Physical activity in prostate cancer
Cancer patients need to strictly conserve and to avoid efforts to conjure up no complications, the earlier doctrine. But this is now outdated.In a survey (Siegmund-Schultze) on current knowledge, the author comes to the following conclusion: The risk of cancer is decreased in regular physical activity, and it decreases with the level of activity. Recommended sports such as fast walking, jogging, cycling or swimming at least five days a week for 30, better 45 to 60 minutes. Physical activity under controlled conditions is necessary at all stages of the cancer after diagnosis. Regular exercise has a positive influence on parameters including comorbidities, treatment tolerability, quality of life, fatigue (fatigue syndrome), immune system and cardiovascular function. The training should be tailored to start slow and aim as possible on agility, endurance, strength and coordination.
In another survey (Seifart) numerous studies, the authors summarize the findings as follows: With sports, you can reduce risk of cancer, and cancer patients may thus actively contribute something to the reduction of treatment side effects and influence on prognosis. Also during the rehabilitation of physical activity is important to overcome mainly to weakness and fatigue, regain the physical and mental well-being, to cope with stress disorder and in particular the fatigue (Fatigue) to improve: In order to break through the vicious circle of fatigue, lack of exercise , decreased physical performance and fatigue again. The latter is also found in a work specially for Fatigue Syndrome (Horneber). After that physical activity is an essential part of the non-drug treatment of such severe exhaustion.
Specifically to Prostate Cancer
In an American long-term study (Kenfield) on the health of more than 50,000 participants in 2705 cases of prostate cancer were evaluated. The results showed that physical activity, both total mortality and mortality from prostate cancer lowers: The overall mortality rate was at not busy and - even more pronounced - in strenuous activities back in the latter case with a duration of 3 hours per week by almost half. The risk of dying from prostate cancer, and also decreased with the extent of activities. So it fell by 61% when the men per week 3 hours instead of less than 1 hour a strenuous sport practiced as cycling, playing tennis, jogging or swimming.The most recent publication (Baumann 2) there is an evaluation of numerous studies on the effects of physical activity in prostate cancer before and after surgery, during irradiation, whilehormone therapy as well as in the post-treatment period. Everything indicates that trainingurinary incontinence , fatigue (Fatigue), fitness, strength, flexibility, physical fitness, well-being and quality of life improved. It exercises with instructions are probably more effective than without guidance. The authors also give (due to weaknesses in some studies, preliminary) recommendations for a pelvic floor, endurance and strength training. After that you should, for example, its Stamina 2 to 3 times per week for 45-60 minutes per workout and thus begin before the therapy.
In the German prostate cancer guidelines (Guideline DGU) is recommended based on the American Cancer Society as a general prevention of cancer, better 45-60 minutes physically moderate to operate at least 5 times per week 30 until strong, in addition to the daily activities.In addition, physical activity against possible side effects of hormone therapy is recommended.The latter is also found in the European guideline (Heidenreich). Further evidence for the effectiveness of exercise in prostate cancer are missing in both guidelines.
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