The Role of Exercise During and After Cancer Care

Exercise plays a crucial role in healthy living during and after cancer treatment. However, cancer patients and survivors may need to exercise less intensely and complete their workout at a slower pace than they are used to.

Exercise doesn’t need to be strenuous in order to produce results. “Research has shown that exercise is not only safe and possible during cancer treatment, it can actually improve how well you function physically and how well you feel ,” says Teri Hoenemeyer, Ph.D., director of Education and Supportive Services at the UAB Comprehensive Cancer Center.”Adding more physical activity to your daily routines can include: walking around your neighborhood after dinner, doing yard work, house cleaning, using the stairs or parking farther away from a building than usual or taking 10-minute walking breaks during the day.

“Fatigue during and after chemotherapy and radiation can make you want to limit your physical activity too much, but completely stopping can actually increase fatigue, creating a vicious cycle,” Hoenemeyer says. “In fact, recent studies indicate that exercise that increases your heart rate, like fast walking, can reduce fatigue.”

In addition to physical benefits, there are many mental benefits of exercise. Exercise can help you relax, and it relieves anxiety. It also reduces your chances of developing anxiety and depression.

“Having an outlet, like exercise, to relieve stress is an important part of getting well and staying healthy,” Hoenemeyer adds. Other benefits of exercise during cancer treatment include:
Improved balance, decreased risk of falls and broken bones

• Maintained muscle tone 
• Decreased risk of heart disease 
• Decreased risk of osteoporosis (weak bones that are more likely to break) 
• Improved blood flow to legs and decreased risk of blood clots 
• Improved self-esteem 

Even though there is still a lot of research on the effects of exercise on cancer recovery and on the immune system that needs to be done, most agree that regular exercise during and after a cancer diagnosis has positive health benefits. Physical activity may also reduce the risk of getting the following types of cancer or prevent cancer from recurring:

• Breast cancer 
• Colon cancer 
• Endometrial cancer 
• Advanced prostate cancer 
• Pancreatic cancer 

Exercise and increased physical activity can also help prevent chronic conditions like heart disease, diabetes, osteoporosis and hypertension.

When starting an exercise program or routine, each person will have different physical abilities due to their age, diagnosis and prior exercise experience so it is important to talk to your doctor before starting. Here are a few tips for starting an exercise routine:

• Start slowly and take frequent breaks 
• Use a mix of muscle groups for strength training, aerobics, and flexibility 
• Always warm up first and stretch afterward 
• Don’t push yourself and listen to your body 
• Take deep breaths and relax! 

For more information on current exercise recommendations for cancer patients and survivors, visit the American Cancer Society online.

Take the first step in starting an exercise route by joining us on Saturday, June 2 for the UAB Comprehensive Cancer Center’s inaugural Lace Up for a Cure, a 2K (1.3 mile) walk raising awareness and education of services offered at the UAB Cancer Center and bringing together individuals who have been touched by cancer.

All ages are welcome. Free onsite parking is available. Learn more and register today!

SPORE grants set UAB apart

The UAB Comprehensive Cancer Center is one of few institutions to have been awarded three or more SPORE (Specialized Program of Research Excellence) grants from the National Cancer Institute. Currently the center holds SPORES in pancreatic and breast cancer and is partnered with John Hopkins University on a cervical cancer SPORE. Additionally, the Cancer Center was the only institution nationwide to receive a SPORE grant in pancreatic cancer in 2010. Why is this grant such a big deal?

It supports projects that will lead to the early detection, prevention, diagnosis and treatment of human cancers. Each SPORE is focused on a specific organ site, such as breast or pancreatic cancer. "SPOREs are designed to enable the rapid and efficient movement of basic scientific findings into clinical settings, as well as to determine the biological basis for observations made in individuals with cancer or in populations at risk for cancer," according to the National Cancer Institute.

