Physical Activity

Physical Activity

Although exercising may be the last thing a fatigued person wants to do, physical activity is one of the best ways to reduce cancer-related fatigue during and after treatment.

Managing
Fatigue

Physical
Activity

Mental & emotional wellbeing

Management strategies

Physical Activity

Watch our video with Dr Sam Orange, Senior Lecturer at Newcastle University.

Treatment of CRF

 

Physical activity and psychological interventions are shown to be significantly better first-line treatments for cancer-related fatigue than available pharmaceutical options.

Physical Activity
Physical activity includes being active at work, at home, during transport, and during free time.
Exercise
Exercise is what we do during our free time, such as walking, swimming or strength training.

Moving is one of the best things we can do. All physical activity counts, no matter how much. More activity will generally bring additional benefits.

Benefits of Physical Activity

 

Research shows there are significant benefits for increasing physical activity levels after a cancer diagnosis.

35%

lower risk of recurrence

44%

lower risk of dying from any cause

42%

dying due to breast cancer

In addition to increasing lifespan, physical activity is also shown to improve quality of life.

Physical Activity top tips

There is no best way to be active – find an approach that works for you. Focus on activities you enjoy and can stick to long-term.

Guidance

To stay fit and healthy, it's recommended you get at least 150 minutes of moderate physical activity per week. That’s an average of between 20 to 30 minutes a day.

Aerobic only

• 3 times per week
• 30 min per session
• Moderate intensity (where you can talk, but can’t sing)
• >12 weeks

Resistance only

• 2 times per week
• 2 sets of 12-15 repetitions for each major muscle group
• Moderate intensity (Four repetitions left)
• >12 weeks

Aerobic + Resistance

You can combine aerobic and resistance sessions. There are additional benefits for:
• Sessions longer than 30 minutes
• Programs longer than 12 weeks

When is it safe to exercise?

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Speak with your GP or treatment team

• Heart or lung disease
• Diabetes
• Unsteadiness on your feet
• Worsening physical condition
• Extreme fatigue
• Bone metastases

Referral to physiotherapist

You may get referred to a physiotherapist if you have:
• Peripheral neuropathy
• Arthritis
• Osteoporosis/osteopenia (poor bone health)
• Lymphedema
• Frozen shoulder
• Cording

Other things to consider...

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  • You should be given rehabilitation exercises to do. Try do these as often and for as long as you are advised to.
  • Speak with your surgeon about activities you should avoid and for how long.
  •  

Gradually build up to your normal activities.

  • Wear loose fitting clothing to prevent rubbing against sensitive skin.
  • You may be advised to avoid swimming due to skin irritation – check with your treatment team.
  • If you do swim, make sure to rinse thoroughly afterwards.

 

Avoid exercises that cause pain to the affected area.

  • Avoid swimming due to risk of infections.
  • Activity is fine, but be careful not to put pressure on it or dislodge it.
  • Avoid vigorous upper body exercises that could displace your line.

Wait 48 hours after having PICC line inserted.

  • Exercise likely won’t worsen lymphedema.
  • Wear your compression garment if you have one.
  • Start your exercise with gentle arm exercises to encourage lymphatic flow. This can be your warm-up.
  • Build up slowly and avoid exercising the arm to the point of fatigue.
  • Stop and seek help if you notice a significant increase in swelling or heaviness in the affected arm.

Speak to your treatment team.

  • Avoid high-impact exercises (running, jumping).
  • Try low-impact, weight bearing exercises (walking, dancing, climbing stairs, squats).
  • Choose exercises that avoid pain in the affected area.

Speak to your treatment team.

  • Exercise in a cool environment and wear loose clothing.
  • Consider exercising earlier in the day to avoid interference with sleep. Focus on relaxing exercises in the evening.
  • Try low-impact, weight bearing exercises, such as walking, dancing, climbing stairs or squats.
  • Prioritise strength exercise to increase muscle mass and strengthen bones.

 

Consider “movement snacking” – accumulate short amounts of activity through the day, such as 5 minutes at a time.

How to exercise

 

Local charities and support groups often have movement classes that are free to access.