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November 2010

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In This Issue
Regular Exercise Benefits Prostate Cancer Survivors
5 Myths: Aging and Exercise
Happy Thanksgiving!!


Happy Thanksgiving


From your friends at
Physicians Physical Therapy Service
Regular Exercise Benefits Prostate Cancer Survivors
By Rebecca Viksnins Swonden

Prostate Cancer FightIf you've recently finished treatment for prostate cancer, exercise may be one of the last things on your mind. But there are plenty of reasons to lace up your sneakers and commit to exercising in 2010. A new study shows that even amoderate amount of exercise - taking regular walks, for example - reduced overall mortality rates in men withprostate cancer. The morevigorous the exercise, the greater the benefits, the study found.


"We saw benefits at veryattainable levels of activity," said Stacey A. Kenfield, ScD, epidemiology researchassociate at the Harvard School of Public Health and lead author of the study. "The result suggests that men with prostate cancer should do some physical activity for their   overall health."

The study was presentedrecently at the AmericanAssociation for Cancer Research Frontiers in Cancer Prevention Research Conference inHouston, Texas, but has not yet been published in a peer-reviewed medical journal.


Kenfield and colleaguesfollowed 2,686 prostate cancer patients who were enrolled in the Health ProfessionalsFollow-up Study from 1986 through 2008. The researchers assessed each man's physical activity both before and after prostate cancer treatment.


They found that men who    engaged in vigorous physical activity for 30 minutes per week (jogging, biking, swimming, or playing tennis) had a 35% lower risk of dying from any cause. Men who walked 4 or more hours per week had a 35% lower risk of dying from any cause than men who walked for less than 20 minutes. Power walkers - those walked 90minutes or more at a normal to brisk pace - saw their riskdecline even more, by 51%, as compared to men who walked less  (less than 90 minutes at an easy pace).


"This is the first large population study to examine exercise in relation to mortality in prostate cancer survivors," said Kenfield. Other studies have focused on how regular exercise might prevent prostate cancer.


The longer and more vigorous the exercise, the greater the benefits for the men, the researchers found. Men who engaged in regular, vigorous exercise were also less likely to die from prostate cancer, though walking didn't affect that risk.


How these factors may work  together to affect prostate cancer biologically is still being studied," said Kenfield. "For now, our data indicate that for prostate cancer survivors, a moderate amount of regular  exercise may improve overall survival, while 5 or more hours per week of vigorous exercise may decrease the death rate due to prostate cancer specifically." Regular exercise also has many other benefits. It can help reduce the bone-weary fatigue many cancer patients feel even after treatment has stopped. Itimproves your cardiovascular (heart and circulation) fitness, strengthens your muscles, lowers anxiety and depression, and can help combat the side effects - fatigue, functional decline, loss of lean body tissue, and increased body fat - associated with hormone therapy.


Find an activity you enjoy and get moving. Just be sure to talk to your doctor before starting any exercise program to make sure it's safe for you, especially if you haven't exercised in a long time.


For ideas on getting active and adopting healthier eating habits, check out the tools and resources from the American Cancer Society at www.cancer.org/foodandfitness

 

 Source: American Cancer Society. www.cancer.org;Article date: January 7, 2010

Five Myths: Aging and Exercise

Aging and ExerciseBy 2030, the population in the United States over age 65 will number more than 721 million. As physical therapists, we know that exercise can treat almost all of the chronic conditions that  affect the aging population. These include hypertension,obesity, diabetes, congestive heart failure, chronic obstructive pulmonary disease, and arthritis. To be effective as the prescribers of this potent treatment, we must first debunk some popular myths about aging and exercise.

 

1. It's too late for exercise to make a difference. Not true. Exercise is always beneficial, and it's never too late to reap those benefits. The decline in mobility is inversely proportional to increases in activity level. Move it or lose it!


2. Exercise means going to the gym or suiting up for a jog. The word "exercise" may be a turn-off for an aging population that did not grow up in an era of gym memberships. However, plenty of common activities provide the same benefits as "exercise." Standing while cooking results in the same levels of oxygen consumption as biking at 5 miles per hour. Making a bed is on par with walking at a 5-mile per hour pace. And video games such as the Wii have combined recreation and exercise.


3. The elderly have pain that prevents effective exercise. Pain is not a natural consequence of aging. However, it often is underrated because of this misconception. A combination of an appropriate therapeutic exercise program and  effective pharmacological intervention can provide excellent pain relief for sufferers of low back pain and arthritis.


4. Exercise is inappropriate for those with dementia. In fact, a daily dose of exercise can improve sleep patterns,      decrease disruptive behavior such as wandering, and decrease the risk of falls. It takes creativity to engage     someone with cognitive decline in activities, but it's worth the effort.


5. The elderly don't have the energy to exercise. No matter the age, exercise can lower resting heart rate and increase cardiac output. The result? Decreased fatigue.

 
Source: APTA: PT Motion Magazine. November 2010 Issue p. 12