2015 how to kick mass brussels

How to Kick mAssBelgium

2015Brussels, Belgium

Date

Agenda: 45 minutes• Finding resources – Doug• Long Term Survival – Natalie• Social Support - Laura• Physical Activity/Exercise - Eric• QA

Goals of this session:• Share the stories of 4 American cancer

survivors• Share resources• Compare American insurance/

healthcare• Share benefits of Exercise/physical

activity• Open dialogue about

survivorship/thrivership

Douglas Carey

• Testicular cancer• July 1, 2010• Surgery, chemo• Finding resources• Promoting men’s

health

Natalie Conforti

• Non-Lymphoma 1994• Parotid tumor 2004• Breast cancer 2007• Radiation, Chemo,

Surgery• Long term survival

Laura Bleich

• Hodgkin’s lymphoma • June 6, 2014• Chemo, Radiation• Social Support– Online– Support groups

Eric Galvez

• Meningioma, brain tumor

• September 10, 2005• Rx: Surgery, radiation,

physical rehab

Benefits of exercise for the tumor/cancer survivor

Exercise Prescription Type/ Mode

Time / Duration

Frequency

Intensity

Progression

ACSM Guidelines for Cancer Survivors

• General statements:– Avoid inactivity – Return to normal daily activities as quickly as

possible after surgery. • Schmitz et al. Med Sci in Sports & Exerc. 2010. 42:1409


• General statements:– Continue normal daily activities and exercise

as much as possible during and after nonsurgical treatments

– Individuals with cardiac conditions (due to cancer or not) may require modifications and may require greater supervision for safety

Schmitz et al. Med Sci in Sports & Exerc. 2010. 42:1409

Exercise Guidelines for Cancer Survivors

• General Injury Risk Issues:– Infection risk– “Good” days and “bad” days– Increased risk for clot formation – Increased risk for falls – neuropathy/age– Frail subjects– Comorbidities


• Pre-Exercise Medical Assessment:– Individuals with known metastatic bone disease SARCOMAS, Stage 3 or 4 cancers- evaluation for fracture risk – Individuals with cardiac conditions (secondary to cancer or not) require medical assessment of the safety of exercise before starting.

• Schmitz et al. Med Sci in Sports & Exerc. 2010. 42:1409


• Cancer specific contraindications for STARTING an exercise program:– Breast: Unresolved Arm/shoulder

problems– Prostate: none– Colon: Ostomy requires physician

clearance– Gynecologic: Swelling or inflammation

in the abdomen, groin or LE


• Cancer specific reasons for STOPPING an exercise program:– Breast: Changes in arms/shoulders symptoms – Colon: Hernia, ostomy related systemic

infection– Prostate: None– Gynecologic: Changes in swelling or

inflammation of the abdomen, groin, or lower extremities


• Cancer specific risk of injury from exercise:– Breast• Lymphedema: wear well-fitting

compression garment during exercise• Risk of fracture: those on hormonal

therapy, with a diagnosis of osteoporosis, or bony mets.

– Prostate• Increased risk for fracture in those treated with ADT, have a diagnosis of osteoporosis or bony mets.


• Cancer specific risk of injury from exercise:– Colon

• Avoid excessive intra-abdominal pressures for those with an ostomy.

– Multiple Myeloma• Should be treated as if they have osteoporosis

– Gynecologic• Lymphedema: wear well-fitting compression

garment during exercise• Risk of fracture: those on hormonal therapy, with a diagnosis of osteoporosis, or bony mets.

Questions/discussion

2015 how to kick mass brussels

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