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@ARTICLE{Steindorf:132673,
      author       = {K. Steindorf$^*$ and M. Schmidt$^*$ and P. Zimmer$^*$},
      title        = {[{E}xercise and {P}hysical {A}ctivity {D}uring and after
                      {C}ancer - {W}ho {B}enefits most, {W}hat is {P}roven?]},
      journal      = {Deutsche medizinische Wochenschrift},
      volume       = {143},
      number       = {5},
      issn         = {1439-4413},
      address      = {Stuttgart},
      publisher    = {Thieme},
      reportid     = {DKFZ-2018-00333},
      pages        = {309 - 315},
      year         = {2018},
      abstract     = {A growing number of literature reports positive effects
                      of physical activity and exercise. These effects concern
                      prevention, mortality and progress of cancer. Furthermore
                      they show a reduction of disease- and treatment-specific
                      side effects, which implies a better patients' quality of
                      life. Evidence shows a decreased mortality risk in patients
                      with physically active cancer of colon, breast, ovaries and
                      prostate. Activity recommendations for patients with cancer
                      do not differ from those for healthy persons. However, a
                      decrease in physical activity can be observed in many cancer
                      patients after diagnosis, and this fact concludes to a
                      reduced physical capacity - although just physical capacity
                      helps to overcome the burden of medical treatment and to
                      recover. In fact, tailored exercise programs can counteract
                      a decrease in physical capacity successfully. Further they
                      reduce side effects such as fatigue, incontinence and
                      lymphedema. Moreover, first studies report a positive
                      influence on: chemotherapy-induced polyneuropathies,
                      cancer-related cognitive impairments, bone health and
                      sleep. Finally, an enormous number of investigations
                      showed that exercise interventions can improve psychosocial
                      factors (e. g. mood and self-esteem). Except for very few
                      conditions, such as extremely impaired blood cell counts and
                      days when cardio- or nephrotoxic drugs are given, physical
                      activity should be recommended. Especially during medical
                      treatment, physicians and therapists are prompted to
                      interact closely in order to prevent general activity
                      prohibitions. Physical activity and exercise programs
                      represent a unique and low-cost chance for cancer patients
                      to influence the course of their own disease positively.
                      More effort is necessary to improve professional activity
                      offers for cancer patients and survivors and to specify
                      activity recommendations.},
      cin          = {G210},
      ddc          = {610},
      cid          = {I:(DE-He78)G210-20160331},
      pnm          = {317 - Translational cancer research (POF3-317)},
      pid          = {G:(DE-HGF)POF3-317},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:29506297},
      doi          = {10.1055/s-0043-106885},
      url          = {https://inrepo02.dkfz.de/record/132673},
}