Physical exercise interventions and telemonitoring of physical activity during or after systemic cancer treatment

Harm Ormel

doi:10.33612/diss.893501352

Physical exercise interventions and telemonitoring of physical activity during or after systemic cancer treatment

Vertaalde titel van de bijdrage: Beweeginterventies en telemonitoring van fysieke activiteit tijdens of na systemische behandeling van kanker

Harm Ormel

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Door verbeterde diagnostiek en behandelingsmogelijkheden genezen meer mensen van kanker. Veelvoorkomende bijwerkingen van de behandeling zijn vermoeidheid, afname van conditie en spierkracht en vermindering van kwaliteit van leven. Een beweegprogramma kan helpen om de chemotherapiebehandeling beter te doorstaan. In dit proefschrift onderzocht Ormel hoe de effectiviteit van beweegprogramma’s kan worden verbeterd.

Ormel heeft voorspellende factoren voor succesvolle deelname in kaart gebracht, zoals een sportverleden en de nabijheid van de trainingslocatie, en concludeert dat een programma aangepast op de individuele patiënt optimaal is.

Ook werd onderzocht of sporten tijdens chemotherapiebehandeling beter is dan sporten nadien. Sporten tijdens de chemotherapie helpt de conditie, spierkracht en kwaliteit van leven te behouden en vermoeidheid te verminderen. Echter, wanneer sporten tijdens chemotherapie niet mogelijk is, is starten nadien een goed alternatief. Beide groepen keerden namelijk één jaar na afronding van het sportprogramma terug naar hun uitgangsniveaus. Verder werd aangetoond dat een multidisciplinair revalidatieprogramma voor patiënten met borstkanker die hormonale therapie slikken, helpt om te voldoen aan de Nederlandse Norm Gezond Bewegen, een gunstig effect heeft op kwaliteit van leven en vrouwen minder bijwerkingen hebben.

Patiënten met kanker ervaren vaak een hoge drempel voor deelname aan een sportprogramma. Ormel onderzocht of ze middels eenvoudige instructies zelf hun vrijetijdsactiviteiten kunnen bijhouden met de RunKeeper app om deze drempel te verlagen. Patiënten lijken hierdoor een actievere leefstijl aan te nemen. Aanvullende coaching door fysiotherapeuten liet geen toegevoegde waarde zien. Wel adviseert Ormel om meer onderzoek te doen naar apps en coaching om een actieve leefstijl te stimuleren.

Vertaalde titel van de bijdrage	Beweeginterventies en telemonitoring van fysieke activiteit tijdens of na systemische behandeling van kanker
Originele taal-2	English
Kwalificatie	Doctor of Philosophy
Toekennende instantie	Rijksuniversiteit Groningen
Begeleider(s)/adviseur	Walenkamp-Hageman, Annemiek, Supervisor Gietema, Jourik, Supervisor
Datum van toekenning	26-feb.-2024
Plaats van publicatie	[Groningen]
Uitgever	University of Groningen
Gedrukte ISBN's	978-94-6496-036-5
DOI's	https://doi.org/10.33612/diss.893501352
Status	Published - 2024

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10.33612/diss.893501352

Title and contentsFinal publisher's version, 10,5 MB
Chapter 1Final publisher's version, 9,31 MB
Chapter 2Final publisher's version, 9,5 MB
Chapter 3Final publisher's version, 10,1 MB
Chapter 4Final publisher's version, 12,8 MB
Chapter 5Final publisher's version, 10,4 MB
Chapter 6Final publisher's version, 10,6 MB
Chapter 8Final publisher's version, 9,25 MB
AppendicesFinal publisher's version, 1,19 MB
PropositionsFinal publisher's version, 38,7 KB

