschlagenheit, der Wiedererlangung körperlichen und seelischen Wohlbefindens sowie der Bewältigung von Folgestörungen. Besondere Bedeutung kommt dem Sport in der Behandlung des Fatigue-Syndroms zu. Mit Sport haben Patienten die Möglichkeit, aktiv etwas zur Reduktion der Nebenwirkungen von Krebstherapien beizutragen, ihr Risikoprofil im Sinne einer Prävention zu verbessern und auf die Prognose Einfluss zu nehmen.

Abstract

Sport and exercise are essential forms of therapy in oncological rehabilitation. Their importance lies in overcoming weakness and fatigue, regaining physical and mental well-being as well as the management of secondary disorders. Sport is particularly important in the treatment of fatigue syndrome. Through sport patients have the opportunity to actively contribute towards reducing the side-effects of cancer treatment, improving the risk profile in the sense of prevention, as well as to influence the prognosis.

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Literatur

  1. 1.

    Krebs in Deutschland 2005/2006 (2010) Haufigkeiten und Trends.7. Ausgabe. Robert Koch-Institut (Hrsg) und die Gesellschaftder epidemiologischen Krebsregister in Deutschland e. V. (Hrsg). Berlin

  2. 2.

    Schmidt ME, Steindorf K, Mutschelknauss E et al (2008) Physical activity and postmenopausal breast cancer: effect modification by breast cancer subtypes and effective periods in life. Cancer Epidemiol Biomarkers Prev 17(12):3402–3410

    PubMed  Article  Google Scholar 

  3. 3.

    Thune I et al (1997) Physical activity and the risk of breast cancer. NEJM 336:1269–1275

    PubMed  Article  CAS  Google Scholar 

  4. 4.

    Holmes M et al (2005) Physical activity in breast cancer survivors. JAMA 293:2479–2486

    PubMed  Article  CAS  Google Scholar 

  5. 5.

    Abrahamson PE et al (2006) General and Abdominal Obesity and Survival among Young Women with Breast Cancer. Cancer Epidemiol Biomarkers Prev 15:1520–1525

    Article  Google Scholar 

  6. 6.

    Wolin KY, Yan Y, Colditz GA, Lee IM (2009) Physical activity and colon cancer Prevention: a metaanalysis. Br J Cancer 100:611–616

    PubMed  Article  CAS  Google Scholar 

  7. 7.

    Wolin KY, Yan Yand Colditz GA (2011) Physical activity and risk of colon adenoma: a meta-analysis. Br J Cancer 104:882–885

    PubMed  Article  CAS  Google Scholar 

  8. 8.

    Meyerhardt et al (2088) Physical activity and survival after colorektal cancer diagnosis. J Clin Oncol 24:3572–3534

    Google Scholar 

  9. 9.

    Haydon et al (2006) Effect of physical activity and body size on survival after diagnosis with colorectal cancer. Gut 55:62–67

    PubMed  Article  CAS  Google Scholar 

  10. 10.

    Deutsche Gesellschaft für Verdauungs- und Stoffwechselkrankeheiten,S3-Leitlinie. „Kolorektales Karzinom“. www.dgvs.de

  11. 11.

    Pischon T, Schulz M, Boeing H (2007) Primärprävention maligner Tumoren durch die Ernährung: Epidemiologische Evidenz. Aktuel Ernaehr Med 32:31–40

    Article  Google Scholar 

  12. 12.

    CalleEE, Kaaks R (2004) Overweight, obesity and cancer: epidemiological evidence and proposed mechanisms. Nat Rev Cancer 4(8):579–591

    Article  Google Scholar 

  13. 13.

    Knols et al (2005) Physical Exercise in Cancer Patients During and After Medical Treatment: a Systemic Review of Randomized and Controlled Clinical Trials. J Clin Oncol 23(16):3830–3842

    PubMed  Article  Google Scholar 

  14. 14.

    Dimeo FC et al (2008) Körperliche Aktivität und Sport bei Krebspatienten. Onkologie 14(1):31–37

    Article  Google Scholar 

  15. 15.

    Adamietz IA (2010) Sport bei Krebspatienten. Onkologie 16:189–204

    Article  Google Scholar 

  16. 16.

    Dimeo C (2010) Körperliche Aktivität und Sport bei Tumorerkrankungen – Bewegung im eigenen Takt. Im Focus Onkologie 5:60–66

    Google Scholar 

  17. 17.

    Schüle K (2006) Zum aktuellen Stand von Bewegungstherapie und Krebs. Bewegungstherapie Gesundheitssport 22:170–175

    Article  Google Scholar 

  18. 18.

    Dimeo F (2004) Welche Rolle spielt körperliche Aktivität in der Prävention, Therapie und rehabilitation von neoplastischen Erkrankungen? Dtsch Z Sportmed 55:177–182

    Google Scholar 

  19. 19.

    Dimeo FC (2001) Körperliche Aktivität und Krebs: Eine Übersicht. Dtsch Z Sportmed 9:238–244

    Google Scholar 

  20. 20.

    Schmitz KH, Holtzman J, Courneya KS et al (2005) Controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. Cancer Epidemiol Biomarkers Prev 14(7):1588–1595

    PubMed  Article  Google Scholar 

  21. 21.

    McNeely ML, Campbell KL, Rowe BH et al (2006) Effects of exercise on breast cancer patients and survivors: a systematic review and meta-analysis. CMAJ 1:34–41

    Google Scholar 

  22. 22.

    Dimeo F, Fetscher S, Lange W et al (1997) Effects of aerobic exercise on the physical performance and incidence of treatment-related complications after high-dose chemotherapy. Blood 90:3390–3394

    PubMed  CAS  Google Scholar 

  23. 23.

