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.
Literatur
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
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
Thune I et al (1997) Physical activity and the risk of breast cancer. NEJM 336:1269–1275
Holmes M et al (2005) Physical activity in breast cancer survivors. JAMA 293:2479–2486
Abrahamson PE et al (2006) General and Abdominal Obesity and Survival among Young Women with Breast Cancer. Cancer Epidemiol Biomarkers Prev 15:1520–1525
Wolin KY, Yan Y, Colditz GA, Lee IM (2009) Physical activity and colon cancer Prevention: a metaanalysis. Br J Cancer 100:611–616
Wolin KY, Yan Yand Colditz GA (2011) Physical activity and risk of colon adenoma: a meta-analysis. Br J Cancer 104:882–885
Meyerhardt et al (2088) Physical activity and survival after colorektal cancer diagnosis. J Clin Oncol 24:3572–3534
Haydon et al (2006) Effect of physical activity and body size on survival after diagnosis with colorectal cancer. Gut 55:62–67
Deutsche Gesellschaft für Verdauungs- und Stoffwechselkrankeheiten,S3-Leitlinie. „Kolorektales Karzinom“. www.dgvs.de
Pischon T, Schulz M, Boeing H (2007) Primärprävention maligner Tumoren durch die Ernährung: Epidemiologische Evidenz. Aktuel Ernaehr Med 32:31–40
CalleEE, Kaaks R (2004) Overweight, obesity and cancer: epidemiological evidence and proposed mechanisms. Nat Rev Cancer 4(8):579–591
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
Dimeo FC et al (2008) Körperliche Aktivität und Sport bei Krebspatienten. Onkologie 14(1):31–37
Adamietz IA (2010) Sport bei Krebspatienten. Onkologie 16:189–204
Dimeo C (2010) Körperliche Aktivität und Sport bei Tumorerkrankungen – Bewegung im eigenen Takt. Im Focus Onkologie 5:60–66
Schüle K (2006) Zum aktuellen Stand von Bewegungstherapie und Krebs. Bewegungstherapie Gesundheitssport 22:170–175
Dimeo F (2004) Welche Rolle spielt körperliche Aktivität in der Prävention, Therapie und rehabilitation von neoplastischen Erkrankungen? Dtsch Z Sportmed 55:177–182
Dimeo FC (2001) Körperliche Aktivität und Krebs: Eine Übersicht. Dtsch Z Sportmed 9:238–244
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
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
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
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
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
Burnham TR, Wilcox A (2002) Effects of exercise on physiological and psychological variables in cancer survivors. Med Sci Sports Exerc 34(12):863–867
Visovsky C, Dvorak C (2005) Exercise and cancer recovery. Online J Issues Nurs 10(2):7
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
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
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
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
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
Cramp F, Daniel J (2008) Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev 2(Issue)
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
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
National Comprehensive Cancer Network (NCCN) (2010) Cancer-related Fatigue, V.I. www.nccn.org
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
Baumann FT, Schüle K, Kraut L, Fauser AA (2005) Auswirkungen von Bewegungstherapie bei und nach Knochenmark-/Stammzelltransplantation. Deutsche Zeitschrift für Onkologie 37:152–158
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
Chicco AJ, Schneider CM, Hayward R (2006) Exercise training attenuates acute Doxorubicin-induced cardiac dysfunction. J Cardiovasc Pharmacol 47:182–189
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
Dimeo F (2004) Standards in der Sportmedizin: Körperliche Aktivität und Krebs. Dtsch Z Sportmed 4:106–107
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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Seifart, U., Lotze, C. & Dauelsberg, T. Sport und Bewegung in der onkologischen Rehabilitation. Onkologe 17, 898–905 (2011). https://doi.org/10.1007/s00761-011-2109-6
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DOI: https://doi.org/10.1007/s00761-011-2109-6