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22 Nov 2020
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Counselling promotes exercise in cancer patients

30 Aug 2020
Doctors need to counsel immediate relatives of patients with colorectal cancer on their risk of cancer and the screening protocol.

In patients with cancer, exercise counselling promotes adequate levels of postdiagnosis physical activity (PA), a new study has found. However, physicians need to take into consideration the patients’ past experiences with exercise.

Researchers enrolled 1,002 cancer patients (mean age, 59±12.4 years; 59 percent female) who were asked about their pre- and postdiagnosis involvement in moderate-to-vigorous PA (MVPA), as well as whether they received exercise counselling from their physician or not. Counselling was defined by the 5A framework: Assess, Advise, Agree, Assist, and Arrange.

Of the 5As, Advise (68.5 percent) and Assess (44.9 percent) were the most frequently reported steps. Agree, Assist (<8 percent for both), and Arrange (11.9 percent) were far behind. Despite this, most of the participants were either satisfied (45.7 percent) or very satisfied (20.7 percent) with exercise counselling.

Exercise counselling was positively correlated with postdiagnosis MVPA (p<0.001). The researchers found that this effect was significant only among those who were inactive before having been diagnosed with cancer (p=0.007) and not in those who were already physically active (p=0.264).

Satisfaction levels with counselling likewise emerged as a significant incentive to postdiagnosis MVPA (p=0.048), although this effect was only significant in those who were already active (p=0.009).

“Our findings suggest that people with cancer might benefit from counseling that is tailored to their individual exercise experience,” researchers said. “Supporting physicians in providing an effective exercise consultation that is based on their patients’ PA experiences and establishing broader networks with exercise specialists are potential key points for a successful implementation of exercise counseling into the clinical routine.”

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Most Read Articles
22 Nov 2020
Mental health comorbidities are common among patients with type 2 diabetes mellitus and may lead to worse outcomes, a recent study has found.
Roshini Claire Anthony, 13 Nov 2020

Diabetes is a key risk factor for heart failure (HF), which is the leading cause of hospitalization in patients with or without diabetes. SGLT-2* inhibitors (SGLT-2is) have been shown to reduce the risk of hospitalization for HF (HHF) regardless of the presence or absence of diabetes.

4 days ago
Vitamin D deficiency may be a contributing factor to the mortality rate among patients with the novel coronavirus disease (COVID-19), reports a new study.
Pearl Toh, 3 days ago
Inhaled corticosteroid (ICS) should be the mainstay of long-term asthma management — such is the key message of the latest Singapore ACE* Clinical Guidance (ACG) for asthma, released in October 2020.