The Impact of Exercise on Recurrence
I have read that studies show that regular exercise (vigorous enough to make you sweat) reduces recurrence. However, there has been no emphasis on this pointed out by my doctors. Have any of you been directed to exercise regularly?
Comments
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I lost weight after being diagnosed with BC. I also started exercising daily. My oncologist has said several times that those two things are the best thing I could be doing for myself and is better than any thing she could do to prevent recurrence.
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My doctors encouraged me to exercise 5-7 days a week. I wasl already an exerciser before getting dx though....still got BC. I continue to exercise daily though
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i run and walk and bike. i was told to keep doing that. got to stay as strong as possible cause the treatments and progression always set you back. so stay as healthy as possible so the set backs dont throw you back to far. that is what i was told at least.
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I have read studies that list being overweight as a contributing factor for cancer. Since regular exercise helps with lowering weight, I can see the correlation with preventing recurrence.
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I was told a brisk 30 minute walk everyday/exercise...would reduce recurrence by 50% by one of my doctors. He did cite it from somewhere and I actually stumbled upon the actual article. It seemed legit. I'll see if I can find it.
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Wow, I am so encouraged to hear your comments. Will definitely follow up! Thank you for taking the time to write!
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When I was dx'd, I was 5'5" and weighed 204 pounds. My oncologist wanted me on Arimidex after surgery. I flatly refused, saying I didn't need it, was post-menopausal, had a hysterectomy, etc. so there was no estrogen in my body.
She kindly pointed out that estrogen is manufactured in body fat - of which I had plenty.
I went on a medically-supervised diet and exercise program and lost 56 pounds and over 63 inches.
The oncologist told me I had reduced my risk of recurrence by 23%.
ETA: I did go on the Arimidex after all....
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My naturalist strongly recommended exercising at least 3 times a week and an exercise program that was robust enough to create a very good sweat. He said the process of sweating through exercise puts your lymphatic system to work and decreasing the reoccurance risk.
Jennifer
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Interesting about the sweating through exercise puts your lymphatic system to work. Did he comment whether swimming and getting your heart going, eg 130 b.p.m., was as good as running, given that you are less likely to sweat in a swimming pool? i.e., is it the elevated heart rate, or the sweating? Boy, I am really anal!!!
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Evergreen - my oncologist, surgeon, and radiation oncologist all mention exercise at every visit, and they say that elevated heart rate is the key. I'm not sure if that's based on any studies or just their own take, but all three have emphasized the importance of getting your heart rate up, not sweating.
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Thank you, Kerri. So reaffirming to hear all 3 key medical folks on your team mention exercise!
To all readers, what does your exercise program comprise... re type, intensity and time per week.. -
I try to exercise 6-7 times a week for one hour. There are some days it is 2 hours because I take double exercise classes. My exercise varies among the following in any given week: bike riding, body sculpting class, stability ball, yoga, and zumba.
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Wow, Sassa, you are my role model. I do average of 45 minutes daily, alternating swimming with lifting weights, taking one day off if I am tired. You inspire me to try harder, and given my stats, I need to!
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I run 6 miles at least twice a week. I teach aerobics once a week. I take yoga class 1-2 times per week. I also do the elliptical 2 days a week. I try to do some weights twice a week. I finish each workout with yoga/stretching for 15 minutes to clear my head and increase flexibility.
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I was wondering when you all started your exercise routine? I exercised quite a bit when I was on Taxol and Herceptin before surgery but then I was on AC after surgery and barely had energy to do anything. I am now 4 weeks out from my last AC infusion and still feeling run down. I am wondering when I will start to feel better and be able to start exercising daily again. I will be on Herceptin every 3 weeks for a year.
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Toward the end of my chemo, I started to walk slowly up and down my street (I was exhausted during chemo, could barely make a meal or walk to the bathroom some days!).
About two months after chemo, I started easy gardening and very slow jogging, intermittant with walking (mostly walking). About then I had started radiation, which didn't bother me at all.
When radiation was done, 6 weeks later, I increased the speed and distance of my walking, and within a month or so, joined a gym and started slow cardio on the cross trainer (20 min) and weight machines and swimming. I slowly built up speed and weights, over time.
But having provided you with these details, I think the secret is be as active as you can comfortably without overdoing it, work up your endurance slowly, and stick to it for life. Everyone is a different age, a different fitness level before getting diagnosed, and tolerates chemo differently. Two women, same age, same chemo may present with VERY different sets of side effects, fatigue, etc. Being more tired than the next person doesn't mean you are not doing as well with your treatment results, it only means you are your unique self...
So do the best that you can, and steady wins the race! Good luck! -
Toward the end of my chemo, I started to walk slowly up and down my street (I was exhausted during chemo, could barely make a meal or walk to the bathroom some days!).
About two months after chemo, I started easy gardening and very slow jogging, intermittant with walking (mostly walking). About then I had started radiation, which didn't bother me at all.
