Update 12 december 2017:

Aanvullend op onderstaand artikel d.d. 30 april 2011 lees ook dit studierapport: Randomized controlled trial of the effects of high intensity and low-to-moderate intensity exercise on physical fitness and fatigue in cancer survivors: results of the Resistance and Endurance exercise After ChemoTherapy (REACT) study

waarvan de resultaten bevestigen dat een fitnessprogramma onder deskundige begeleiding zeker waardevol is voor mensen die kanker hebben gehad.

Hier in Table 1 een overzicht waaruit het programma bestond:

Table 1

Exercise intensities of the high intensity (HI) and low-to-moderate intensity (LMI) resistance and endurance exercise programs

Resistance exercises (1-RM) aEndurance interval exercisesEndurance interval exercisesCounseling
(six exercises targeting the large muscle groups)Part A (MSEC) a (8 min alternating workload)Part B (HRR) a (3 × 5 min constant workload)
HI exercise b 70–85 % 30/65 % ≥80 % Participants were encouraged to start or maintain a physically active lifestyle in addition to the supervised exercise sessions
LMI exercise b 40–55 % 30/45 % 40–50 %

1-RM, One-repetition maximum; MSEC, Maximum short exercise capacity; HRR, Heart rate reserve

a Every 4 weeks (weeks 1, 5, and 9), the physiotherapist evaluated training progress and adjusted the workload accordingly

b Exercises were accompanied with BORG scores and heart rate monitors to guide the physiotherapists. In cases where the training intensity seemed too high or too low, the 1-RM, MSEC, or HRR were reassessed

De effecten staan weergegeven in onderstaande grafiek. Het is te veel werk om dat allemaal te vertalen maar ga anders naar het volledige studierapport of het artikel van april 2011 daaronder of de referentielijst onderaan dit artikel: 

Randomized controlled trial of the effects of high intensity and low-to-moderate intensity exercise on physical fitness and fatigue in cancer survivors: results of the Resistance and Endurance exercise After ChemoTherapy (REACT) study

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30 april 2011: Bron Medscape

Een intensief fitness programma onder deskundige begeleiding verbetert fysiek en psychologisch functioneren bij overlevenden van kanker, zowel op korte- als lange-termijn bewijst nieuw onderzoek.

In deze studie met 850 deelnemende (ex-) kankerpatienten bleek dat algehele fitness, vitaliteit, en het ervaren van stress en vermoeidheid allemaal significant verbeterden in een periode van 12 tot 16 weken waarin onder deskundige begeleiding een intensief fitness programma werd gevolgd.
Onder de deelnemers die de training een jaar lang volhielden bleken de verbeteringen zich nog verder door te zetten, ook na die 12 tot 16 weken. De deelnemende groep bestond voor 80% uit vrouwen, waarvan de helft vrouwen met een geschiedenis van borstkanker. Maar ook bij de andere deelnemers aan de studie met andere vormen van kanker verbeterden alle onderzochte lichamelijke functies als kracht en vitaliteit als wel psychologische factoren als het ervaren van stress en vermoeidheid.
 Subanalyses toonden aan dat de lichameljike kracht en vitaliteit als ook de psychologische functies verbeterden bij zowel mannen als vrouwen en bij overlevenden van borstkanker en andere vormen van kanker. Hier een gedeelte uit een studierapport zoals Medscape dat publiceerde:

Fitness Program Benefits Mind and Body in Cancer Survivors

The "Living Strong Living Well" program has been offered through local YMCAs in the Bay area since 2002. Between 2002 and 2008, a total of 851 cancer survivors participated in the program — almost 80% of them women. Slightly over half of the women had breast cancer. The program takes cancer survivors through a strengthening and physical conditioning type of intervention, Dr. Buman explained. The goal is to increase participants’ strength and endurance and, ultimately, quality of life.

Changes in physical and psychological measures, including fitness, vitality, perceived stress, and fatigue, were measured at the end of the program 12 to 16 weeks after the intervention; longer-term change at 6 and 12 months' follow-up was measured in a subgroup of participants. All changes at all time points were significant relative to baseline (P < .001).

Changes in Physical and Psychological Measures

Measure Baseline (Mean) Post-Intervention (Mean) 6-Month Follow-up 12-Month Follow-up
Rated fitness 3.03 3.84 3.93 3.82
Vitality-Plus 33.08 36.69 36.97 36.30
Perceived stress 24.01 19.91 19.66 21.02
Fatigue 4.22 3.02 3.01 3.26

 

FitLinxx

Using the FitLinxx computerized data collection, available to participating YMCAs, investigators also measured objective strength outcomes. Changes relative to baseline were measured at 8 weeks mid-intervention and again at 16 weeks post-intervention. All changes at all times points were significant relative to baseline (P < .001).

Changes in Objective Strength Measures

Measure Baseline (lb) Mid-Intervention (lb) Post-Intervention (lb)
Chest presses (n = 156) 307.68 480.71 523.82
Leg presses (n = 159) 981.73 1773.26 2096.65
Seated row (n = 172) 467.28 796.34 923.84
Total weight lifted (n=234) 3160.91 6778.42 8575.95

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Referentielijst

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