Drugs To Prevent Prostate Cancer
Men with benign prostatic hyperplasia are often treated with dihydrotestosterone -lowering drugs called finasteride or dutasteride. These drugs have been studied extensively to determine whether they can prevent prostate cancer, and results suggest that they could reduce cancer risk by about 25 percent. Patients who develop cancer while on the drugs are more likely to get an aggressive form of the disease, so discuss the advantages and disadvantages with your doctor.
Promoting Wellness For Prostate Cancer Patients: A Guide For Men And Their Families
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Overview Of Cancer And Exercise Research
Cancer treatment causes profound debilitation, and leads to reduced physical function and impaired quality of life. These negative sequela have been observed across therapies, from surgery, to radiation to hormonal treatment and targeted therapies. For example, an important indicator of physical fitness and function is aerobic capacity, which has been observed to decrease by 10 to 33% over a 12-week period of chemotherapy for breast and other cancers Almost a third of breast cancer survivors have aerobic capacity below what is required for functional independence. Peak oxygen consumption may also be a predictor of survival in metastatic disease.
These declines can be minimized or prevented with a well thought-out progressive program of restorative exercise. A substantial body of evidence demonstrates that exercise is beneficial for a range of objectively measured and self-reported outcomes. Exercise during and following treatment has been associated with reductions in recurrence and mortality, by 30â60% in breast and colorectal cancers, and has been found to prevent or reduce many of the negative effects of cancer treatments, such as fatigue, muscle weakness, declines in cardiovascular function, functional ability, neuropathy, body composition and quality of life.
Increase Your Vitamin D
Most people dont get enough vitamin D. It can help protect against prostate cancer and many other conditions. Vitamin D-rich foods include cod liver oil, wild salmon and dried shitake mushrooms. Since the sun is a better, more readily available source of vitamin D, many experts recommend getting 10 minutes of sun exposure every day. Doctors often recommend vitamin D supplements. However, you should talk to your doctor before taking any vitamin or supplement.
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Acsm Guidelines Exercise Guidelines For Cancer Survivors
In 2009 the American College of Sports Medicine convened a multidisciplinary group of experts to review cancer exercise research and develop guidelines for survivors. In many ways the ACSM Exercise Guidelines for Cancer Survivors mirror the US Physical Activity Guidelines, but specific recommendations are given for different sites of cancer, stages of disease, types of treatment and acute, long-term and late treatment effects. The overwhelming message to convey to all cancer survivors is to avoid inactivity and that any physical activity may provide some health benefit.
Specific Side Effect Issues
Acute Effects of treatment
Acute treatment-related side effects occur during active treatment when survivors are often immune compromised and are learning to cope with side effects, such as, nausea, vomiting, fatigue, skin rashes, peripheral neuropathy, hair loss, pain, anxiety, depression and changes in self-esteem and body image. These acute treatment-related side effects have a negative impact on quality of life and contribute to the declines in physical and emotional function.
Exercise is possible during active treatment, but survivors need to learn to manage their side effects before they escalate from mild to severe. An exercise program needs to be adapted to the individualâs abilities and focus on improving their specific physical limitations. Many studies have demonstrated that during active treatment exercise improves fatigue, weakness, nausea, depression, anxiety and quality of life.
Oncology professionals need to help patients manage their side effects so they can exercise and function at the highest level possible. Exercise professionals may need to guide the survivor to learn to adapt exercise to their physical state, side effects and degree of fatigue to optimize performance outcomes.
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Things You Cant Change: Age Race And Genes
Prostate cancer is primarily a disease of aging. As you get older, your chances of developing prostate cancer increase. Race and genetics also play a significant role. If you are African American, your chances of developing prostate cancer are double those of white American men. If your father, brother or multiple blood relatives had prostate cancer, you are more likely to get it, too.
Preventing prostate cancer might be difficult if you have these risk factors, but screening early and often can help ensure that if you do get cancer, its diagnosed and treated as soon as possible.
Things You Can Change: Diet And Lifestyle
Men in western countries have much higher rates of prostate cancer than men in Asia. While no one can definitively explain this phenomenon, experts suspect differences in eastern and western diets are to blame. Poor eating habits and diets that heavily rely on fats and animal proteins can cause DNA damage and lead to cancer.
Even men who are already at greater risk due to age, race or genetics can reduce their chances of developing prostate cancer by adopting healthy diets and lifestyles.
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What Clinicians Can Do Now
Provide clear succinct information about exercise at every visit and emphasize that inactivity should be avoided. Survivors need to know that exercise is safe and beneficial at all stages of survivorship, but it needs to be stressed that exercise should begin slowly with a gradual progression to increase volume and intensity. Survivors with specific limitations should be referred to physical or occupational therapy, and survivors who have fewer limitations should be directed to community-based programs. It is important to remind survivors to start slowly and progress slowly. A simple handout with ACSM exercise recommendations will make educating the survivor simple and time efficient.
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About Genesis Comprehensive Prostate Cancer Center
Genesis Comprehensive Prostate Cancer Center is one of the many integrated patient care facilities operated by Genesis HealthcareâSan Diegoâs premier multi-specialty physician practice dedicated to the accurate diagnosis and comprehensive treatment of many cancers, including prostate cancer and other urologic conditions. With 15 offices located throughout San Diego County, our multi-disciplinary team of physicians, technologists and staff provides patients with a full range of clinical advances including minimally invasive treatment alternatives such as active surveillance, CyberKnife and robotic surgeryâall available in a private practice setting that is personal & easy to access.
Cancer Survivor Exercise Programs
With a growing body of research in exercise oncology, so are community programs. Many physical and occupational therapists offer restorative cancer exercise programs, which are fully reimbursable by insurance for indications such as fatigue, muscle weakness, muscle spasms, osteoporosis, pain, connective tissue disorders , cardiopulomonary conditions, and lymphedema. These programs may focus on improving overall function or specifically on managing or preventing lymphedema, improving functional ability, weakness and range of motion. LIVESTRONG at the YMCA is a community-based exercise program that is led by ACSM certified Cancer Exercise Trainers. These individuals have received formal training to work with cancer survivors during and following cancer treatment and understand how to structure and adapt exercise for survivors with different diagnoses, types of treatment and stages of disease. There are many other community programs that are more loosely structured. Online programs, such as Restwiseâ¢ help survivors learn to interpret their symptoms and understand when to rest and how hard to exercise in order to maximize benefits.
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Considerations For Preventing Prostate Cancer