Es gibt mehr und mehr Evidenz für die wichtige Rolle, die Bewegungsmangel bei der
Entstehung von Darm-, Brust- und Prostatakrebs spielt. Die Evidenz für diesen Zusammenhang
kann als überzeugend bezeichnet werden. Trotzdem gibt es noch einen großen Kontrast
zwischen diesem Wissen und dessen Nutzung. Im ersten Teil des Beitrags findet sich
ein Überblick über diesen Forschungsstand. Aufgrund des Mangels an Interventionsstudien
führten wir im Rahmen der DMP-Programme eine Evaluationsstudie durch. Wir führten
mit 84 Frauen über 12 Wochen ein gemischtes Ausdauer- und Kräftigungsprogramm durch.
Die Intervention erwies sich als effektiv hinsichtlich der Reduzierung des Fatiguesyndroms,
Verbesserung der Ausdauerleistungsfähigkeit und der Lebensqualität.
More and more evidence is being accumulated for the etiological role of physical activity
in the prevention of cancer of the colon, breast, prostate, testes and lungs. The
evidence for a causal association between physical activity and colon and breast cancers
is found to be „convincing“. But there is still a huge contrast between the scientific
evidence and the translation in physical activity programs for the growing number
of cancer survivors.
In the first part of this article, a review of the literature on physical activity
interventions and cancer rehabilitation is presented. Due to the lack of intervention
studies, we conducted a study to determine the effects of exercise training on the
quality of life and fatigue in postmenopausal breast cancer survivors who had completed
surgery, radiotherapy, and / or chemotherapy. We trained 84 women with a combined
strength and endurance exercise program for 12 weeks. The results showed that the
exercise intervention had beneficial effects on fatigue, cardiopulmonary function
and QOL in postmenopausal breast cancer survivors.
There is need for future research but the knowledge of science is sufficient to encourage
cancer survivors to be physically active. Oncologists should also become aware of
the benefits of exercise and refer their patients to certified cancer exercise trainers.
Stichworte:
Brustkrebs - Bewegungstherapie - Fatigue - Lebensqualität
Key words:
breast cancer - physical exercise - fatigue - quality of life
Literatur
- 1
Ahlberg K, Ekman T, Gaston-Johansson F et al.
Assessment and management of cancer-related fatigue in adults.
The Lancet.
2003;
362
640-650
- 2
Ainsworth B E, Sternfeld B, Slattery M L et al.
Physical activity and breast cancer: evaluation of physical activity assessment methods.
Cancer.
1998;
83(3)
611-620
- 3 Baumann F, Schüle K. Bewegungstherapie und Sport bei Krebs: Leitfaden für die Praxis.
Köln: Ärzte Verlag; 2009
- 4
Friedenreich C M.
Physical activity and breast cancer risk: the effect of menopausal status.
Exerc Sport Sci Rev..
2004;
32(4)
180-184
- 5
Friedenreich C M, Bryant H E, Courneya K S.
Case-control study of lifetime physical activity and breast cancer risk.
Am J Epidemiol.
2001;
154(4)
336-347
- 6
Friedenreich C M, Cust A E.
Physical activity and breast cancer risk: impact of timing, type and dose of activity
and population subgroup effects.
Br J Sports Med.
2008;
42
636-647
- 7
Friedenreich C M.
Physical activity and breast cancer risk: the effect of menopausal status.
Exerc Sport Sci Rev.
2004;
32(4)
180-184
- 8 Huber G. Subjektiv wahrgenommene Effekte als Indiz für Wirkmechanismen des gesundheitsorientierten
Sports. In: Woll A, Brehm W, Pfeifer K, Hrsg Intervention und Evaluation im Gesundheitssport
und in der Sporttherapie. Hamburg: Czwalina; 2004
- 9 Lee I-Min. Physical Activity and Cancer. In: Bouchard C, Shephard R J, Stephens T
Physical activity, fitness, and health: International proceedings and consensus statement.
Champaign, IL: Human Kinetics Publishers; 1994: 644-676 pp
- 10 Lee I-Min, Rexrode K M, Cook N R et al. Physical activity and breast cancer risk:
The Women‘s Health Study (United States) Cancer Causes and Control 2001. Springer.
Netherlands; ISSN 0957-5243 137–145 Volume: 12 Issue: 2
- 11
Schmidt M, Steindor K, Mutschelknauss E et al.
Physical activity and postmenopausal breast cancer: Effect modification by breast
cancer subtypes and effective periods in life.
Cancer Epidemiol Biomarkers Prev.
2008;
17
3402-3410
- 12
McTiernan A.
Mechanisms linking physical activity with cancer.
Nature Reviews Cancer | AOP.
2008;
published online 31 January 2008
- 13
Maruti S, Willett W C, Feskanich D et al.
A prospective study of age-specific physical activity and premenopausal breast cancer.
Journal of the National Cancer Institute.
2008;
published on May 13, 2008
- 14
Holmes M D, Chen W Y, Feskanich D et al.
Physical activity and survival after breast cancer diagnosis.
JAMA.
2005;
293(20)
2479-2486
- 15
Steindorf K, Schmidt M, Kropp S et al.
Case-control study of physical activity and breast cancer risk among premenopausal
women in Germany.
Am J Epidemiol.
2003;
157(2)
121-130
- 16
West-Wright C N, DeLellis Henderson K, Sullivan-Halley J et al.
Long-term and recent recreational physical activity and survival after breast cancer:
The California Teachers Study.
Cancer Epidemiol Biomarkers.
2009;
18
2851-2859
- 17 Schüle K, Huber G Hrsg. Grundlagen der Sporttherapie. München: Elsevier; 2004
- 18
Thune I, Brenn T, Gaard M.
Physical activity and the risk of breast cancer.
N Engl J Med.
1997;
336(18)
1269-1275
- 19 Patel A V, Calle E, Bernstein E et al. Recreational physical activity and risk
of postmenopausal breast cancer in a large cohort of US women. In: Cancer Causes and
Control. 2003-08-01 ISSN 0957-5243 519–529 Volume: 14 Issue: 6
- 20 Robert Koch-Institut und die Gesellschaft der epidemiologischen Krebsregister in
Deutschland (Hrsg.). Krebs in Deutschland 2007 / 2008. 8. Ausgabe. Berlin: Robert
Koch-Institut; 2012
Korrespondenzadresse
Prof. Dr. G. Huber
Institut für Sport und Sportwissenschaft der Universität Heidelberg
Im Neuenheimer Feld 700
69120 Heidelberg
Phone: 0 62 21 / 54 42 11
Email: gerhard.huber@issw.uni-heidelberg.de
