Dr Karen Mustian of the University of Rochester Medical Center, Rochester, New York, NY, discusses the importance of exercise in treating fatigue. Intuitively, most people think that resting is the best way to treat fatigue. However, literature tells us that in fact, being active is the best way to overcome it. Dr Mustian recently presented a talk where she summarized the data from 113 randomized clinical trials that were conducted by investigators from around the world. Aerobic (i.e. walking, cycling and swimming) and anaerobic exercises (such as the use of resistance bands and weight training), either on its own, or in combination, can help with a patient’s fatigue. The data suggests that exercise interventions actually produce larger improvements in fatigue, and additionally produce a more significant improvement than what pharmaceuticals have to offer.
Dr Karen Mustian further explains that depending on where you live, you may hear about the American College of Sports Medicine (ACSM) or Australian exercise guidelines for cancer patients and survivors. These recommend that patients should receive about 150 hours of moderate-intensity aerobic activity, or 2/3 days of weight training at a moderate-intensity using major muscle groups. The 10,000 step rules are guidelines, and not an exercise prescription. The guidelines are a global goal, that we know that if we can achieve, can influence public health at large.
A prescription is what we give an individual, i.e. when a cancer patient presents that they have severe fatigue/tiredness and wants to do exercise, clinicians are then able to give their patient an individualized prescription that is specifically tailored on the patient’s current level of fitness and activity level, and what type of fatigue they are experiencing (mental fatigue, physical fatigue, or overall fatigue). From then, a specific prescription will be made for the patient in order to address that issue. There are significant benefits with just undertaking 10 minutes a day of moderate-intensity exercise.
Recorded at the Multinational Association of Supportive Care in Cancer (MASCC) and International Society of Ocular Oncology (ISOO) 2016 Annual Meeting on Supportive Care in Cancer held in Adelaide, Australia.
This programme has been supported by Helsinn, through an unrestricted educational grant to the Patient Empowerment Foundation.
Visit our website | http://www.patientpower.eu/
Follow on Twitter | https://twitter.com/patientpowereu
Like on Facebook | https://www.fb.com/patientpower.europe