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Exercise Helps Breast
Cancer Fight
Getting modest amounts of exercise, even just an easy half-hour
walk a day, appears to substantially improve women's chances of
surviving breast cancer.
Staying active has long been thought
to lower the risk of getting cancer, but a new report says it
may also be an important prescription for recovery.
The study released found that women
who exercised after breast cancer reduced their chance of dying
from the disease by one-quarter to one-half, depending on how
active they were.
"We know that physical activity
has been shown to improve the quality of life for women with breast
cancer," said Dr. Michelle Holmes of Brigham and Women's Hospital
in Boston. "We conclude it may also help them live longer as well
as better."
Just how exercise might do this
is still unclear, though experts have several theories. Whatever
the biological explanation, the researchers say moderate exercise
is an undeniably safe recommendation that can improve cancer survivors'
health in many ways.
Holmes presented her findings Monday
at a meeting of the American Association for Cancer Research,
a gathering of 13,500 researchers in Orlando.
People who walk and get other kinds
of exercise are less likely to develop many common health problems,
including heart disease, high blood pressure, osteoporosis and
diabetes. Several studies also suggest exercise can prevent breast
and colon cancer, and it may also help stop endometrial, kidney
and esophageal cancer.
Generally, doctors recommend at
least 45 minutes of moderate to vigorous exercise five times a
week. This might prevent colon cancer by speeding the movement
of food through the intestines. Exercise might also reduce breast
cancer by burning up stored fat that produces estrogen, which
in turn can fuel breast cancer growth.
"Even modest exercise can have
major benefits," said John Groopman, head of environmental health
sciences at Johns Hopkins school of public health.
Holmes' results were based on the
Nurses Health Study, which has followed the health of almost 122,000
female nurses since 1976. The researchers looked at physical activity
in 2,167 women who were diagnosed with breast cancer after the
study began.
During up to 16 years of follow-up,
it turned out that those who got lots of exercise were most likely
to survive their disease, although even a little bit clearly helped.
Most of the women walked for exercise.
Those who put in one to three hours a week at a leisurely 3 mph
lowered their risk of dying from breast cancer by one-quarter,
compared with the most sedentary women. Those who walked between
three and eight hours a week cut their risk in half.
The researchers waited until two
years after the women learned of their cancer before measuring
their exercise.
In another study at the conference,
researchers from Vanderbilt University looked at the effects of
lifelong exercise on the risk of endometrial cancer, which is
the fourth most common cancer in U.S. women. The study was conducted
on 832 women in China, where this kind of cancer has nearly doubled
since the 1970s.
Charles Matthews said those who
stayed active through exercise, housework and walking and cycling
for errands had about a one-third lower risk of this form of cancer.
"An active lifestyle, whether from
exercise or other domains of life, conferred substantial benefit,"
he said.
Another way exercise may help is
by reducing low-level inflammation, which has also been linked
to heart disease and is more common among the overweight.
At the Fred Hutchinson Cancer Research
Center in Seattle, researchers put 114 overweight older women
on an exercise program to see the effect on C-reactive protein,
one sign of this kind of inflammation. After a year, CRP fell
about 20 percent in those who were obese, even if they did not
lose much weight.
"Brisk walking is a great activity
for women who want to improve their cardiovascular health and
reduce their cancer risk," said Cornelia Ulrich, who presented
the data.
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EDITOR'S NOTE: Medical Editor Daniel
Q. Haney is a special correspondent for The Associated Press.
___
On the Net:
http://www.aacr.org/2004AM/2004AM.asp
Reference
Source 102
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