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Kanser Tedavisinde Bazı Biyokimyasal Parametreler Üzerine Fiziksel Aktivitenin Rolü

Yıl 2024, Cilt: 3 Sayı: 1, 10 - 24, 31.03.2024
https://doi.org/10.59312/ebshealth.1363593

Öz

Kanser ciddi bir halk sağlığı sorunu oluşturmaktadır. Son araştırmalar, kanser hastalarının hem tedavi sırasında hem de sonrasında yaşam kalitesini artırmada egzersizin önemli rolünün ve tedavi sonuçları üzerindeki potansiyel olumlu etkisinin altını çiziyor. Bu makale, güncel verilerden yararlanarak, kanser bağlamında fiziksel aktivitenin önemini değerlendirmektedir.
Kanser tedavisi farklı yöntem ve stratejileri içeren uzun vadeli bir süreçtir. Bir tedavi planı hazırlamak hastanın yaşı, genel sağlık durumu, spesifik kanser türü ve evrelemesi gibi faktörlere bağlıdır. Kanser tedavisinin ana yöntemleri arasında kemoterapi, radyoterapi, immünoterapi, cerrahi prosedürler, hedefe yönelik tedaviler, hormon tedavisi ve kök hücre nakli yer alır. Bu yöntemlerden bir veya birkaçı ile tedavi edilen hastalarda ortaya çıkan yan etkileri azaltmanın yollarından biri aerobik ve direnç egzersizleri yapmaktır.
Araştırmalar kanser tedavisinde fiziksel aktivitenin artan önemini vurgulamaktadır. Bu dönem artan duygusal stres ile karakterizedir. Düzenli egzersizin kanıtlanmış faydaları vardır. Egzersiz, endorfin salınımını uyarır, depresyonu, kaygıyı azaltır ve daha iyi uyku kalitesini artırır. Ayrıca yorgunluk, kas kaybı, kilo alımı ve kemik yoğunluğunun azalması gibi yan etkilerin hafifletilmesine de hizmet eder. Ayrıca düzenli egzersiz bağışıklık sisteminin güçlendirilmesine, enfeksiyonlara karşı direncin artmasına katkıda bulunur. Özellikle, bir araştırma meme kanseri olan kadınların egzersizi yaşamlarına dahil ettiklerinde kanserin tekrarlama riskinin azaldığını vurgulamaktadır.
Kanser tedavisinde egzersiz, enzim aktiviteleri üzerinde önemli bir etkiye sahiptir ve potansiyel olarak metabolik süreçlerde değişikliklere yol açmaktadır. Enzim aktiviteleri metabolizma üzerindeki etkilerine bağlı olarak artabilir veya azalabilir. Özellikle egzersizin antioksidan enzimlerin aktivitesini arttırırken aynı zamanda oksidatif stresi azalttığı gösterilmiştir. Oksidatif stresin kanser hücrelerinin büyümesini ve yayılmasını kolaylaştırdığı bilindiğinden, kanser tedavisi düşünüldüğünde bu etki özel bir öneme sahiptir.
Sonuçta, kanser tedavisi sırasında ve sonrasında egzersiz yapmanın öneminin giderek daha fazla anlaşıldığı söylenebilir. Ancak her hastanın kanseri kendine özel olduğu için yapılacak fiziksel aktivitelerin bireysel olarak planlanması ve uzmanlar tarafından takip edilmesi gerekmektedir.

Etik Beyan

YOK

Destekleyen Kurum

YOK

Proje Numarası

YOK

Teşekkür

YOK

Kaynakça

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The Role of Physical Activity on Some Biochemical Parameters in Cancer Treatment

Yıl 2024, Cilt: 3 Sayı: 1, 10 - 24, 31.03.2024
https://doi.org/10.59312/ebshealth.1363593

