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fatigue, hot flashes, and an increase in cardiovascular risk factors and cardiac dysfunction. Biologic therapies attempt to influence the body s own defense mechanisms to act against cancer cells or potentiate the effects of other drugs (Battiato & Wheeler, 2000). These treatments tend to be better tolerated than chemotherapy but can still produce significant side effects similar to chemotherapy, including a greater risk of cardiovascular complications. The most common protocols for cancer treatment actually include a combination of modalities (i.e., surgery, radiotherapy, and systemic therapy). The timing and sequence of the treatments vary depending on the cancer and its stage. Sometimes treatments are given sequentially and sometimes concurrently. This multimodal treatment protocol means that many cancer survivors are treated on multiple occasions with multiple modalities over many months or years. Consequently, it is easy to see that such prolonged and intensive medical treatments may take a heavy toll on cancer survivors, both physically and emotionally. Given the focus of this chapter on psychosocial aspects of cancer, we restrict our review to the psychosocial effects of the disease and the potential role of exercise in reducing these challenges. Suffice it to say, however, there are many physical, biological, and functional issues faced by cancer survivors that may be of interest to exercise researchers in other disciplines (e.g., physiology, biochemistry, biomechanics). In this sense, exercise oncology is a multidisciplinary field that is best addressed by a multidisciplinary team working in an integrated manner. PSYCHOSOCIAL ISSUES IN CANCER SURVIVORS The diagnosis and treatment of cancer may result in considerable psychological distress. Distress is defined by the U.S. National Comprehensive Cancer Network (2003) as rdlc pdf 417 PDF417 Barcode Creating Library for RDLC Reports | Generate ...
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