EHR523 Lecture Notes - Lecture 12: Cachexia, Peripheral Neuropathy, Exercise Prescription

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Exercise guidelines: >150 minutes per week of moderate intensity aerobic exercise or >75 minutes per week of vigorous intensity aerobic exercise. 2-3 days per week of resistance training: avoid physical inactivity across all stages of the cancer journey. Something is better than nothing: be as active as the condition allows. Radiation: no specific contraindications, consider patient specific side effects, avoid exercises that increase sweating or risk removing radiation markers. Consider blood cell counts and other contraindications to exercise. Monitoring for chronic side effects: some common side effects. Cancer related fatigue (discussed in week 9) Taste changes and mouth sores decrease ability to consume food. Chemo brain clear instruction, consider use of cognitive tasks in exercise. Cachexia: characterised by systemic inflammation and negative energy balance. Cardiac muscle loss: research for exercise in cancer cachexia is limited, research on strength training focuses on downregulation of muscle mass.

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