Exercise Oncology...what say you?

Posted by handera @handera, Jul 6 8:27am

Ran the July 4th Atlanta PeachTree 10K, along with 52,000 other participants.

What types of exercise, weekly regularity and for how long have you implemented additional exercise, since being diagnosed with PCa?

Have you observed any measurable benefits since implementing your post diagnosis exercise efforts?

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

Profile picture for handera @handera

Although not as robust as the ERASE RCT, two large observational studies looked af walking and it’s correlation to slowing PCa progression.

The Cancer of the Prostate Strategic Urologic Research Endeavor (CaPSURE) Study (2011) and the Health Professionals Follow-Up Study (2011) are worth reviewing if interested.

Links below:
https://aacrjournals.org/cancerres/article/71/11/3889/657469/Physical-Activity-after-Diagnosis-and-Risk-of
https://ascopubs.org/doi/10.1200/JCO.2010.31.5226
Walking briskly for at least 3 hours per week appears to offer significant benefits, with a 57% lower progression rate in the CaPSURE study. Longer durations (e.g., ≥7 hours/week) at a brisk pace may further reduce risk.

Both studies consistently highlighted that brisk walking (≥3 mph) is more strongly associated with reduced prostate cancer progression than duration alone.

For example, the CaPSURE study found that walking duration without a brisk pace did not significantly reduce progression risk.

This suggests that intensity is a key factor, and simply increasing walking time at a leisurely pace may not yield the same benefits, if slowing progression is your goal.

Light, long duration walking may have other non PCa benefits; but these studies suggest that slowing PCa progression is not one of them.

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I’m not comfortable or confident enough to go on long walks because of the radiation induced diarrhea. Hope it goes away when I finish treatment.

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Profile picture for johnw22 @johnw22

I’m not comfortable or confident enough to go on long walks because of the radiation induced diarrhea. Hope it goes away when I finish treatment.

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…all the more incentive to make your walks “brisk”….sorry I couldn’t resist…

Seriously though, have you asked your doctor to recommend something to alleviate that side effect?….that has got to annoying….to say the least.

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Profile picture for handera @handera

…all the more incentive to make your walks “brisk”….sorry I couldn’t resist…

Seriously though, have you asked your doctor to recommend something to alleviate that side effect?….that has got to annoying….to say the least.

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HaHa - that’s a good one, Ed! After the word IMMODIUM, they offer nothing except the boilerplate old saw that “it should dissipate with time”…

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Profile picture for johnw22 @johnw22

I’m not comfortable or confident enough to go on long walks because of the radiation induced diarrhea. Hope it goes away when I finish treatment.

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I also had some diarrhea with my radiation treatment. Usually wasn't too bad, but the last couple weeks I didn't feel comfortable getting too far from home. Luckily I have a treadmill so was able to do something. It cleared up pretty quickly after the treatment ended, enough that I went on a trip involving cross country flights 5 days post treatment with no issues.

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Profile picture for daveinflorida @daveinflorida

I also had some diarrhea with my radiation treatment. Usually wasn't too bad, but the last couple weeks I didn't feel comfortable getting too far from home. Luckily I have a treadmill so was able to do something. It cleared up pretty quickly after the treatment ended, enough that I went on a trip involving cross country flights 5 days post treatment with no issues.

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Thank you. Your comments offer some encouragement.

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More great information about exercise oncology from the National Cancer Institute:

“We now have the evidence to tell us, with great confidence, that those living with and beyond cancer will benefit from being more physically active. We are at a point in the evolution of the field where we can dose exercise precisely, just as we do with drugs, to address several cancer-related health outcomes.”

“We concluded from the evidence that exercise after a diagnosis of breast, colon, or prostate cancer is associated with longer survival. While there is insufficient evidence to draw the same conclusion for all cancer types, there are enough benefits of physical activity, in general, that we recommend that survivors of all cancers follow the general public health recommendations for physical activity: 2 and 1/2 to 5 hours per week of moderate-intensity activity, or 1 and 1/4 to 2 and 1/2 hours per week of vigorous activity. ”
https://www.cancer.gov/news-events/cancer-currents-blog/2019/cancer-survivors-exercise-guidelines-schmitz

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Profile picture for handera @handera

More great information about exercise oncology from the National Cancer Institute:

“We now have the evidence to tell us, with great confidence, that those living with and beyond cancer will benefit from being more physically active. We are at a point in the evolution of the field where we can dose exercise precisely, just as we do with drugs, to address several cancer-related health outcomes.”

“We concluded from the evidence that exercise after a diagnosis of breast, colon, or prostate cancer is associated with longer survival. While there is insufficient evidence to draw the same conclusion for all cancer types, there are enough benefits of physical activity, in general, that we recommend that survivors of all cancers follow the general public health recommendations for physical activity: 2 and 1/2 to 5 hours per week of moderate-intensity activity, or 1 and 1/4 to 2 and 1/2 hours per week of vigorous activity. ”
https://www.cancer.gov/news-events/cancer-currents-blog/2019/cancer-survivors-exercise-guidelines-schmitz

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@handera
Agree 100%.
In almost all my post I recommend finding an exercise or hobby you like doing and do it. Doing so is not only going to help you physically but mentally as well.

Many on MCC have back, joint, issues. I suggest seeing if there are any water aerobics classes in your area. I have them a my community but YMCAs are famous for having them. There is on lady who does water aerobics with me that has MS. She has no use of her left leg but the water allows her to use her other. She says to me all the time how much exercising helps her with her MS.

Exercising to music and enjoying othere activities is is habit forming to me. I do water aerobics 7 classes a week. Some will say not hard enough. Not so. Where I am you use water weights in the water not above like you see on T.V. The size weight you use affects your muscles. When running or jogging how fast you do it will be the benefit you get. Many of our men when taking first class will say they are exhausted.

I also bike ride and swim. When biking I like to look around and kind of makes me feel like a kid again. When swiming (I swim a mile) I listen to music with my undewater music player and ear pieces.

My heart failure doctor told me the biggest thing I can do for my heart is to keep exercising. I see Mayo psychiatrist specialist for PTSD anxiety/panic disorder and she keeps on saying how valuable it is for me to have an exercise routine for my mental health.

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