Physical Activity in Breast Cancer Care

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For many Canadians facing a breast cancer diagnosis, the journey is filled with both physical and emotional challenges. While treatments like chemotherapy, surgery, and radiation are crucial, research presented at the ESMO Congress 2024 emphasizes another vital component of care: physical activity. Staying active during and after breast cancer treatment not only improves quality of life—such as reducing fatigue, anxiety, and depression—but can also enhance survival rates.

Integrating exercise into daily routines can be challenging, especially for those dealing with treatment side effects and psychological impact. Below are practical, research-backed tips to help patients incorporate physical activity into their lives. Research results show that tailored exercise programs, including resistance exercise, have the best outcomes for reducing breast cancer recurrence and improving overall well-being. If possible, engaging with a physical fitness coach who specializes in cancer care can further enhance treatment results while customizing to your level of physical capability. Consult your oncologist about these research findings to determine the most suitable level of physical activity for you.

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Key Takeaways:

  • Avoid exercise for the first 48 hours after chemotherapy.
  • Regular exercise during and after breast cancer treatment—regardless of cancer stage, type, or prior health conditions—improves fatigue levels, reduces cancer recurrence, and extends lifespan.
  • Recent studies (Drs. Vanlemmens and Rundqvist) show that tailored exercise programs can significantly benefit breast cancer patients. For instance, the OptiTrain breast cancer trial demonstrated that 16 weeks of high-intensity interval training (HIIT) combined with resistance or aerobic exercise improved overall survival and breast cancer-free survival in women undergoing chemotherapy.
  • Personalized support and remote coaching can bridge the gap for those who live far from healthcare facilities. Technology like video conferencing, fitness apps, or telephone-based coaching has proven effective.
  • Weight loss interventions and increased physical activity can reduce the risk of recurrence, particularly for those achieving at least 150 minutes of moderate to vigorous activity per week.
  • Patients should aim for gradual and achievable goals, like incorporating short walks or gentle stretching into their routine.

Physical inactivity has been linked to a higher symptom burden and lower engagement with health resources. Finding a support system, whether through healthcare providers, support groups, or digital tools, is crucial for monitoring progress and maintaining motivation.

By prioritizing physical activity in a way that aligns with personal values, patients can enhance their quality of life, reduce the risk of recurrence, and take an active role in their journey toward recovery.

ESMO Congress 2024 Abstract 232O:
Effects of a high-intensity exercise intervention on recurrence and survival: The OptiTrain breast cancer trial (Dr. Rundqvist)

ESMO Congress 2024 Abstract LBA12:
eMouvoir: Randomised phase III trial evaluating the impact of a personalized and remote physical activity (PA) for breast cancer survivors (BCS). Results on the quality of Life (QOL) (Dr. Vanlemmens)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disclaimer: Always consult your oncologist before starting any new exercise regimen to ensure it is appropriate for your specific medical condition and treatment plan.

Credit to: Dr. Jennifer Ligibel, MD, Dana-Farber Cancer Institute in Boston, MA, Presenter, ESMO Congress 2024
Credit to: American College of Sports Medicine

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