    Lötzerich H, Peters C (1997) Krebs und Sport: Einfluss eines moderaten Ausdauertrainings auf Psyche und Immunsystem.In: Leyk D, Lötzerich H (Hrsg) Sportwissenschafliche Arbeiten aus dem Bereich Medizin und Naturwissenschaften, Band 4, Sport und Buch Strauß, Köln

  24. 24.

    McTiernan A, Yasui Y, Sorensen B et al (2006) Effect of a 12-Month Exercise Intervention on Patterns of cellular proliferation in colonic crypts: a randomized controlled trial. Cancer Epidemiol Biomarkers Prev 15(9):1588–1597

    PubMed  Article  CAS  Google Scholar 

  25. 25.

    Burnham TR, Wilcox A (2002) Effects of exercise on physiological and psychological variables in cancer survivors. Med Sci Sports Exerc 34(12):863–867

    Google Scholar 

  26. 26.

    Visovsky C, Dvorak C (2005) Exercise and cancer recovery. Online J Issues Nurs 10(2):7

    PubMed  Google Scholar 

  27. 27.

    Dimeo F, Tilman MH, Bertz H et al (1997) Aerobic exercise in the rehabilitation of cancer patients after high dose chemotherapy and autologous peripheral stem cell transplantation. Cancer 79:1717–1722

    PubMed  Article  CAS  Google Scholar 

  28. 28.

    Peters C, Lötzerich H, Niemeier B et al (1994) Influence of a moderate exercise training on natural killer cytotoxicity and personality traits in cancer patients. Anticancer Res 14:1033–1036

    PubMed  CAS  Google Scholar 

  29. 29.

    Lötzerich H, Peters C, Schüle K et al (1998) Influence of physical activity on the immune system and the mood of colon cancer patients. Int J Sport s Medicine 19(S1):336

    Article  Google Scholar 

  30. 30.

    Kilbreath L, Refshauge KM, Beith JM et al (2006) Progressive restistance training and stretching following surgery for breast cancer: study ptotocol for a randoised controlled trial. BMC Cancer 6:273

    PubMed  Article  Google Scholar 

  31. 31.

    McKenzie DC, Kalda AL (2003) Effect of upper extremity exercise on secondary lymphedema in breast cancer patients: a pilot study. J Clin Oncol 21:463–466

    PubMed  Article  Google Scholar 

  32. 32.

    Cramp F, Daniel J (2008) Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev 2(Issue)

  33. 33.

    Brown JC, Huedo-Medina TB, Pescatello LS et al (2011) Efficacy of Exercise Interventions in Modulating Cancer-Related Fatigue among Adult Cancer Survivors: A Meta-Analysis. Cancer Epidemiol Biomarkers Prev 20:123–133

    PubMed  Article  Google Scholar 

  34. 34.

    Kangas M, Bovberg DH, Montgomery GH (2008) Cancer-related fatigue: a systematic and met-analytic review of non-pharmacological therapies for cancer patients. Psych Bull 134:700–741

    Article  Google Scholar 

  35. 35.

    National Comprehensive Cancer Network (NCCN) (2010) Cancer-related Fatigue, V.I. www.nccn.org

  36. 36.

    Ahmed RL, Thomas W, Yee D, Schmitz KH (2006) Randomized controlled trial of weight training and lymphedema in breast cancer survivors. J Clin Oncol 24:2765–2772

    PubMed  Article  Google Scholar 

  37. 37.

    Baumann FT, Schüle K, Kraut L, Fauser AA (2005) Auswirkungen von Bewegungstherapie bei und nach Knochenmark-/Stammzelltransplantation. Deutsche Zeitschrift für Onkologie 37:152–158

    Article  Google Scholar 

  38. 38.

    Chicco AJ, Schneider CM, Hayward R (2005) Voluntary exercise protects against acute doxorubicin cardiotoxicity in the isolated perfused rat heart. Am J Physiol Regul Integr Comp Physiol 289:R424–R431

    PubMed  Article  CAS  Google Scholar 

  39. 39.

    Chicco AJ, Schneider CM, Hayward R (2006) Exercise training attenuates acute Doxorubicin-induced cardiac dysfunction. J Cardiovasc Pharmacol 47:182–189

    PubMed  Article  CAS  Google Scholar 

  40. 40.

    Chicco AJ, Hydock DS, Schneider CM, Hayward R (2006) Low-intensity exercise training during doxorubicin treatment protects against cardiotoxicity. J Appl Physiol 100:519–527

    PubMed  Article  CAS  Google Scholar 

  41. 41.

    Dimeo F (2004) Standards in der Sportmedizin: Körperliche Aktivität und Krebs. Dtsch Z Sportmed 4:106–107

    Google Scholar 

  42. 42.

    Antoun S, Birdsell L, Sawyer MB et al (2010) Association of skeletal muscle wasting with treatment with sorafinib in patients with advanced renal cell carcinoma: Results from a placebo-controlled staudy; J Clin Oncol Nr 6

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Correspondence to Dr. T. Dauelsberg.

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Seifart, U., Lotze, C. & Dauelsberg, T. Sport und Bewegung in der onkologischen Rehabilitation. Onkologe 17, 898 (2011). https://doi.org/10.1007/s00761-011-2109-6

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Schlüsselwörter

  • Rehabilitation
  • Krebs
  • Sport
  • Onkologie
  • Fatigue

Keywords

  • Rehabilitation
  • Cancer
  • Exercise
  • Oncology
  • Fatigue