Onkologie und Sport

Introduction: Epidemiologic and controlled clinical studies have shown that exercise training before, during and after a cancer therapy can have a substantial impact on therapy- and cancer-related symptoms. Further research investigated whether the benefits can be extended to cancer progression, rec...

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Autores principales: Steindorf K, Schmidt ME, Wiskemann J, Ulrich CM
Formato: article
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EN
Publicado: Dynamic Media Sales Verlag 2014
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Acceso en línea:https://doaj.org/article/0f289521dcfc4568ab8063f21be2461f
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spelling oai:doaj.org-article:0f289521dcfc4568ab8063f21be2461f2021-11-16T19:01:43ZOnkologie und Sport0344-59252510-526410.5960/dzsm.2014.136https://doaj.org/article/0f289521dcfc4568ab8063f21be2461f2014-11-01T00:00:00Zhttps://www.germanjournalsportsmedicine.com/archive/archive-2014/issue-11/physiologic-and-molecular-mechanisms-linking-endurance-and-resistance-training-with-effects-for-cancer-patients/https://doaj.org/toc/0344-5925https://doaj.org/toc/2510-5264Introduction: Epidemiologic and controlled clinical studies have shown that exercise training before, during and after a cancer therapy can have a substantial impact on therapy- and cancer-related symptoms. Further research investigated whether the benefits can be extended to cancer progression, recurrence, and cancer-specific or overall mortality. The underlying biological mechanisms are presumably complex, and may be specific for different types of training and cancer. Methods: A systematic PubMed-based literature review on the effects of exercise training on biomarkers in adult cancer patients was conducted till November 2013. Results: A total of 25 publications on 6 cancer sites were identified. Different biologic mechanisms on the effects of exercise trainings were discussed. Profound hypotheses included the modulation of metabolic factors, immune function, pro- and anti-inflammatory processes, sex hormones, and DNA repair capacities and oxidative stress. Most studies investigated breast cancer patients, endurance training, and changes in metabolic and inflammatory parameters. Results for all mechanisms are inconsistent. Discussion: Compared to the complexity of the topic and due to the paucity of studies in cancer patients the current level of evidence needs to be classified as preliminary. Future well-powered exercise intervention trials with cancer patients should, if feasible, incorporate translational and hypotheses-driven biomarker research. For clinical practice, these identified limitations of knowledge on mechanisms should not slow the increasing acceptance of physical training as safe, well-tolerated and highly effective supportive cancer therapy.Key Words: Biological mechanisms, exercise training, cancer, clinical studiesSteindorf KSchmidt MEWiskemann JUlrich CMDynamic Media Sales VerlagarticleSports medicineRC1200-1245DEENDeutsche Zeitschrift für Sportmedizin, Vol 65, Iss 11 (2014)
institution DOAJ
collection DOAJ
language DE
EN
topic Sports medicine
RC1200-1245
spellingShingle Sports medicine
RC1200-1245
Steindorf K
Schmidt ME
Wiskemann J
Ulrich CM
Onkologie und Sport
description Introduction: Epidemiologic and controlled clinical studies have shown that exercise training before, during and after a cancer therapy can have a substantial impact on therapy- and cancer-related symptoms. Further research investigated whether the benefits can be extended to cancer progression, recurrence, and cancer-specific or overall mortality. The underlying biological mechanisms are presumably complex, and may be specific for different types of training and cancer. Methods: A systematic PubMed-based literature review on the effects of exercise training on biomarkers in adult cancer patients was conducted till November 2013. Results: A total of 25 publications on 6 cancer sites were identified. Different biologic mechanisms on the effects of exercise trainings were discussed. Profound hypotheses included the modulation of metabolic factors, immune function, pro- and anti-inflammatory processes, sex hormones, and DNA repair capacities and oxidative stress. Most studies investigated breast cancer patients, endurance training, and changes in metabolic and inflammatory parameters. Results for all mechanisms are inconsistent. Discussion: Compared to the complexity of the topic and due to the paucity of studies in cancer patients the current level of evidence needs to be classified as preliminary. Future well-powered exercise intervention trials with cancer patients should, if feasible, incorporate translational and hypotheses-driven biomarker research. For clinical practice, these identified limitations of knowledge on mechanisms should not slow the increasing acceptance of physical training as safe, well-tolerated and highly effective supportive cancer therapy.Key Words: Biological mechanisms, exercise training, cancer, clinical studies
format article
author Steindorf K
Schmidt ME
Wiskemann J
Ulrich CM
author_facet Steindorf K
Schmidt ME
Wiskemann J
Ulrich CM
author_sort Steindorf K
title Onkologie und Sport
title_short Onkologie und Sport
title_full Onkologie und Sport
title_fullStr Onkologie und Sport
title_full_unstemmed Onkologie und Sport
title_sort onkologie und sport
publisher Dynamic Media Sales Verlag
publishDate 2014
url https://doaj.org/article/0f289521dcfc4568ab8063f21be2461f
work_keys_str_mv AT steindorfk onkologieundsport
AT schmidtme onkologieundsport
AT wiskemannj onkologieundsport
AT ulrichcm onkologieundsport
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