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2015 How to Kick mAss Brussels

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2015 How to Kick mAss Brussels

  1. 1. How to Kick mAss Belgium 2015 Brussels, Belgium Date
  2. 2. Agenda: 45 minutes • Finding resources – Doug • Long Term Survival – Natalie • Social Support - Laura • Physical Activity/Exercise - Eric • QA
  3. 3. 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
  4. 4. Douglas Carey • Testicular cancer • July 1, 2010 • Surgery, chemo • Finding resources • Promoting men’s health
  5. 5. Natalie Conforti • Non-Lymphoma 1994 • Parotid tumor 2004 • Breast cancer 2007 • Radiation, Chemo, Surgery • Long term survival
  6. 6. Laura Bleich • Hodgkin’s lymphoma • June 6, 2014 • Chemo, Radiation • Social Support – Online – Support groups
  7. 7. Eric Galvez • Meningioma, brain tumor • September 10, 2005 • Rx: Surgery, radiation, physical rehab
  8. 8. Benefits of exercise for the tumor/cancer survivor
  9. 9. Exercise Prescription Type/ Mode Time / Duration Frequency Intensity Progression
  10. 10. 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
  11. 11. ACSM Guidelines for Cancer Survivors • 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
  12. 12. 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
  13. 13. ACSM Guidelines for Cancer Survivors • 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
  14. 14. ACSM Guidelines for Cancer Survivors • 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
  15. 15. ACSM Guidelines for Cancer Survivors • 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
  16. 16. ACSM Guidelines for Cancer Survivors • 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.
  17. 17. ACSM Guidelines for Cancer Survivors • 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.
  18. 18. Questions/discussion

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