may run over two lines Name Title Date Evidence of reduced risk from physical activity Convincing Colon Probable Breast p ostmenopausal Endometrium Limited but suggestive Lung ID: 661152
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Presentation title which may run over two lines
NameTitleDateSlide2
Evidence of reduced risk from physical activity
Convincing
ColonProbable
Breast (p
ost-menopausal
)EndometriumLimited but suggestiveLungPancreasBreast (pre-menopausal)
Conclusions of World Cancer Research Fund (WCRF) expert report (2007) and continuous update project (CUP)Slide3
Pre-diagnosis
(prevention)
Pre-treatment
(prehabilitation)
Treatment
(symptom control)
Survivorship
(health promotion)
Post-treatment
(rehabilitation)End of life(palliation)Slide4
Physical activity and survival
Emerging evidence of physical activity post-diagnosis as an independent predictor of survival time/disease progression
Cancer
Studies
Risk reduction
Breast
4
>20% cancer mortality/progression
Colorectal
6
>30% cancer mortality/progressionProstate2>50% cancer mortality/progressionLung
1
>30% total mortality
Brain
1
>30% total mortalitySlide5
Exercise is safe both during and after most cancer treatments
Patients are advised to avoid inactivity and return to normal daily activities as soon as possible after surgery, and during adjuvant cancer treatments
The standard age appropriate guidelines are also appropriate for cancer patientsSlide6
Slide7
Safety considerations
Potential risk
Precaution
Exacerbate
symptoms
Avoid
high intensity; modify based on site of treatment
Immune
suppression
Avoid high intensity/volume & public places while white blood cell counts are lowBone fracturesAvoid high impact/contact with bone metastases/osteoporosis riskFallsAvoid activities needing balance with dizziness/frailty/peripheral neuropathySlide8
Department of Health. Improving Outcomes. (2102).
A Strategy for Cancer. Second Annual Report. London: Stationery Office.Slide9
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Macmillan Cancer Support/ICM. (2011). Online survey of 400 health professionals who deal with cancer patients (100 GPs, 100 practice nurses, 100 oncologists, and 100 oncology nurses, of whom 52 were oncology nurse
specalists
).
Fieldwork conducted 23 May-12 June 2011. Survey results are
unweighted
.Slide12
Craig P, Dieppe P, Macintyre S,
Michie
S, Nazareth I,
Patticrew
M. Developing and evaluating complex interventions: new guidance. Medical Research Council; 2008 Sep pp. 1–39.Slide13
Michie
S, van Stralen MM, West R. The behaviour
change wheel: A new method forcharacterising and designing behaviour change
interventions. Implementation Science.
BioMed
Central Ltd; 2011 Apr 23;6(1):42. Slide14
Slide15
Michie
S, van Stralen MM, West R. The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science.
BioMed Central Ltd; 2011 Apr 23;6(1):42.Slide16
Slide17
Slide18
Michie
S, van Stralen MM, West R. The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science. BioMed Central Ltd; 2011 Apr 23;6(1):42.Slide19
Slide20
Slide21
Michie
S, Richardson M, Johnston M, Abraham C, Francis J, Hardeman W, et al. The Behavior Change Technique Taxonomy (v1) of 93 Hierarchically Clustered Techniques: Building an International Consensus for the Reporting of Behavior Change Interventions. ann behav med. Springer US; 2013 Mar
20;46(1):81–95. Slide22
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Health care professional responsibilities:
if you have only 60 seconds
ASK
ADVISE
ACT
about current physical activity levels and if they are aware of the benefits of moving more
of the benefits of physical activity to people living with and beyond cancer
signpost on for more help and supportSlide25
Slide26
Craig P, Dieppe P, Macintyre S,
Michie
S, Nazareth I,
Patticrew
M. Developing and evaluating complex interventions: new guidance. Medical Research Council; 2008 Sep pp. 1–39.Slide27
Slide28
Slide29
Slide30
Slide31
Slide32
Slide33
Slide34
Craig P, Dieppe P, Macintyre S,
Michie
S, Nazareth I,
Patticrew
M. Developing and evaluating complex interventions: new guidance. Medical Research Council; 2008 Sep pp. 1–39.Slide35
Site 1
Site 2
Site 3
Site 4
Site 5
3 month Time Period
6 months time period 9 month time period 12 month time period 15 month time period Slide36
“To ensure everyone living with and beyond cancer is aware of the benefits of physical activity and enabled to choose to become and to stay active at a level that is right for them.”Slide37
Physical activity the underrated wonderdrug
‘Keeping active has helped me, and my family, through a really difficult time. It’s helped me return to a more normal way of life and has given me a real sense of achievement’. Ted Poulter, Slide38
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