Öz

Cancer poses a serious public health problem. Recent studies underscore the crucial role of exercise in enhancing the quality of life for cancer patients, both during and after treatment, and its potential positive impact on treatment outcomes. This article assesses the importance of physical activity in the context of cancer, drawing on current data.
Cancer treatment is a long-term process that includes different methods and strategies. Crafting a treatment plan hinges on factors such as the patient's age, overall health, specific cancer type, and its staging. The main methods of cancer treatment include chemotherapy, radiotherapy, immunotherapy, surgical procedures, targeted therapies, hormone therapy and stem cell transplantation. One of the ways to reduce the side effects that occur in patients treated with one or more of these methods is to do aerobic and resistance exercises.
Research emphasizes the increasing importance of physical activity in cancer treatment. This period is characterized by increased emotional stress. Regular exercise has proven benefits. Exercise stimulates the release of endorphins, reduces depression, anxiety and promotes better sleep quality. Furthermore, it serves to alleviate side effects such as fatigue, muscle loss, weight gain, and diminished bone density. Additionally, regular exercise contributes to fortifying the immune system, enhancing resistance against infections. Notably, a research highlights that women with breast cancer exhibit a reduced risk of cancer recurrence when they incorporate exercise into their lives
Exercise in cancer treatment exerts a significant influence on enzyme activities, potentially leading to alterations in metabolic processes. Enzyme activities may either rise or fall based on their impact on metabolism. Notably, exercise has been shown to boost the activity of antioxidant enzymes while simultaneously diminishing oxidative stress. This effect holds particular importance when considering cancer treatment, as oxidative stress is known to facilitate the growth and dissemination of cancer cells
In conclusion, it can be said that the importance of exercising during and after cancer treatment is increasingly understood. However, since each patient's cancer is unique, physical activities need to be individually tailored and monitored by experts.

