Exercise, Therapeutic Yoga,Tai Chi & Qigong for Cancer Survivors

exercise
 

Graf Center for Integrative Medicine
at Englewood Health

Meditation and Yoga for Cancer - April 8th
Mondays, 10:00am – 11:00am ET
Virtual through Zoom - Pre-registration required

Learn guided meditation, therapeutic yoga, and breath work to relax, refocus, and reconnect in a supportive environment. Led by Miranda Lee, CYT and Meditation Instructor.

 

What is one easy lifestyle change you can start today?

Physical activity is one recommendation that all oncology healthcare professionals can agree on, that is an important lifestyle factor moving forward after treatment. As an example of the ongoing research being done on this topic, a study published August 31 dives into the question “Does Exercise Improve Survival After a Cancer Diagnosis?” The answer was YES!

 

"The impact of exercise varies by cancer type and other factors, such as the amount of exercise people reported. But we found that people with cancer who exercised appeared to live longer and overall were less likely to die either of cancer or other serious diseases like cardiovascular disease."

 

You can read further details in Memorial Sloan Kettering Cancer Center’s detailed article on this study posted on their site.

Physical activity, exercise, or whatever you want to call it, is also one change you can easily start today, just decide to make the effort to move more! The Anticancer Lifestyle Program offers a free downloadable ANTICANCER LIFESTYLE FITNESS PYRAMID, which is a useful visual representation and guide to the types and amount of physical activity you should be incorporating into your weekly routine. There is also an interesting perspective on physical activity vs exercise over at ACE (website for American Council of Exercise). They emphasize the importance of finding ways to squeeze in movement throughout the day versus sitting for the majority of the day and then just exercising for 30 minutes. You’ll find a section below of exercise videos designed for either those in treatment or those who have finished treatment.

Therapeutic or Restorative Yoga programs designed for Cancer Survivors are becoming more accessible online and are a great way to combine movement with stress-reducing techniques. You'll find links to a few videos and online classes and I’m working to add more of those resources for 2023!

I am also on the hunt for additional evidence informed research studies and articles to hopefully motivate you (and remind myself as well) to make physical activity a priority!

Cheryl Leving

 

 

Upcoming & Ongoing Events

 
 

MOVING FOR LIFE - DanceExercise for Health®
movingforlife.org

Virtual Dance Exercise Classes
Free Daily Classes - registration required

Their dance exercises are "... supported by research that confirms engagement in therapeutic dance improves quality of life, speeds up recovery time, enhances survivorship, and reduces the chances of recurrence."

Read about this program featured in an article by Cancer Wellness, Nonprofit Moving For Life is curating therapeutic dance for cancer warriors.

 

YogaWorks Pink
3 Months Free Access
Provided by Susan G. Komen®

“…a dedicated restorative fitness program designed for women in treatment and recovery from breast cancer. Join now to receive 3 months of free access to on-demand and daily live classes tailored to breast cancer patients and survivors. Plus, get full access to YogaWorks’ best-in-class curriculum.”

 

Panel Finds Exercise May Lower Cancer Risk, Improve Outcomes - National Institutes of Health Director’s Blog
"Based on the evidence, the panel recommends that cancer survivors engage in moderate-intensity exercise, including aerobic and resistance training, at least two to three times a week. They should exercise for about 30 minutes per session. The recommendation is based on added confirmation that exercise is generally safe for cancer survivors. The data indicate exercise can lead to improvements in anxiety, depression, fatigue, overall quality of life, and in some cases survival."

Can Exercise Reduce the Risk of Cancer Recurrence? - Dana-Farber Cancer Institute
Beyond Cancer Podcast: Episode #4: Exercise and Cancer (audio file 29:33)

Memorial Sloan Kettering Cancer Center
Benefits of Exercise for Cancer Survivors (video: 19 min.)
"Research has shown that if you are a cancer survivor, exercise may reduce your risk of secondary cancers and mortality after treatment. Tiffany Kendig and Annelise Savodnik, physical therapists at Memorial Sloan Kettering Cancer Center, explain the many ways in which exercise can have positive effects on your health during cancer survivorship, and offer recommendations about how to exercise safely and stick with it."
Exercise and Recovery: Treating Symptoms & Improving Well-Being (video 23 min.)
"MSK fitness expert Donna Wilson, RN, describes the power of regular exercise to speed recovery from cancer treatments such as surgery, radiation, and chemotherapy and speaks about how these activities may reduce the risk of a recurrence."

