Zusammenfassung
Zahlreiche klinische Studien zeigen, dass gezielte Trainingsprogramme bei Patienten unter onkologischer Therapie trotz der krankheits- und therapiebedingten Einschränkungen möglich sind und zur verbesserten Lebensqualität und Leistungsfähigkeit dieser Patienten führen. Während die meisten Studien den Einsatz bewegungstherapeutischer Programme bei kurativ behandelten Patienten untersuchten, liegen zum Stellenwert solcher Trainingsprogramme bei unheilheilbar kranken Patienten unter palliativer Chemo- oder Strahlentherapie bisher kaum Ergebnisse vor. In einem Pilotprojekt wurden im Rahmen einer Fragebogenanalyse Patienten unter laufender palliativer Chemotherapie hinsichtlich Lebensqualität, körperlicher Aktivität und Akzeptanz einer Bewegungstherapie während der Therapie untersucht. Hierbei zeigte sich ein positiver Zusammenhang zwischen körperlicher Aktivität und Lebensqualität. Viele der Patienten führten eigenständig sportliche Aktivitäten unter der Palliativtherapie fort und bekundeten großes Interesse an individuell angepassten Trainingsprogrammen. Im Universitären Cancer Center Hamburg (UCCH) konnte im vergangenen Jahr ein breites Trainingsangebot für onkologische Patienten unter ambulanter Chemotherapie etabliert werden, das den objektiven und subjektiven Benefit von sportlicher Aktivität auch bei unheilbar kranken onkologischen Patienten deutlich macht.
Abstract
Numerous clinical studies have shown that a targeted training program in patients undergoing oncological therapy is possible despite illness- and treatment-related limitations and leads to improved quality of life and performance of these patients. While most studies examined the use of therapeutic physical activity programs in patients treated curatively, there are hardly any studies on the importance of such training programs in terminally ill patients undergoing palliative chemo- or radiotherapy. In a pilot project, a questionnaire was used to determine the quality of life, physical activity, and acceptance of a physical exercise program during the treatment of patients undergoing palliative chemotherapy. A positive correlation between physical activity and quality of life was found. Many patients continued the physical activities during palliative therapy and expressed great interest in an individually designed physical exercise program. At the UCCH (Universitäres Cancer Center Hamburg), a broad range of physical activities for cancer patients undergoing out-patient chemotherapy could be established, which clearly illustrates the objective and subjective benefit of physical activity in terminally ill cancer patients.
Notes
MET bedeutet metabolisches Äquivalent; 1 MET entspricht dem Umsatz von 3,5 ml Sauerstoff pro Kilogramm Körpergewicht pro Minute bei Männern, bei Frauen sind es 3,15 ml/kgKG/min (Ruheenergieumsatz). Die Angabe als MET-Stunde (MET-h) gibt den Energieverbrauch pro Stunde als ein Vielfaches des Ruheenergieumsatzes wieder. So entsprechen 2,5 h Walken mit 4 MET insgesamt (2,5×4) 10 MET-h.
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Jensen, W., Kob, V. & Oechsle, K. Sport in der palliativen Krebstherapie. Forum 26, 34–37 (2011). https://doi.org/10.1007/s12312-011-0611-9
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DOI: https://doi.org/10.1007/s12312-011-0611-9