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25 January 2013

Exercise tied to better colon cancer survival odds

People with colon cancer who spend more time walking and fewer hours on the couch are less likely to die over the seven to eight years after being diagnosed, a new study suggests.

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People with colon cancer who spend more time walking and fewer hours on the couch are less likely to die over the seven to eight years after being diagnosed, a new study suggests.

The findings don't prove exercise boosts survival, researchers said. But the pattern held even after they adjusted for cancer stage and patient demographics.

"Any activity is better than none," including walking, stretching and gardening, said Dr Peter Campbell, the lead researcher on the study from the American Cancer Society. "Five to ten minutes at a time is fine, and the type of activity we're talking about here, this isn't marathon running or climbing the Alps."

How the study was done

Dr. Campbell's analysis included about 2 300 people who developed colon cancer out of an initial pool of 184 000 volunteers in a cancer prevention and nutrition study launched in 1992.

Over an average of eight years after their diagnosis, 846 people with colon cancer died - including 379 from cancer.

Study participants who exercised the most - equal to two and half hours of walking per week or more - both before and after being diagnosed were 28% to 42% less likely to die during follow-up than those who barely exercised at all.

Spending six or more hours of leisure time on the couch daily before diagnosis, compared to less than three hours, was tied to a 36% higher chance of dying. Being sedentary after a cancer diagnosis was linked to a 27% increased risk of death - although that particular finding didn't reach statistical significance, the researchers noted January 22 in the Journal of Clinical Oncology.

To account for the fact that very sick people can't exercise, Dr Campbell and his colleagues excluded anyone who died within two years of their last survey, and found similar results.

Obesity, lack of exercise tied to colon cancer

Researchers have known for a while that obesity and exercise affect a person's risk of getting colon cancer in the first place, said Dr. Jeffrey Meyerhardt from the Dana-Farber Cancer Institute in Boston, who has also studied exercise and colon cancer survival.

"The question when you're a patient with colorectal cancer is, 'Do those things matter once I get the disease? Are there things I can do in addition to standard treatment to reduce my risk of recurrence?'" he said.

Researchers say there are a couple of possible explanations for why exercise, both pre- and post-diagnosis, might benefit people with cancer.

"What we think is at least part of what is happening is, people are going into surgery and adjuvant treatment in a more fit state," Dr. Campbell told Reuters Health.

In addition, he said, being active can have beneficial effects on levels of insulin and other hormones, he said.

People in the study who exercised regularly were less likely to die in general and also less likely to die of cardiovascular disease. For those patients, exercise likely has the same benefit as for cancer-free people, Dr. Campbell said.

"Patients that have colon cancer, about two-thirds of them survive after five years and what they end up dying of is what all older people end up dying of, and that's usually cardiovascular disease."

(Reuters Health, January 2013)

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