MD Anderson Cancer Center
Exercise for Cancer Survivors: Moving Forward!
A cancer survivor's guide to exercise and heart rate 

Physical Activity and Cancer - National Cancer Institute
This online resource discusses why exercise should be included on your wellness journey.

Prescribing Exercise as Cancer Treatment: A Conversation with Dr. Kathryn Schmitz - NCI
"We concluded from the evidence that exercise after a diagnosis of breast, colon, or prostate cancer is associated with longer survival."

Exercise Guidelines for Cancer Patients and Survivors Infographic (Available to download) American College of Sports Medicine, acsm.org “The chart features evidence-based physical activity recommendations and the associated benefits for specific symptoms and side effects of cancer and its treatments.”

Exercise Guidelines for Cancer Patients and Survivors Infographic (Available free to download)
American College of Sports Medicine, acsm.org
“The chart features evidence-based physical activity recommendations and the associated benefits for specific symptoms and side effects of cancer and its treatments.”

 

Online Exercise Videos Designed for Cancer Patients & Survivors

 

The Exercise and Cancer Integrative Therapy Education Program (ExCITE)
Henry Ford Health
ExCITE "... is a form of Integrative Medicine that uses an exercise regimen to improve cancer treatment results and quality of life for cancer patients and survivors. These videos bring the benefits of ExCITE right to your home."
Videos include: Chair Aerobics, Resistance Band Exercises, Home Exercises without Equipment, Seated Cardio, and Lower Body Strength.

Wellness and Integrative Health Center - Huntsman Cancer Institute (HCI)
Beginner and Intermediate Levels
5 minute Lower Body Workout & 5 minute Upper Body Routine - with Cancer Exercise Specialist Alicia Reynolds, MS
5 minute Core Routine with Exercise Specialist, Danny James, MS, CSCS
11 minute Gentle Stretching Series Upper Body - with Kim Walker, BS, CET, Cancer Exercise Specialist & Exercise Physiologist

MD Anderson Cancer Center
Exercises for Cancer Patients - 29 minutes
5 weight training exercises to make your life easier - Explanation of 5 exercises to begin a weight training routine.

Exercise Videos for Cancer patients and Survivors
Lifestyle Medicine Clinic at Mass General Cancer Center
They offer a series of exercise videos, which are posted as a You Tube video playlist and you can download a fitness program plan as a guideline to make a weekly schedule. “These videos are designed for every level and ability, with modifications shown along the way."
Videos available in Light, Medium, or Advanced Intensity

Memorial Sloan Kettering Cancer Center
Exercise for Cancer Survivors (video 28 min.)
"Fitness expert Donna Wilson of Memorial Sloan Kettering explains the benefits of physical activity and demonstrates exercises for cancer survivors."

exercise-hand-weight

Exercise with MSK

6 Videos from Memorial Sloan Kettering Cancer Center’s fitness experts available on YouTube including
Proper Breathing during Exercise (3:28)
Weight Training (8:40)
Stick Workout (7:27)
Core Strength (11:21)
Simple Aerobics (8:40)

Post-Workout Stretching (9:22)

 

Therapeutic Yoga for Cancer

 

Yoga vs Yoga for Cancer

Many integrative and wellness centers are beginning to offer therapeutic or restorative yoga programs specifically designed for cancer patients & survivors, which offer a more gentle approach to yoga. Due to COVID-19, you’ll now find greater access to these programs online.

Yoga Video for Cancer Patients (video 34:10) - Mass General Hospital Lifestyle Medicine Clinic
Loren Winters, Oncology Nurse Practitioner & Registered Yoga Instructor Loren Winters guide you through this video with a series of gentle poses. No special gear needed.

Say Yes to Yoga - American Cancer Society

iStock.com/SilviaJansenSmith Center for Healing and the Arts Event Calendar for Online Classes - Programs offered virtually through Zoom, please check the calendar for class details and prior registration required by clicking through calendar link.  Gentle Yoga Classes Description Chair Yoga Class - Tuesdays, Noon - 1pm ET/9 - 10am PT Gentle PM Yoga - Tuesdays, 6 - 7:15pm ET/ 3pm - 4:15pm PT Gentle AM Yoga - Thursdays, 10:15 - 11:30am ET/7:15 - 8:30am PT

iStock.com/SilviaJansen

Smith Center for Healing and the Arts - SmithCenter.org
Event Calendar - Programs offered virtually through Zoom, prior registration required, check calendar for latest class schedule changes.