Proje Numarası

YOK

Kaynakça

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  • Hayes, S. C., Steele, M. L., Spence, R. R., Gordon, L., Battistutta, D., Bashford...Eakin, E. (2018). Exercise following breast cancer: Exploratory survival analyses of two randomised, controlled trials. Breast Cancer Research Treatment, 167, 505–514, doi:org/10.1007/s10549-017-4541-9
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  • Lee, J. H. and Jun, H. S. (2019). Role of myokines in regulating skeletal muscle mass and function. Frontiers Physiology, 10(42) 1-9, doi:org/10.3389/fphys.2019.00042
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  • Marques, A., Marconcin, P., Werneck, A. O., Ferrari, G., Gouveia, E. R., Kliegel, M… Ihle, A. (2021). Bidirectional association between physical activity and dopamine across adulthood—A Systematic Review. cBrain Science, 11(7), 829, doi:org/10.3390/brainsci11070829
  • Metcalfe, R. S., Kemp, R., Heffernan, S. M., Churm, R., Chen, Y. C., Ruffino, J. S…Orange, S. T. (2021). Anticarcinogenic effects of exercise-conditioned human serum: evidence, relevance and opportunities. European Journal of Applied Physiology, 121, 2107-2124, doi:org/10.1007/s00421-021-04680-x
  • Misiag, W., Piszczyk, A., Szymanska-Chabowska, A. and Chabowski, M. (2022). Physical Activity and Cancer care-a review. Cancers, 14, 4154, doi:org/10.3390/cancers14174154
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  • Morishita, S., Hamaue, Y., Fukushima, T., Tanaka, T., Fu J. B. and Nakano, J. (2020). Effect of exercise on mortality and recurrence in patients with cancer: A Systematic Review and Meta-Analysis Integrative Cancer Therapies, 19, 1-10, doi:org/10.1177/1534735420917462
  • Nazik, E., Öztunç, G. and Şahin, B. (2014). Effects of progressive relaxation training on sleep quality and pain in patients with breast cancer undergoing chemotherapy. Anatolian Journal of Nursing and Health Sciences, 17(3), 171-178.
  • Nuri, R., Moghaddasi, M. and Izadpanah, A. (2016). Effect of aerobic exercise on leptin and ghrelin in patients with colorectal cancer. Journal of Cancer Research and Therapeutics, 12(1), 169-174, doi:org/10.4103/0973-1482.155982
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  • Oruç, Z. and Kaplan, M. A., (2019). Effect of exercise on colorectal cancer prevention and treatment, World Journal Gastrointest Oncology, 11(5), 348-366, doi:org/10.4251/wjgo.v11.i5.348
  • Pahlavani, H. A. and Veisi, A. (2018). The effect of aerobic and anaerobic training with melatonin consumption on the expression of apoptotic genes BAX and BCL2 myocardial in rats after ischemic reperfusion. Journal of Human Sport and Exercise, 13(2), 454–66, doi:org/10.14198/jhse.2018.13.Proc2.29.
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  • Permadi, A. (2019). The benefits of aerobic training for improving quality of life: A Critical Review of Study, WMJ, 4(2), 57-60, doi:org/10.22225/wmj.4.2.1016.57-60
  • Piraux, E., Caty, G., Nana, F. A. and Reychler, G. (2020). Effects of exercise therapy in cancer patients undergoing radiotherapy treatment: A narrative review, 8, doi:org/10.1177/2050312120922657
  • Pollán, M., Casla‑Barrio, S., Alfaro, J., Esteban, C., Segui‑Palmer, M.A., Lucia, A. and Martín, M. (2020). Exercise and cancer: a position statement from the Spanish Society of Medical Oncology. Clinical and Translational Oncology, 22, 1710-1729, doi:org/10.1007/s12094-020-02312-y
  • Rasmussen, G. H. F., Kristiansen, M., Arroyo-Morales, M., Voigt, M. and Madeleine, P. (2020). Absolute and relative reliability of pain sensitivity and functional outcomes of the affected shoulder among women with pain after breast cancer treatment. Plos one, 15(6), e0234118 doi:10.1371/journal.pone.0234118
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  • Roscoe, C. M. P., Pringle, A., Chandler, C., Faghy, M. A. and Barratt, B. (2022). The role of physical activity in cancer recovery: an exercise practitioner’s perspective. International Journal of Environmental Research Public Health, 19, 3600, doi:org/10.3390/ijerph19063600
  • Schink, K., Herrmann, H. J., Schwappacher, R., Meyer, J., Orlemann, T., Waldmann, E... Zopf, Y. (2018). Effects of whole-body electromyostimulation combined with individualized nutritional support on body composition in patients with advanced cancer: a controlled pilot trial. BMC Cancer, 18, 886 doi:org/10.1186/s12885-018-4790-y
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  • Severinsen, M. C. K. and Pedersen, B. K. (2020). Muscle-Organ crosstalk: The emerging roles of myokines. Bioogy Medicine, Endocrine Reviews. 41(4), 594-609, doi:org/10.1210/endrev/bnaa016
  • Shao, W., Zhang, H., Qi H. and Zhang, Y. (2022). The effects of exercise on body composition of prostate cancer patients receiving androgen deprivation therapy: An update systematic review and meta-analysis. PLoS One, 17(2), doi:org/10.1371/journal.pone.0263918
  • Sundari, L. P. R. and Arsani, N. L. K. A. (2022). Regular physical exercise increase of growth hormone (gh) and insulin-like growth factor-1 (igf-1) activity in elderly improve the aging process and quality of life: A mini review. Biomedical & Pharmacology Journal, 15(2), 883-890, doi:org/10.13005/bpj/2422
  • Swain, C. T. V., Ann, E., Drummond, A. E., Boing, L., Milne, R. L., Dallas, R…Lynch, B. M. (2022). Linking physical activity to breast cancer via sex hormones, part 1: the effect of physical activity on sex steroid hormones. Cancer Epidemiol Biomarkers Prevention, 31(1), 16-27, doi:org/10.1158/1055-9965.EPI-21-0437.
  • Teixeira, G. R., Mendes, L. O., Veras, A. S. C., Thorpe, H. H. A., Fávaro, W. J., Chuffa, L. G. A... Martinez F.E. (2020). Physical resistance training-induced changes in lipids metabolism pathways and apoptosis in prostate. Lipids in Health and Disease, 19, 14, doi:org/10.1186/s12944-020-1195-0
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  • Yousaf, R. and Marwat, M. K. (2022). Effect of moderate level aerobic training on maximum oxygen consumption and cardiovascular fitness of non-athlete students GESR VII, (1) 15, doi:org/10.31703/gesr.2022(VII-I).15
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  • Zhao, H., Cheng, R., Song, G., Teng, J., Shen, S., Fu, X…Liu C. (2022). The effect of resistance training on the rehabilitation of elderly patients with sarcopenia: A Meta-Analysis. International Journal of Environmental Research and Public Health, 19, 15491, doi:org/10.3390/ijerph192315491
  • Zheng, A. S., Zhang, L., Yang, J., Xiaomeng, Yin, X., Zhang, T… Ma, X. (2022). Physical activity prevents tumor metastasis through modulation of immune function. Frontiers in Pharmacology. 13, 1034129. doi:org/10.3389/fphar.2022.1034129
  • Zhou, Y., Jia, N., Ding, M. and Yuan K. (2022). Effects of exercise on inflammatory factors and IGF system in breast cancer survivors: a meta‑analysis. BMC Women’s Health, 22, 507, doi:org/10.1186/s12905-022-02058-5
  • Zhu, C., Ma, H., He, A., Li, Y., He, C. and Xia, Y. (2022). Exercise in cancer prevention and anticancer therapy: Efficacy, molecular mechanisms and clinical information. Cancer Letters, 544, 215814 doi:org/10.1016/j.canlet.2022.215814
Toplam 72 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Fizyoterapi
Bölüm Derlemeler
Yazarlar

Egemen Dere 0000-0001-9572-1051

Proje Numarası YOK
Yayımlanma Tarihi 31 Mart 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 3 Sayı: 1

Kaynak Göster

APA Dere, E. (2024). The Role of Physical Activity on Some Biochemical Parameters in Cancer Treatment. Doğu Karadeniz Sağlık Bilimleri Dergisi, 3(1), 10-24. https://doi.org/10.59312/ebshealth.1363593

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