1. How to Kick mAss
Belgium
2015
Brussels, Belgium
Date

2. Agenda: 45 minutes
• Finding resources – Doug
• Long Term Survival – Natalie
• Social Support - Laura
• Physical Activity/Exercise - Eric
• QA

3. Goals of this session:
• Share the stories of 4 American cancer
survivors
• Share resources
• Compare American insurance/ healthcare
• Share benefits of Exercise/physical
activity
• Open dialogue about
survivorship/thrivership

4. Douglas Carey
• Testicular cancer
• July 1, 2010
• Surgery, chemo
• Finding resources
• Promoting men’s
health

5. Natalie Conforti
• Non-Lymphoma 1994
• Parotid tumor 2004
• Breast cancer 2007
• Radiation, Chemo,
Surgery
• Long term survival

6. Laura Bleich
• Hodgkin’s lymphoma
• June 6, 2014
• Chemo, Radiation
• Social Support
– Online
– Support groups

7. Eric Galvez
• Meningioma, brain
tumor
• September 10, 2005
• Rx: Surgery, radiation,
physical rehab

8. Benefits of exercise for
the tumor/cancer survivor

9. Exercise Prescription
Type/ Mode
Time /
Duration
Frequency
Intensity
Progression

10. ACSM Guidelines for
Cancer Survivors
• General statements:
– Avoid inactivity
– Return to normal daily activities as quickly as
possible after surgery.
• Schmitz et al. Med Sci in Sports & Exerc. 2010. 42:1409

11. ACSM Guidelines for
Cancer Survivors
• General statements:
– Continue normal daily activities and exercise as
much as possible during and after nonsurgical
treatments
– Individuals with cardiac conditions (due to cancer
or not) may require modifications and may require
greater supervision for safety
Schmitz et al. Med Sci in Sports & Exerc. 2010. 42:1409

12. Exercise Guidelines for
Cancer Survivors
• General Injury Risk Issues:
– Infection risk
– “Good” days and “bad” days
– Increased risk for clot formation
– Increased risk for falls – neuropathy/age
– Frail subjects
– Comorbidities

13. ACSM Guidelines for
Cancer Survivors
• Pre-Exercise Medical Assessment:
–Individuals with known metastatic bone
disease SARCOMAS, Stage 3 or 4 cancers-
evaluation for fracture risk
–Individuals with cardiac conditions
(secondary to cancer or not) require
medical assessment of the safety of
exercise before starting.
• Schmitz et al. Med Sci in Sports & Exerc. 2010. 42:1409

14. ACSM Guidelines for
Cancer Survivors
• Cancer specific contraindications for
STARTING an exercise program:
– Breast: Unresolved Arm/shoulder problems
– Prostate: none
– Colon: Ostomy requires physician clearance
– Gynecologic: Swelling or inflammation in the
abdomen, groin or LE

15. ACSM Guidelines for
Cancer Survivors
• Cancer specific reasons for STOPPING an
exercise program:
– Breast: Changes in arms/shoulders symptoms
– Colon: Hernia, ostomy related systemic infection
– Prostate: None
– Gynecologic: Changes in swelling or
inflammation of the abdomen, groin, or lower
extremities

16. ACSM Guidelines for
Cancer Survivors
• Cancer specific risk of injury from
exercise:
– Breast
• Lymphedema: wear well-fitting
compression garment during exercise
• Risk of fracture: those on hormonal
therapy, with a diagnosis of osteoporosis, or
bony mets.
– Prostate
• Increased risk for fracture in those
treated with ADT, have a diagnosis
of osteoporosis or bony mets.

17. ACSM Guidelines for
Cancer Survivors
• Cancer specific risk of injury from exercise:
– Colon
• Avoid excessive intra-abdominal pressures for those
with an ostomy.
– Multiple Myeloma
• Should be treated as if they have osteoporosis
– Gynecologic
• Lymphedema: wear well-fitting compression garment
during exercise
• Risk of fracture: those on hormonal therapy,
with a diagnosis of osteoporosis, or
bony mets.

18. Questions/discussion