CHAPTER 1: Introduction John Saxton and Amanda Daley 1.1 Abstract 1.2 The burden of cancer 1.3 Stages of the cancer experience 1.4 Exercise and the cancer survivor 1.4.1 Cancer as a 'Teachable moment' 1.4.2 Health benefits of exercise 1.4.3 Exercise terminology 1.4.4 Exercise guidelines for cancer survivors 1.5 Levels of evidence 1.5.1 General overview 1.5.2 Observational studies 1.5.3 Qualitative studies 1.5.4 Randomized controlled trials 1.6 Dose-response issues 1.7 Aims of this book 1.8 References CHAPTER 2: Exercise and cancer-related fatigue syndrome Margaret L McNeely and Kerry S Courneya 2.1 Abstract 2.2 Introduction 2.2.1 Incidence of CRF 2.2.2 Etiology of CRF 2.2.3 Conceptual framework for the study of CRF 2.3 Assessment of CRF 2.3.1 Clinical syndrome of CRF 2.3.2 CRF-specific measurement instruments 2.4 Management strategies for CRF 2.4.1 Pharmacological interventions 2.4.2 Psychosocial interventions 2.4.3 Exercise interventions 22.214.171.124 Breast cancer 126.96.36.199 Prostate cancer 188.8.131.52 Hematopoietic stem cell transplantation 184.108.40.206 Advanced cancer 220.127.116.11 Combined interventions for CRF 2.5 Special considerations for exercise testing and programming 2.5.1 Screening for exercise participation 2.5.2 Exercise testing 2.5.3 Exercise programming 18.104.22.168 Prescription considerations for patients with poor functional capacity 22.214.171.124 Intermittent or interval exercise training 126.96.36.199 Muscular fitness training 188.8.131.52 The training index 184.108.40.206 Pacing 2.6 Summary and conclusions 2.7 References CHAPTER 3: Exercise as an intervention during breastcancer treatment Martina Markes 3.1 Abstrac 3.2 Introduction 3.2.1 Impact of breast cancer treatment 3.2.2 Physical activity behaviours 3.3 The evidence base for exercise: a systematic review 3.3.1 Methods of the systematic review 3.3.2 Description of studies 3.3.3 Effects 220.127.116.11 Physical and mental health 18.104.22.168 Adverse effects 3.3.4 Exercise adherence and maintenance 3.3.5 Quality of the evidence 3.3.6 Applicability of the evidence to the breast cancer population 3.3.7 Implications for research 3.4 Implementation and dissemination 3.5 Summary 3.6 References CHAPTER 4: Exercise after treatment for breast cancer: effects on quality of life Helen Crank and Amanda Daley 4.1 Abstract 4.2 Introduction 4.2.1 Incidence and survival from breast cancer 4.2.2 Consequences of breast cancer 4.2.3 Psychosocial and psychosocial interventions 4.3 The potential role of exercise after treatment for breast cancer 4.4 Chapter overview 4.5 Is exercise an effective quality of life intervention after treatment for breast cancer? Summary of the evidence 4.5.1 Setting the scene: early intervention studies 4.5.2 The 'boom' years 22.214.171.124 Trials of supervised aerobic exercise 126.96.36.199 Weight-training and resistance exercise interventions 188.8.131.52 Combined aerobic exercise and resistance training interventions 184.108.40.206 Pragmatic home-based exercise interventions 220.127.116.11 Alternative modes of exercise 18.104.22.168 Exercise versus other quality of life interventions 4.6 Reviews and meta-analyses 4.7 'What's it like?' Cancer survivor experiences of exercise 4.8 What next? 4.9 Summary and conclusions 4.10 References CHAPTER 5:
An increasing number of exercise scientists are applying their skills collaboratively (with medics and physiotherapists) to clinical populations and investigating the effects of exercise in relation to wide-ranging clinical, pathophysiological and psycho-social outcomes.
The book is aimed at final year Undergraduate and Master's level students of Exercise Science, who are interested in working with clinical populations such as cancer patients. Many university Sport and Exercise Science courses in the UK and USA now have modules which are focused on exercise for health, and cover aspects of exercise science which are appropriate for clinical populations. The book would also be a very valuable resource for Undergraduate and Postgraduate Physiotherapy courses and a very useful resource for students of Exercise Science and Physiotherapy, as well as practitioners working with cancer patients.There are an increasing amount of research opportunities for exercise scientists who are interested in working with clinical populations. Furthermore, a considerable amount of Government and Charity research funding is being targeted at active lifestyles and this is helping to generate a new culture of collaboration between exercise scientists and medics. Hence, it is highly likely that an increasing number of students from Sport and Exercise Science courses will pursue careers within the clinical realm in the future. Practicing exercise therapists, clinical exercise physiologists and physiotherapists would also find lots of useful up-to-date knowledge to support their evidence-based clinical practice. This book would also be of interest to informed readers who are themselves undergoing or recovering from cancer treatment.
There is no book currently on the market that collates all the most up-to-date scientific literature on exercise after a cancer diagnosis in one volume, and in relation to outcomes that are meaningful to the patients