Cancer in an athlete: effects of a 16-week physical training plan in an outdoor environment during and after chemotherapy. Case report

Authors

DOI:

https://doi.org/10.35509/01239015.940

Keywords:

Urinary bladder neoplasms, exercise therapy, drug therapy combination, cisplatin, neutropenia, ototoxicity, return to sport

Abstract

A 55-year-old male patient, a physiotherapist with 95% neuroendocrine bladder cancer, started a plan of neoadjuvant chemotherapy (CT) with etoposide and cisplatin (EP) in four cycles of three sessions each before radical cystectomy. The patient has practiced mountaineering and cycling for more than 35 years, with an average of 1,000 km cycling per month. In agreement with the treating oncologist, he carried out a physical training plan during and after CT, four times a week for 16 weeks, mainly in an outdoor environment (road cycling, hiking or trekking, fast walking, and stationary cycling). As a result, the three proposed objectives were successful: CT was completed on planned dates and doses, there were no permanent side effects, and the patient’s sport-related cardiovascular and musculoskeletal condition was maintained.

Author Biographies

Rodrigo Antonio Rojo-Castro, Departamento de Kinesiología, Universidad de Chile, Santiago de Chile, Chile.

1. Departamento de Kinesiología, Universidad de Chile, Santiago de Chile, Chile.

Javier Ignacio Bravo-Gatica, Escuela de Kinesiología, Universidad de Chile, Santiago de Chile, Chile.

2. Escuela de Kinesiología, Universidad de Chile, Santiago de Chile, Chile.

References

Muñoz I, Briceño C, Figueroa G. Manejo multidisciplinario: una propuesta para mejorar la calidad de vida del paciente oncológico en quimioterapia. Rev Hosp Clin Univ Chile. 2013;24:142-9. https://www.redclinica.cl/Portals/0/Users/014/14/14/Publicaciones/Revista/manejo_multi_paciente_oncologico.pdf

Ferreira R. Neuropatía sensorial periférica induzida pela cisplatina: estudo dos mecanismos de neurotoxicidade da cisplatina e do efeito protetor do éster fenetil do acido cafeico (CAPE) em células PC12 [Tesis doctoral]. Sao Paulo. Facultad de Ciencias Farmaceuticas de Riberao Preto, Universidad de Sao Paulo 2018. Disponible en: https://www.teses.usp.br/teses/disponiveis/60/60134/tde-17102018-104638/publico/Tese_Simplificada_original.pdf

Tórtola-Navarro A, Santalla A. Fatiga relativa al cáncer: factores desencadenantes y función del ejercicio físico. Arch Med Deporte. 2021;38(3):209-19. https://doi.org/10.18176/archmeddeporte.00045

Knols R, Aaronson N, Uebelhart D, Fransen J, Aufdemkampe G. Physical exercise in cancer patiens during and after medical treatments: A systematic review of randomized and controlled clinical trials. J Clin Oncol. 2005;23(16):3830-42. https://doi.org/10.1200/jco.2005.02.148

Segal R, Zwaal C, Green E, Tomasone J, Loblaw A, Petrella T. Exercise for people with cancer: a sistematic review. Curr. Oncol. 2017;24(4):290-315. https://doi.org/10.3747/co.24.3619

Dimeo F, Fetscher S, Lange W, Mertelsmann R, Keul J. Effects of aerobic exercise on the physical performance and incidence of treatment-related complications after high-dose chemotherapy. Blood. 1997;90(9):3390-4. https://doi.org/10.1182/blood.V90.9.3390

Schauer T, Hojman P, Gehl J, Christensen J. Exercise training as prophylactic strategy in the management of neutropenia during chemotherapy. Br J Pharmacol. 2020;179(12):2925-37. https://doi.org/10.1111/bph.15141

Cunningham B, Morris G, Cheney C. Effects of resistive exercise on skeletal muscle in marrow transplant recipients receiving total parenteral nutrition. J Parenter Enteral Nutr. 1986;10(6):558-63. https://doi.org/10.1177/0148607186010006558

Courneya K, Segal R, Mackey J, Gelmon K, Reid R, Friedenreich M, et al. Effects of aerobic and resistance exercise in breast cancer patients receiving adjuvant chemotherapy: a multicenter randomized controlled trial. J Clin Oncol. 2007;25(28):4396-404. https://doi.org/10.1200/JCO.2006.08.2024

Courneya K, McKenzie D, Mackey J, Gelmon K, Friedenreich C, Yasui Y, et al. Effects of exercise doce and type during breast cancer chemotherapy: multicenter randomized trial. J Natl Cancer Inst. 2013;105(23):1821-32. https://doi.org/10.1093/jnci/djt297

Courneya K, McKenzie D, Mackey J, Gelmon K, Friedenreich C, Yasui Y, et al. Subgroup effects in a randomised trial of different types and doses of exercise during breast cancer chemotherapy. Br J Cancer. 2014;111(9):1718-25. https://doi.org/10.1038/bjc.2014.466

Schwartz A. Patterns of exercise and fatigue in physically active cancer survivors. Oncol Nurs Forum. 1998;25(3):485-91. https://pubmed.ncbi.nlm.nih.gov/9568604/

Schwartz A, Terry C. Returning to sport: Female athletes living with and beyond cancer. Int. J. Environ. Res. Public Health. 2021;18(15):8151. https://doi.org/10.3390/ijerph18158151

Savage P, Dittus K, Lakoski S. Fitness during breast cancer treatment and recovery in an athlete a case study. Med Sci Sports Exerc. 2016;48(10):1893-97. https://doi.org/10.1249/MSS.0000000000000987

How to Cite

[1]
Rojo-Castro, R.A. and Bravo Gatica, J.I. 2023. Cancer in an athlete: effects of a 16-week physical training plan in an outdoor environment during and after chemotherapy. Case report. Revista Colombiana de Cancerología. 27, 3 (Sep. 2023), 355–360. DOI:https://doi.org/10.35509/01239015.940.

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Published

2023-09-29

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Section

Reportes de caso
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