Katherine Anderson, ND FABNO National Director Naturopathic ...

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Exercise has the best evidence of non-‐pharmacologic approaches for managing CRF (25,26) . The benefits included: improved physical energy appetite stimulation enhanced functional capacity improvements in QOL and psychological state Reductions in fatigue of about 35% have been shown in RCTs (27) . Trials focused on breast cancer, prostate cancer, multiple myeloma, and colorectal cancer (28) .
A large number of small to moderate sized studies have evaluated the effect of increased activity on CRF. The largest meta-‐analysis to date in 2012 included 70 studies and 4,881 cancer patients. CRF was reduced by exercise by a mean effect of 0.32 and 0.38 during and after cancer therapy respectively (29) . A cochrane analysis published in 2012 included 56 randomized studies (n=4,826), 36 of which were conducted among patients receiving active treatment. Exercise resulted in a decrease in fatigue (30).
Page 1 and 2: Katherine Anderson, ND FABNO Nat
Page 3 and 4: “Although the world is full
Page 5 and 6: National Comprehensive Cancer Net
Page 7 and 8: CRF is more than regular tired
Page 9 and 10: Uni-‐dimensional tools: Measu
Page 11 and 12: Reasons for patients to under-
Page 13 and 14: 1. Conventional Cancer Therapies
Page 15 and 16: CRF can have serious implicatio
Page 17 and 18: Frequency of side effects experienc
Page 19 and 20: Questionnaires and blood samples
Page 21 and 22: Treatments that act on processe
Page 24 and 25: Often transfusion given when Hb
Page 26 and 27: Gastrointestinal Dysfunction Hepa
Page 28 and 29: Loss of appetite or insufficien
Page 30 and 31: Chronic severe pain increases f
Page 32 and 33: The impact of cancer-related fatigu
Page 34 and 35: Problems range from hypersomnia
Page 36 and 37: 3. Proton pump inhibitors Patie
Page 38 and 39: Lack of physical activity tir
Page 40 and 41: “the combination of the best
Page 42 and 43: 1. Lifestyle Modifications 2. Sl
Page 44 and 45: Sleep hygiene, including: Avoida
Page 48 and 49: Studies have confirmed it is c
Page 50 and 51: RCT w/ 78 breast cancer surviv
Page 52 and 53: RCT, 162 patients; Qigong deliv
Page 54 and 55: Adequate vitamins. multivitamin
Page 56 and 57: © 2008 Rising Tide, Kft. 56
Page 58 and 59: RCT; 47 fatigued patients with
Page 60 and 61: Several meta-‐analyses evalua
Page 62 and 63: Study investigated relationship
Page 64 and 65: Rhodiola (46) . Methodological f
Page 66 and 67: Randomly assigned 152 fatigued
Page 68 and 69: Mayo clinic conducted a prospec
Page 70: New treatment options will like

Katherine Anderson, ND FABNO National Director Naturopathic ...

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