Exercise for Cancer Patients

Cancer treatments, including chemotherapy, radiotherapy and hormone therapy, are necessary and effective for treating many cancers of the human body. Many patients report side effects from these treatments, which can include symptoms such as fatigue or tiredness, reduced motivation and self-esteem, poor concentration and cognition, as well as nausea. Unfortunately, there are also physical side effects including reduced muscle mass and strength, reduced bone mineral density and reduced aerobic fitness.

What are the benefits of exercise during or after cancer treatment?

Exercise during and after cancer treatment has been shown in many studies to help offset side effects. Exercise for patients with cancer has the following benefits:
• Increase energy levels – Fatigue is a very common symptom reported by people with cancer or undergoing treatments such as chemotherapy and radiotherapy. It used to be thought that patients experiencing fatigue should rest, but many studies now show that the opposite is true, that sticking to an exercise program can significantly reduce these symptoms of fatigue.
• Increase mental well-being – Low mood, depleted motivation and reduced self-esteem are common symptoms of cancer and cancer treatments. Exercise has many positive effects on brain chemistry as well as physical health, which improve a person’s mental well-being. Exercise has even been shown to be an effective treatment for mild clinical depression and anxiety.
• Increase concentration and cognition – Cancer patients often report cognitive (thinking) deficits during and after cancer treatments. It has been shown that patients who maintain an exercise program during these treatments report better maintenance of their mental function, which is thought to be due to a protective effect that exercise has on the hippocampus (a part of the brain that has functions including memory and spatial navigation).
• Increase muscle size and strength – Certain cancers, as well as cancer treatments such as chemotherapy, radiotherapy and hormone therapy, have negative effects on a person’s muscle size and strength. Exercise, in particular resistance training, can help to gain and keep muscle. With more muscle size and strength, people feel stronger and have better ability to perform everyday tasks and physical activity.
• Increase bone mineral density – Another common side effect of certain cancers and cancer treatments is reduced bone mineral density (osteopaenia and osteoporosis), which increases a person’s risk of breaking a bone. Weight-bearing exercise and resistance training can help to maintain bone mineral density by stimulating the cells within bones to keep producing new bone tissue.
• Increase aerobic fitness – Cancer and cancer treatments can reduce a person’s cardiovascular fitness. This occurs as both a direct side effect on the person’s cardiovascular system, as well as a result of reduced activity because of fatigue symptoms. Aerobic activity, can maintain or improve a person’s aerobic fitness by working the cardiovascular and muscular systems

Is exercise safe for patients undergoing treatment for cancer?

For most patients with cancer or undergoing treatment for cancer, exercise is safe when prescribed by an exercise professional. Depending on the type of cancer and/or cancer treatment being undertaken, there are certain precautions that need to be considered. These precautions are specific to each person, but examples include the following:
• In patients with low bone mineral density, exercise choice must consider any risk of fracture. Most forms of weight bearing exercise such as walking and resistance training carry very low risk when done correctly, but some forms of exercise where there is a risk of falls or significant impact should be avoided. Examples of patients who may have reduced bone strength include those who have had cancers of the bone, as well as those who have undergone hormone therapy as a treatment.
• In patients who have had lymph nodes removed, which is common in some breast cancer and gynaecological cancer surgeries, care must be taken to avoid oedema (swelling) in the affected limb and the patient may need to wear a compression sleeve during certain forms of exercise.
• In patients who have peripheral neuropathy (reduced sensation in their extremities) from chemotherapy treatment, care must be taken to avoid activities where the patient may drop weights due to impaired sensation of the hands or lose balance due to impaired sensation of the feet.
• In patients who have had cardiac toxicity from chemotherapy (impaired heart function), as well as patients with existing cardiovascular disease, certain precautions must be taken. See our page on exercise in cardiovascular disease to find out more.
• In patients who have a colostomy after surgery for colorectal cancer, care must be taken to avoid strenuous trunk movement that may increase the risk of a hernia around the stoma.

What type of exercise is best for patients with cancer?

The recommendations for people with cancer or undergoing treatment for cancer are based on the Australian physical activity guidelines, with a few individual considerations. People should be aiming for:
• 150 minutes of moderate intensity aerobic exercise per week. This includes any exercise that leads to a modest increase in your breathing and heart rate and equates to at least 30minutes, 5 days per week.
• In addition to this, it is recommended to participate in 20 minutes of strength-based exercise (such as weights, resistance bands or bodyweight exercises) twice per week.
At Glebe Physio, we have exercise physiologists that offer both one-on-one sessions as well as classes for people with cancer or undergoing treatment for cancer.

Can exercise reduce my risk of cancer coming back?

In many cases yes. There is strong evidence in breast cancer, colorectal cancer (bowel cancer, colon cancer, rectal cancer) and prostate cancer that regular exercise can reduce the risk of cancer recurrence and improve a person’s survival rate. This is likely to be the case in many other forms of cancers too, but the research so far has focused on these three:
• In breast cancer survivors, studies have shown that physical activity is consistently linked to a lower risk of breast cancer recurrence, and moderate exercise (equivalent to walking 3-5 hours per week) reduced the risk of cancer recurrence by 40-50%.
• In colorectal cancer, physical activity is also significantly associated with a lower risk of recurrence and survival rate was linked to the amount of regular physical activity a person performed.
• In prostate cancer, there have been studies demonstrating a 61% lower risk of prostate cancer death in men who exercised three or more hours per week compared to those who exercised less than one hour per week.

Summary

It is clear that exercise is very beneficial for people who have been diagnosed with cancer. As well as reducing the side effects of cancer treatments, exercise can significantly improve a person’s quality of life and even reduce the risk of cancer recurrence. Despite these clear benefits, we know that fewer than 10% of people are physically active during cancer treatment and only 20-30% are active after treatment. Exercise is a medicine that should be routinely given as part of any cancer treatment.

Our Exercise Physiologists at Glebe Physio are professionals who are trained in the safe and effective prescription of exercise for people with cancer or undergoing treatment for cancer. At Glebe Physio, we offer one-on-one appointments to individually assess your situation and tailor an exercise program for you, as well as fully supervised classes for those who enjoy exercising in a group environment.

If you would like to ask a question about exercise and cancer (or anything else), visit our Contact Us page to get in touch.

If you are ready to make an appointment, visit our make a booking page and get started today.

Get Active!

For more, visit our Frequently Asked Questions page.

If you would like to ask a question about our services or anything else, visit our Contact Us page to get in touch.

If you are ready to make an appointment, visit our make a booking page and let us help you with your fitness or recovery.

Please note that the information we provide on web pages like this one are for general information and educational purposes. We recommend speaking to a qualified physiotherapist or exercise physiologist to assess your individual situation.
Glebe Physio logo

Glebe Physio

02 9168 5992

173 Glebe Point Road, Glebe, NSW 2037

Mon - Wed — 8:00am - 7:00pm
Thurs — 10:00am - 7:00pm
Fri — 8:00am - 5:00pm
Saturday — 9:00am - 1:00pm
Sunday — Closed