Principal investigator Donald J. Buchsbaum, Ph.D., director of radiation biology at the University of Alabama at Birmingham, leads the SPORE program in pancreatic cancer. Support from the NCI was granted because of the Cancer Center's expertise in tumor biology, virology/gene therapy, immunobiology and targeted immunotherapy. Current research projects stem from previously established efforts that showed the most promise.

Kirby I. Bland, M.D., chair of the department of surgery at the University of Alabama at Birmingham, is the principal investigator of the SPORE program in breast cancer. In order to best accomplish the goal of prevention, detection, prognosis and therapy development, this project assembled many basic and clinical scientists, including molecular/cell biologists, pathologists, medical/surgical oncologists, experts in the development of new technologies, and biostatisticians.

There are currently 62 grants across 23 states in the country. UAB claims Alabama's only SPORE grants. Just another example of what sets the UAB Comprehensive Cancer Center apart.

-Ed Partridge, M.D.

A World of Limitless Possibilities

Last night, the UAB Comprehensive Cancer Center hosted "Progress & Promise," its annual address to the community. This is a chance for the general public to hear about the advancements made at the Cancer Center during the past year, as well as future plans for 2012 and beyond.

This year's program highlighted two important aspects of the Cancer Center. The first being that 2011 marked the center's 40th anniversary. While the seeds of UAB's cancer program were first planted in 1968 with the death of Governor Lurleen B. Wallace from cancer, the Cancer Center really took shape in 1971 when President Richard Nixon declared war on cancer by signing the National Cancer Act. This piece of legislation established "comprehensive" cancer centers that would be at the forefront of cancer research, treatment and education. UAB was designated one of the first of these centers, and it has maintained that prestigious status ever since.

Unsung Heroes

November is another busy month in terms of cancer awareness, as it is both Pancreatic Cancer Awareness Month and Lung Cancer Awareness Month. But it's also another awareness month that I think is particularly appropriate to recognize during this week of Thanksgiving, and that is National Family Caregivers Month.

Since 1997, every U.S. president has issued a proclamation recognizing family caregivers to raise awareness and increase support for the vital roles these individuals play in society. According to the National Family Caregivers Association, more than 65 million Americans provide care for loved ones with a chronic illness, disability or the frailties of old age. This certainly includes cancer.

I've often spoken of the importance of a support system for cancer patients. While their medical treatment team is obviously important, the support system of family, friends and other loved ones is also essential. It is those caregivers who know the patient most intimately and can provide perspectives and details that we as medical professionals may not be able to.

So as Thanksgiving approaches, and we take time to consider what we have to be thankful for, take a moment to thank the millions of people who make personal sacrifices to care for others. In many ways, they are unsung heroes.

-Ed Partridge, M.D.

A Rare Visionary

Like many people, I was saddened to hear the news of Steve Jobs passing away last week after a lengthy battle with pancreatic cancer.

Pancreatic cancer is truly a rare cancer - a person has only about a one in 76 chance of developing it in his or her lifetime. But though its incidence is uncommon, it is one of the most deadly types of cancer. With a 95 percent mortality rate, pancreatic cancer is the fourth-leading cause of cancer death in the United States.

These survival rates are so poor because the disease is often not diagnosed until its later stages, as the few symptoms it exhibits don't usually appear early. Only five percent of pancreatic cancer patients survive five years after diagnosis.

But there is some hope, and we are making strides in understanding this disease. The UAB Comprehensive Cancer Center is one of the few institutions in the nation to hold a SPORE (Specialized Program of Research Excellence) in pancreatic cancer from the National Cancer Institute. Through this prestigious grant, we are examining new and innovative treatments developed here in our laboratories and developing them for use in our patient clinics. Our SPORE gives us a tremendous opportunity to make real progress in the diagnosis and treatment of pancreatic cancer.

That Mr. Jobs was able to fight this particular cancer as long as he did puts him in rare company. He was a visionary whose groundbreaking ideas changed the world we live in. I hope that the research we do at the Cancer Center will do the same - by eliminating cancer as a public health problem.

-Ed Partridge, M.D.