Ongoing Therapeutic Yoga Classes - Click on link for full list of classes & descriptions.
"Weekly gentle yoga classes are open to anyone interested in attending. They are specifically designed for adults facing stress, cancer, or other illness. Learn various techniques to help reduce stress and balance mind, body and spirit. Restorative Yoga focuses on relaxing the body in restful postures."
Chair Yoga Class - Tuesdays, Noon - 1pm ET/9 - 10am PT
Gentle PM Yoga - Tuesdays, 6 - 7:15pm ET/ 3pm - 4:15pm PT
Wake-Up Morning Stretch - Wednesdays, 8am - 9am ET/ 5am - 6am PT

Classes and workshops are free or low cost on a pay-as-you-can basis.
Suggested Donation for 1 Class: $10, Suggested Donation for 1 Month of Classes: $25

 

Yoga4Cancer (y4c.com)
“… is an evidence-informed oncology yoga method tailored to address the specific physical and emotional needs left by the cancer and cancer treatments."

Oncology Yoga Classes On Demand
Access to their library of recorded therapeutic yoga classes.

Yoga for Cancer: A Guide to Managing Side Effects, Boosting Immunity, and Improving Recovery for Cancer Survivors - Tari Prinster, Y4C Founder
(Kindle & Paperback versions available $15-$20 on Amazon)

 
istock.com/Mikolette

istock.com/Mikolette

Yoga Related Research
 

Jan. 26, 2014 - Yoga Can Lower Fatigue, Inflammation in Breast Cancer Survivors -
Ohio State University study, published in Journal of Clinical Oncology
"At the six-month point of the study – three months after the formal yoga practice had ended – results showed that on average, fatigue was 57 percent lower in women who had practiced yoga compared to the non-yoga group, and their inflammation was reduced by up to 20 percent."

March 3, 2014 - Yoga Regulates Stress Hormones and Improves Quality of Life for Women with Breast Cancer Undergoing Radiation Therapy
University of Texas MD Anderson Cancer Center

May 20, 2010 - URMC Study: Yoga Improves Sleep, Quality of Life for Cancer Survivors
University of Rochester Medical Center study, presented at the American Society of Clinical Oncology 2010 meeting

 
 

Tai Chi and Qigong

 
 

June 24, 2024 - Tai Chi reduces risk of inflammatory disease, treats insomnia among breast cancer survivors - UCLA Health
The study involved 90 breast cancer survivors using blood samples over 15 months to analyze changes in inflammation biomarkers. "Researchers found Tai Chi specifically led to more significant, sustained reduction in inflammation among participants compared to cognitive behavioral therapy."

May 24, 2023 - Mind-body practice of qigong can improve cancer-related fatigue - Brown University
"Researchers at Brown University’s Carney Institute for Brain Science found that people with cancer-related fatigue who practiced qigong, a mind-body movement practice, showed clinically significant improvements in fatigue over the course of a 10-week study. And qigong was as effective at reducing fatigue as a more energy-intensive exercise and nutrition program, the researchers found."

Group of adults outdoors in a Tai Chi class.

The Benefits of Tai Chi and Qigong for Patients with Cancer - Conquer Magazine
"Did you know that there are ways of gently exercising that can be especially beneficial for patients with cancer and cancer survivors?"

Tai chi: Healing from the inside out - MD Anderson Cancer Center

Memorial Sloan Kettering Cancer Center
Qigong for Cancer Survivors: An Introduction (video 33 min.)
”Integrative medicine specialist Yang Yang describes the benefits of qigong for cancer survivors, and demonstrates exercises and meditation.”

Tai Chi Video Series - "In this [4] video series, Memorial Sloan Kettering’s mind-body therapist Robin Hardbattle guides you through the principles of tai chi and the exercises themselves. These videos are intended to help people who are new to the practice, as well as those who already have some experience."