When radiation was done, 6 weeks later, I increased the speed and distance of my walking, and within a month or so, joined a gym and started slow cardio on the cross trainer (20 min) and weight machines and swimming. I slowly built up speed and weights, over time.
But having provided you with these details, I think the secret is be as active as you can comfortably without overdoing it, work up your endurance slowly, and stick to it for life. Everyone is a different age, a different fitness level before getting diagnosed, and tolerates chemo differently. Two women, same age, same chemo may present with VERY different sets of side effects, fatigue, etc. Being more tired than the next person doesn't mean you are not doing as well with your treatment results, it only means you are your unique self...
So do the best that you can, and steady wins the race! Good luck! -
Evergreen, good point. Often during chemo I was so hard on myself- I was exhausted, emotionally fragile, could not work, etc. But I would ask myself (and my doc) Am I not trying hard enough? Why am I so floored by this? Critical of myself in a very unhelpful way.
I am exercising now more (14 weeks post chemo, 8 weeks post exchange surgery) and I am aiming for 30 minutes of walking on the treadmill 5 days a week, in addition to my hilly walks with the dog. that might not sound like a lot to some folks, but I just want to build it in. Now I can start doing light hand weights too. Bit by bit. -
I cycled throughout AC chemo, and stepped up the pace during Taxol. I trained during radiation and did the 200+ mile Seattle-to-Portland Bicycle Classic w/i six weeks of finishing radiation. I have not looked back.
My take was that I might as well be dragging and exercised as opposed to just dragging. In fact, I always felt better after a walk. I remember doing a long walk on Day 2 of AC as I knew I was going to be dragging for the next three days.
Two years later, I am still exercising, and can't wait to get back to skiing. Was sidelined last year as trashed my ankle with a cycling injury.
In terms of feeling better, I would say that I had energy about 6 weeks post final chemo (while doing radiation), then and energy dip towards the end of radiation (did cycling events anyway) and then much better about 4 weeks post final boost. A slow increase in energy with a noticable difference about six months post radiation.
It's hard to describe the journey after that. Certainly, having a trashed ankle set me back last year. But this year, I am fitter than ever, and expect even more next year.
I cycled 50 miles today, and hardly feel it. (I did around Mile 40 though as quads were complaining big time.)
Staying fit is the best thing any of us can do. Not just in terms of cancer, but all the other fun stuff we don't want. Stuff like a weak heart, lungs, circulatory problems, diabetes, etc. Plus being able to climb over the fence to the good blackberries.
Not to mention that I had a train driver wave me ahead earlier this year. I really did!!!
The only disadvantage to exercising I have discovered is that clothes fit better, so more tempting. I will take that one.
So keep moving...... See ya on the cycling trail, skiing, hiking trail, or swimming beach. - Claire
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Just to clarify, the point of exercising enough to generate a good sweat is recommended. So, not necessarily the act of sweating but getting your heart rate up. However, my naturalist would further say that sweating is a great way to get rid of toxins so while swimming is very good cardio and non impact exercise, there is added value in a great sweat.
Jennifer
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I completed my radiation treatments last thursday all 33. So i have had 3 surgeries, 6 rounds of taxotere/carboplatin, 9 herceptin, and 33 radiation treatments. Started on the tamoxifen on Saturday. I have read about all the side effects. My joints were still hurting when i started it, so i don't know if tamoxifen is increasing the effect or not. I wouldn't think i would notice anything after only 2 doses. Actually, it is primarily my knees that hurt. By nighttime i can't hardly make it up the stairs to go to bed. I hope over time this too does get better. I continue to walk and work full time. I haven't gotten back into aerobic activity just yet. Dr. said to ease into that. I think i will need to put duct tape over my chest to make sure my breasts don't move. The one is still a bit tender in the deep tissue from radiation. I also have times when i am short of breath. I assume that is still residual from chemo. Chemo really takes a toll on our bodies but we are fortunate that we have it. I finished chemo july 27th. Any suggestions?
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Hi Cindy,
I used a lot of ibuprofen the summer after chemo/radiation so that I was able to do long rides. But seldom use it now. I found that my cardio capacity came up dramatically over the 4 weeks following radiation, then leveled off, slowly gaining. This was with cycling throughout. I used a lot of extra energy gels to keep my stamina up.
So I would think a question of rebuilding. The lung capacity will get better. Mine was awful during AC, but I just slowed down my pace. I remember getting an ovation for making it up Phinney Ridge the easy route.
My lower pectoral on the radiation side is still relatively weak. I am always straining it too. But I just keep moving.
I am a major bath taker which helps with knees, sore muscles, sore neck, most sore other places. Plus I discovered that bubble bath is a great bicycle grease solvent! So 1-2 hot baths weekly. Get some lovely soaking potions.
As for knee soreness, exercise is the best. The big one is to keep the muscles strong as they provide support.
And keep walking to build up your cardio capacity. It really, really does help. Good luck. Right now is the most frustrating part, as treatment is over, but you aren't out there running around. You will get there. - Claire
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