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JUNE <strong>14</strong>, <strong>2013</strong><br />
Exercise tips for<br />
cancer patients<br />
Health<br />
Watch<br />
By the physicians and staff<br />
at Scripps Memorial Hospital Encinitas<br />
Recently, the American<br />
College of Sports Medicine<br />
convened a panel of 13<br />
researchers with expertise in<br />
cancer, fitness, obesity and<br />
exercise training to study the<br />
effects of exercise and physical<br />
activity for cancer patients.<br />
<strong>The</strong> panel’s conclusion?<br />
Exercise can have impressive<br />
physical benefits for people<br />
who are undergoing cancer<br />
treatments. It can reduce nausea<br />
and pain, preserve bone<br />
density, increase appetite and<br />
improve circulation.<br />
Exercise can also<br />
increase cancer patients’ selfesteem,<br />
lower the risk of anxiety<br />
and depression and<br />
improve overall quality of life.<br />
Other peer-reviewed research<br />
has shown that exercise can<br />
offer substantial health benefits<br />
to cancer patients.<br />
<strong>The</strong> type, intensity and<br />
frequency of exercise must be<br />
appropriate for each individual<br />
patient.Several factors will<br />
influence an exercise plan,<br />
such as the type and stage of<br />
cancer, the treatment regimen,<br />
current restrictions and<br />
limitations and other health<br />
concerns. Developing an exercise<br />
strategy should include<br />
input from the patient’s oncologist<br />
and primary care physician,<br />
along with a personal<br />
trainer and physical therapist.<br />
<strong>The</strong> timing of exercise is<br />
important. Patients going<br />
through chemotherapy for the<br />
first time should wait to exercise<br />
until the first treatment<br />
cycle has been competed, so<br />
they have an idea of how they<br />
may respond to the demands<br />
of exercise. <strong>The</strong>y should avoid<br />
exercise on chemotherapy or<br />
biological treatment days, and<br />
avoid public gyms when their<br />
immune systems are compromised<br />
due to low white blood<br />
cell counts. In addition,<br />
patients who are undergoing<br />
radiation therapy should generally<br />
decrease or avoid exercise<br />
near end of treatment and<br />
for several weeks following it,<br />
and should avoid chlorinated<br />
swimming pools, which can<br />
irritate the skin.<br />
Generally, a well-rounded<br />
exercise program should<br />
include cardiovascular activity,<br />
resistance training, flexibility<br />
exercises and training for<br />
balance and core strength.<br />
Cancer patients undergoing<br />
treatment have an increased<br />
risk of osteoporosis and<br />
peripheral neuropathy, so<br />
exercises that strengthen bone<br />
and promote circulation can<br />
be especially helpful.<br />
For someone just beginning<br />
to exercise during cancer<br />
treatment, the ACSM recommends<br />
moderate-intensity cardiovascular<br />
exercise, such as<br />
walking or stationary cycling,<br />
three to five days a week for 30<br />
minutes. A patient who is in<br />
recovery may be able to<br />
increase the duration or intensity<br />
of exercise with the medical<br />
team’s approval and guidance.<br />
Resistance training can<br />
help patients build muscle<br />
strength. Working with their<br />
medical team, patients can<br />
develop a routine of eight to 10<br />
exercises once or twice per<br />
week to strengthen the large<br />
muscle groups such as the<br />
chest, back and legs, followed<br />
by smaller muscles.<br />
Yoga, Pilates and balance-oriented<br />
exercises can be<br />
ideal for flexibility, stretching<br />
and core strength. Several hospital-affiliated<br />
fitness centers<br />
offer yoga especially for cancer<br />
patients. Mindfulnessbased<br />
stress reduction programs<br />
combine yoga and meditation<br />
to promote physical,<br />
emotional and spiritual health<br />
and can be especially beneficial<br />
for patients undergoing<br />
cancer treatments.<br />
Exercise offers tremendous<br />
benefits to caner<br />
patients, but be smart.<br />
Swelling, dizziness, pain or<br />
blurred vision are warning<br />
signs. If they occur, stop exercising<br />
and call the oncologist<br />
immediately. Should patients<br />
have any questions or concerns<br />
about exercise, take<br />
advantage of the medical<br />
team’s expertise.<br />
“Health Watch” is brought to you by<br />
the physicians and staff at Scripps<br />
Memorial Hospital Encinitas. For<br />
more information or for physician<br />
referral, call (800) Scripps or visit<br />
scripps.org.<br />
NEW LEADERS<br />
THE COAST NEWS<br />
<strong>The</strong> Oceanside Newcomers & Friends installs its <strong>2013</strong>-<strong>14</strong> board of directors. Pictured front row, from left: Wanda Hazewinkel,<br />
Carolyn Keene, Eileen Miller, Maggie Marshall, Cherie Wilson, Diane Gilbert and Paula Powers. Back row, from left, is Barbara<br />
McKenzie, Mary Ann Cooney, Teresa Hatt, Valbori Daughtery, Judy Clarquist, and Cristina West. Not pictured is Hannelore<br />
Freundlich. <strong>The</strong> oath of office was administered by Colleen O’Hara, Oceanside attorney and women's advocate. Courtesy photo<br />
You can create your own adobe brick<br />
ENCINITAS — Do you<br />
like playing with mud? If you<br />
do, then you’ll love making<br />
adobe bricks at the San<br />
Dieguito Heritage Museum<br />
every Saturday and Sunday<br />
throughout the month of<br />
<strong>June</strong>, from noon to 4 p.m. at<br />
450 Quail Gardens Drive.<br />
<strong>The</strong> word adobe has its roots<br />
in Egypt. <strong>The</strong> Native<br />
Americans of the Southwest<br />
United States have been<br />
using adobe for centuries.<br />
<strong>The</strong> Spanish taught the<br />
Native Americans to make<br />
abode structures using wooden<br />
frames to create the<br />
bricks. Learn the history and<br />
then make your own minibricks<br />
and create your own<br />
structure.<br />
Each weekend there<br />
will be free hands-on experi-<br />
Get busy at the San Dieguito Heritage Museum every Saturday and<br />
Sunday making adobe bricks, throughout the month of <strong>June</strong>, from noon<br />
to 4 p.m. at 450 Quail Gardens Drive. Courtesy photo<br />
ences that highlight a certain<br />
era of San Dieguito history.<br />
<strong>The</strong>se activities will<br />
change monthly. <strong>The</strong> historic<br />
eras and corresponding<br />
activities may include:<br />
— Native American<br />
period: rock-painting and<br />
acorn-grinding,<br />
— Rancho Period:<br />
adobe brick-making, cattleroping<br />
and soap-making.<br />
— Pioneer Days: butter-<br />
B5<br />
making, washboard clotheswashing<br />
and quilt--making<br />
— Flower-growing period:<br />
seed planting, plant identification<br />
and plant dyeing<br />
— Surfing and concern<br />
for ocean ecology: balsa<br />
mini-surfboard shaping, kelp<br />
cookie making and ocean<br />
awareness experiences.<br />
For more information,<br />
visit the Museum’s Web site<br />
at sdheritage.org, or call<br />
(760) 632-9711.