Exercise is physical activity that involves repetitive bodily movement done to improve or maintain one or more of the components of physical fitness: cardiorespiratory endurance (aerobic fitness), muscular strength, muscular endurance, flexibility, and body composition. Exercise interventions in patients with cancer have been provided as home-based, patient self-managed programs as well as supervised and unsupervised individual or group exercise sessions of varying duration and frequency. They can include combinations of aerobic and resistance activities. Exercise has been studied in patients with cancer for anxiety, chemotherapy-induced nausea and vomiting, depression, dyspnea, hot flashes, lymphedema, sleep/wake disturbance, pain, and fatigue. It has also been studied for caregiver strain and burden. Users of this information are encouraged to review intervention details in study summaries, as the exercise interventions studied and their timings in the trajectory of cancer care vary and these differences can influence effectiveness.
Andersen, C., Adamsen, L., Moeller, T., Midtgaard, J., Quist, M., Tveteraas, A., & Rorth, M. (2006). The effect of a multidimensional exercise programme on symptoms and side-effects in cancer patients undergoing chemotherapy—The use of semi-structured diaries. European Journal of Oncology Nursing, 10(4), 247-262.
To evaluate the effect of a multidimensional exercise program on managing symptoms in patients with cancer undergoing chemotherapy
Patients receiving chemotherapy participated in a structured, supervised exercise program, consisting of resistance-fitness training, massage, relaxation, and body-awareness training held in a workout room within the hospital, two to three times per week for a six-week period. Participants trained in mixed groups of seven to nine. Physiotherapists and a specially trained nurse, who participated in the physical training, supervised the program. Participants selected a total package of high or low intensity physical activity. They were not able select one activity over another.
The study was conducted at university outpatient and inpatient settings in Denmark.
This was a prospective, exploratory study.
Using semi-structured diaries, patients rated 12 symptoms, including lack of appetite, nausea and vomiting, diarrhea, paraesthesia, constipation, physical fatigue, treatment-related fatigue, muscle pain, arthralgia, and other pain, defined by Common Toxicity Criteria (CTC) daily using a 0-4 scale.
A six-week, multidimensional exercise intervention administered while patients were simultaneously receiving chemotherapy led to reductions in symptoms.
Winningham, M.L., & MacVicar, M.G. (1988). The effect of aerobic exercise on patient reports of nausea. Oncology Nursing Forum, 15, 447-450.
To evaluate the therapeutic value of exercise to control or reduce nausea in patients with breast cancer receiving chemotherapy
Subjects were randomized to one of three groups.
The design was randomized, with three groups and pre- and post-test measures.
Pretest to post-test nausea responses were coded as improved, no change, or worsened as reported on the Derogatis Symptom Checklist-90-Revised, a 5-point distress/somatization scale. This somatization scale has 12 items and includes a variety of symptoms common to medical patients.
The differences among the experimental, control, and placebo groups were statistically significant, with the experimental group showing marked improvement in nausea compared to the control and placebo groups. The experimental group showed significant improvements in the Somatization scale scores (i.e., perceptions of autonomically mediated symptoms) over the control and placebo groups.
Moderate aerobic exercise may provide some benefit in reducing nausea. Researchers recommended that patients abstain from exercise several hours prior to blood testing and on days of treatment.