  • Warm-up exercises to loosen up your muscles and joints

  • An explanation of the individual movements so you’ll know the best way to stand and move

  • A full tai chi sequence, based on the Yang style short form by Cheng Man-ching

  • Cool-down techniques to bring your heart rate back to its normal resting level

Tai Chi Related Research

June 24, 2024 - Tai Chi reduces risk of inflammatory disease, treats insomnia among breast cancer survivors - UCLA Health
The study involved 90 breast cancer survivors using blood samples over 15 months to analyze changes in inflammation biomarkers. "Researchers found Tai Chi specifically led to more significant, sustained reduction in inflammation among participants compared to cognitive behavioral therapy."

May 24, 2023 - Mind-body practice of qigong can improve cancer-related fatigue - Brown University
"Researchers at Brown University’s Carney Institute for Brain Science found that people with cancer-related fatigue who practiced qigong, a mind-body movement practice, showed clinically significant improvements in fatigue over the course of a 10-week study. And qigong was as effective at reducing fatigue as a more energy-intensive exercise and nutrition program, the researchers found."


Physical Activity Research

July 25, 2024 - Physical training improves quality of life in advanced breast cancer - German Cancer Research Center
”Targeted physical training can improve the quality of life of patients with metastatic breast cancer and alleviate fatigue. This is shown by an international randomized multicenter study. In the course of the training program, which included two sessions per week over nine months, disease- and therapy-related symptoms were markedly reduced, which was associated with a improved quality of life compared to the control group.”

August 30, 2023 - Exercise could help one of prostate cancer treatment's most-common and devastating side effects - Edith Cowan University, Australia
"Sexual dysfunction is a common, distressing, and persistent side effect of prostate cancer treatment, with both physical and psychological effects," Professor Galvao said. "Our study shows these patients can immediately benefit from supervised exercise interventions to improve their sexual health."

May 2, 2023 - Exercise Increases the Number of Cancer-Destroying Immune Cells in Cancer Patients - University of Turku, Finland
”Two new Finnish studies show that short bouts of light or moderate exercise can increase the number of immune cells in the bloodstream of cancer patients.”

Nov. 14, 2022 - MODERATE EXERCISE HELPS COLORECTAL CANCER PATIENTS LIVE LONGER
 Huntsman Cancer Institute, University of Utah
 
"Regular physical activity can extend colorectal cancer patients’ lives. In a first-ever study, scientists looked at the impact of exercise on the gut microbiome of cancer patients and reported a positive association." Researchers “…found that regular physical activity can aid in creating a healthy gut microbiome, while also reducing inflammation.”

Oct. 18, 2022 - Exercise Improves Cardiorespiratory Fitness During and After Chemotherapy - American College of Cardiology
"During chemotherapy, physical exercise intervention is safe, improves long-term cardiorespiratory fitness, and alleviates some of the adverse effects of cancer treatment, according to a study published Oct. 18 in JACC: CardioOncology. If exercise isn't feasible during chemotherapy, the individual can participate in an exercise program afterward to recover the same level of function."

Fall 2022 Issue, UrologyHealth extra - Living Healthy: Exercise Can Benefit Men Under Active Surveillance for Prostate Cancer - American Urological Association
The study found the men assigned to the exercise group in the study, “… had lower levels of prostate-specific antigen (PSA). This protein can be a sign of prostate cancer and also a sign of other non-cancerous prostate conditions, like an enlarged prostate. In men who exercised, PSA levels also rose more slowly, which suggests exercise may decrease cancer growth.

nordic-walking

Aug. 16, 2019 - Nordic walking may benefit breast cancer patients

"Nordic walking, an aerobic activity performed with walking poles similar to ski poles, may benefit patients with breast cancer, according to a review of existing research. The low-impact exercise improved swelling, physical fitness, disability and quality of life, the study authors conclude in the European Journal of Cancer Care."

August 11, 2022 - Can Exercise Boost Chemotherapy’s Effectiveness, Improve Outlook for Colon Cancer Survivors? - Pennington Biomedical Research Center
'Two new federally funded studies will recruit more than 300 patients with colon cancer to determine whether aerobic exercise can make chemotherapy more tolerable and less toxic and prevent fat from invading muscle tissue, a predictor of cancer recurrence, heart disease, and death.
“More than half the patients with colon cancer treated with chemotherapy have to delay treatment or have a lower dose of treatment because the drugs have so many side effects. That’s known as chemotherapy toxicity,” said Justin C. Brown, PhD, Director, Cancer Metabolism Program at Pennington Biomedical Research Center. “We think aerobic exercise will allow patients to be treated with optimal doses of chemotherapy, reduce the incidence of chemotherapy toxicities, and enable more people to be cured.” Dr. Brown expects the study’s findings will change the clinical practice guidelines that recognize exercise as an essential supportive treatment for chemotherapy.