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title = "Physical exercise interventions and telemonitoring of physical activity during or after systemic cancer treatment",

abstract = "An increasing number of patients are cured of cancer as a result of improved treatment possibilities. Frequent treatment-related side effects are fatigue, decrease in cardiorespiratory fitness and muscle strength, and reduced quality of life. An exercise program can help patients to better withstand chemotherapy. In this dissertation, Ormel investigated how the effectiveness of exercise programs can be improved in patients with cancer.Ormel identified predictors for successful exercise adherence, such as extensive exercise history and close proximity to exercise location, and concludes that exercise programs should be personalized.Furthermore, Ormel examined whether starting exercise during chemotherapy is preferable, rather than afterwards. Exercise during chemotherapy resulted in better maintained cardiorespiratory fitness, muscle strength and quality of life, and patients experienced less fatigue. However, starting afterwards is a good alternative. At one-year postintervention, both groups have returned to comparable baseline levels. Moreover, a multidisciplinary rehabilitation program seems to help patients with breast cancer to become more active during hormone therapy and to comply with the national physical activity guideline. Also, positive changes were found on quality of life and treatment-related side effects.Patients with cancer often experience barriers to participation in an exercise program. To lower the threshold, Ormel investigated whether patients with cancer that are instructed to self-monitor leisure-time activities with the RunKeeper app would become more physically active. As a result, patients engaged in more physical activity. Additional physiotherapy coaching showed no additional value. Ormel recommends to conduct more research into exercise apps and coaching to promote an active lifestyle.",

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N2 - An increasing number of patients are cured of cancer as a result of improved treatment possibilities. Frequent treatment-related side effects are fatigue, decrease in cardiorespiratory fitness and muscle strength, and reduced quality of life. An exercise program can help patients to better withstand chemotherapy. In this dissertation, Ormel investigated how the effectiveness of exercise programs can be improved in patients with cancer.Ormel identified predictors for successful exercise adherence, such as extensive exercise history and close proximity to exercise location, and concludes that exercise programs should be personalized.Furthermore, Ormel examined whether starting exercise during chemotherapy is preferable, rather than afterwards. Exercise during chemotherapy resulted in better maintained cardiorespiratory fitness, muscle strength and quality of life, and patients experienced less fatigue. However, starting afterwards is a good alternative. At one-year postintervention, both groups have returned to comparable baseline levels. Moreover, a multidisciplinary rehabilitation program seems to help patients with breast cancer to become more active during hormone therapy and to comply with the national physical activity guideline. Also, positive changes were found on quality of life and treatment-related side effects.Patients with cancer often experience barriers to participation in an exercise program. To lower the threshold, Ormel investigated whether patients with cancer that are instructed to self-monitor leisure-time activities with the RunKeeper app would become more physically active. As a result, patients engaged in more physical activity. Additional physiotherapy coaching showed no additional value. Ormel recommends to conduct more research into exercise apps and coaching to promote an active lifestyle.

AB - An increasing number of patients are cured of cancer as a result of improved treatment possibilities. Frequent treatment-related side effects are fatigue, decrease in cardiorespiratory fitness and muscle strength, and reduced quality of life. An exercise program can help patients to better withstand chemotherapy. In this dissertation, Ormel investigated how the effectiveness of exercise programs can be improved in patients with cancer.Ormel identified predictors for successful exercise adherence, such as extensive exercise history and close proximity to exercise location, and concludes that exercise programs should be personalized.Furthermore, Ormel examined whether starting exercise during chemotherapy is preferable, rather than afterwards. Exercise during chemotherapy resulted in better maintained cardiorespiratory fitness, muscle strength and quality of life, and patients experienced less fatigue. However, starting afterwards is a good alternative. At one-year postintervention, both groups have returned to comparable baseline levels. Moreover, a multidisciplinary rehabilitation program seems to help patients with breast cancer to become more active during hormone therapy and to comply with the national physical activity guideline. Also, positive changes were found on quality of life and treatment-related side effects.Patients with cancer often experience barriers to participation in an exercise program. To lower the threshold, Ormel investigated whether patients with cancer that are instructed to self-monitor leisure-time activities with the RunKeeper app would become more physically active. As a result, patients engaged in more physical activity. Additional physiotherapy coaching showed no additional value. Ormel recommends to conduct more research into exercise apps and coaching to promote an active lifestyle.

U2 - 10.33612/diss.893501352

DO - 10.33612/diss.893501352

M3 - Thesis fully internal (DIV)

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Physical exercise interventions and telemonitoring of physical activity during or after systemic cancer treatment

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