June 2, 2022 - Exercise amplifies immune attack on pancreatic cancer - NYU Grossman School of Medicine
"In collaboration with The University of Texas MD Anderson Cancer Center, the study authors then found that human patients enrolled in their Preoperative Rehabilitation During Neoadjuvant Therapy for Pancreatic Cancer clinical trial who exercised before surgery to remove their pancreatic tumors had more CD8 effector T cells that expressed a protein called granzyme B, which confers tumor cell–killing ability. Also in that trial, which opened in 2017, those patients who exercised and had more of these cell types had 50 percent higher overall survival over 5 years than patients with fewer of them."

Feb. 1, 2022 - Exercise may boost impact of pre-surgical chemo in patients with esophageal cancer - British Journal of Sports Medicine
According to a small trial study, British researchers found tumor shrinkage was greater in the group assigned to participate in a program that included exercise along with their pre-surgical chemo treatments versus the group that was assigned lifestyle advice along with their pre-surgical chemo treatment.

Nov. 11, 2021 - Cancer Survivors Make Strides in Community Exercise Programs- University of Texas Arlington
"In a new research article published in Cancer, researcher and Assistant Professor Yue Liao in the Department of Kinesiology found that cancer survivors improved their quality of life, physical activity level and physical functioning after completing a 12-week group-based exercise program."

August 18, 2021 - Physical activity associated with better cognition in breast cancer patients - Washington University School of Medicine in St. Louis
"A new study from Washington University School of Medicine in St. Louis has found a strong association between high levels of physical activity and the ability to maintain cognitive function among breast cancer patients treated with chemotherapy. The research lays the groundwork for future clinical trials aimed at investigating whether moderate to vigorous exercise can ward off what is commonly referred to as “chemo brain,” a decline in cognitive function many breast cancer patients experience."

Dec. 2, 2020 - Combined exercise, mindfulness training may help reduce fatigue in cancer survivors - Beckman Institute for Advanced Science & Technology
40 women participated in the 7-day trial and were asked to fill out questionnaires about their perceived fatigue levels. “They were then divided into three groups where they were asked to either exercise or undergo mindfulness training or a combination of both.” The participants all reported a moderate level of self-reported mental fatigue at the beginning of the study. Researchers found that “Over the course of the week, the groups that took part in a combination of exercise and mindfulness training reported a drop in fatigue levels from moderate to mild. The other groups did not show a comparable degree of improvement.”

May 15, 2020 - For Women with Breast Cancer, Regular Exercise May Improve Survival
"The guidelines recommend that adults engage in at least 2.5 to 5 hours of moderate-intensity physical activity or 1.25 to 2.5 hours of vigorous-intensity aerobic physical activity per week. Women with breast cancer who met the minimum physical activity guidelines both before diagnosis and at the 2-year follow-up (after treatment) had a 55% reduced chance of their cancer returning and a 68% reduced chance of death from any cause (not just breast cancer) compared with those who did not meet the guidelines at both times."

Dec. 26, 2019 - Exercise may reduce risk for cancer by as much as 25 percent - Journal of Clinical Oncology
Researchers analyzed nine studies involving more than 750,000 adult participants and compared physical activity with the incidence of 15 types of cancer. "... people who engaged in physical activity as recommended by the National Institutes of Health were able to reduce their risk for seven different types of cancer by as much as 25 percent. This included common -- and deadly -- forms of the disease like colon and breast cancers, as well as endometrial cancer, kidney cancer, myeloma, liver cancer, and non-Hodgkin lymphoma."

Aug. 14, 2019 - Exercise associated with benefit to patients with advanced colorectal cancer - Dana-Farber Cancer Institute
"Patients with metastatic colorectal cancer who engaged in moderate exercise while undergoing chemotherapy tended to have delayed progression of their disease and fewer severe side effects from treatment, according to the results of a new study. Even low-intensity exercise, such as walking four or more hours a week, was associated with a nearly 20 percent reduction in cancer progression or death over the course of the six-year study, said researchers from Dana-Farber Cancer Institute and Brigham and Women’s Hospital, reporting in the Journal of Clinical Oncology."