Krebs ist keine einzelne Erkrankung, sondern ein Sammelbegriff für viele unterschiedliche Krankheitsbilder. Gemeinsam ist ihnen, dass sich Zellen unkontrolliert teilen und dabei ihre ursprüngliche Funktion verlieren. Gesunde Zellen unterliegen normalerweise strengen Kontrollmechanismen – bei Krebszellen sind diese gestört.

Diese veränderten Zellen können umliegendes Gewebe beeinträchtigen und sich über Blut- oder Lymphbahnen im Körper ausbreiten. Wie schnell und in welcher Form dies geschieht, ist sehr individuell und abhängig von Krebsart, Stadium und körperlichen Voraussetzungen.

Die Entstehung von Krebs ist ein mehrstufiger Prozess, der meist über viele Jahre hinweg abläuft. Dabei spielen verschiedene Faktoren eine Rolle:

• genetische Veränderungen in Zellen
• Umweltfaktoren (z. B. Rauchen, Schadstoffe)
• chronische Entzündungsprozesse
• Bewegungsmangel und ungünstiger Lebensstil

In den meisten Fällen ist es nicht ein einzelner Auslöser, sondern das Zusammenspiel mehrerer Faktoren, das zur Entstehung von Krebs beitragen kann.

Auch wenn Krebs nicht immer vermeidbar ist, zeigen Studien, dass der Lebensstil einen großen Einfluss auf das Erkrankungsrisiko hat. Besonders wichtig sind:

• regelmäßige körperliche Aktivität
• Erhalt von Muskelmasse
• ein aktiver Alltag
• gesunde Schlaf- und Erholungsphasen
• Stressmanagement

Bewegung wirkt sich positiv auf Stoffwechsel, Immunsystem und Entzündungsregulation aus und kann helfen, das allgemeine Gesundheitsniveau langfristig zu verbessern.

Körperliche Aktivität spielt sowohl während als auch nach einer Krebserkrankung eine wichtige unterstützende Rolle. Angepasstes Training kann:

• Muskelabbau entgegenwirken
• Fatigue (starke Erschöpfung) reduzieren
• Mobilität und Kraft erhalten
• das Körpergefühl stärken
• die Lebensqualität verbessern

Entscheidend ist ein individuell angepasstes, sicheres Trainingskonzept, das Belastbarkeit, Tagesform und persönliche Ziele berücksichtigt. Training bedeutet hier nicht Leistung, sondern Stabilität, Selbstvertrauen und Alltagstauglichkeit.

• Hill, B. (2019). Etiology of Cancer. Clinical Ophthalmic Oncology. https://doi.org/10.1007/978-3-642-40489-4_2.
• Heston, W. (1965). Genetic factors in the etiology of cancer.. Cancer research, 25 8, 1320-6 .
• Mulvihill, J., & McKeen, E. (1977). Discussion: Genetics of multiple primary tumors. A clinical etiologic approach illustrated by three patients. Cancer, 40. https://doi.org/10.1002/1097-0142(197710)40:4+<1867::AID-CNCR2820400816>3.0.CO;2-P.
• Rapp, F., & Reed, C. (1977). The viral etiology of cancer. A realistic approach. Cancer, 40. https://doi.org/10.1002/1097-0142(197707)40:1+<419::AID-CNCR2820400702>3.0.CO;2-Q.
• Gross, L. (1997). The role of viruses in the etiology of cancer and leukemia in animals and in humans.. Proceedings of the National Academy of Sciences of the United States of America, 94 9, 4237-8 . https://doi.org/10.1073/PNAS.94.9.4237.
• Migliaccio, A. (2017). A vicious interplay between genetic and environmental insults in the etiology of blood cancers.. Experimental hematology, 59, 9-13 . https://doi.org/10.1016/j.exphem.2017.12.004.
• Wu, Y., Antony, S., Meitzler, J., & Doroshow, J. (2014). Molecular mechanisms underlying chronic inflammation-associated cancers.. Cancer letters, 345 2, 164-73 . https://doi.org/10.1016/j.canlet.2013.08.014.
• Althuis, M., Fergenbaum, J., García-Closas, M., Brinton, L., Madigan, M., & Sherman, M. (2004). Etiology of hormone receptor-defined breast cancer: a systematic review of the literature.. Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 13 10, 1558-68 . https://doi.org/10.1158/1055-9965.1558.13.10.
• Chen, Z., Robison, L., Giller, R., Krailo, M., Davis, M., Gardner, K., Davies, S., & Shu, X. (2005). Risk of childhood germ cell tumors in association with parental smoking and drinking. Cancer, 103. https://doi.org/10.1002/cncr.20894.
• Hannes Leischner (2024) BASICS Onkologie, 6. Auflage
• Rock, C. L., Thomson, C., Gansler, T., Gapstur, S. M., McCullough, M. L., Patel, A. V., … & Kushi, L. H. (2020). American Cancer Society guideline for diet and physical activity for cancer prevention. CA: A Cancer Journal for Clinicians, 70(4), 245-271. https://doi.org/10.3322/caac.21591
• Rief H, Petersen LC, Omlor G, Akbar M, Bruckner T, Rieken S, Haefner MF, Schlampp I, Förstner R, Debus J, Welzel T, German Bone Research Group. (2014). The effect of resistance training during radiotherapy on spinal bone metastases in cancer patients – a randomized trial. Radiotherapy & Oncology. 112(1):133-139.
• Paskett ED, Dean JA, Oliveri JM, Harrop JP.(2012). Cancer-Realted Lymphedema Risk Factors, Diagnosis, Treatment and Impact: a Review. Journal of Clinical Oncology. 30(30):3726-3733
• Streckmann F, Zopf EM, Lehmann HC, May K, Rizza J, Zimmer P, Gollhofer A, Block W, Baumann FT.(2014). Exercise intervention studies in patients with peripheral neuropathy: a systematic review. Sports Med. 44(9):1289-304.doi:10.1007/s40279-014-0207-5.
• Wiskemann J, Huber G.(2008). Physical exercise as adjuvant therapy for patients undergoing hematopoietic stem cell transplantation. Bone Marrow Transplant.41(4):321-9.doi:10.1038/sj.bmt.1705917.
• NIH National Cancer Institute, 2024, https://www.cancer.gov/about-cancer/causes-prevention/risk/diet, zugegrifffen am 27.06.2024
• Doocey, C. M., Finn, K., Murphy, C., & Guinane, C. M. (2022). The impact of the human microbiome in tumorigenesis, cancer progression, and biotherapeutic development
• Long, Y., Tang, L., Zhou, Y., Zhao, S., & Zhu, H. (2023). Causal relationship between gut microbiota and cancers: A two-sample Mendelian randomisation study. BMC Medicine, 21(66). https://doi.org/10.1186/s12916-023-02789-4
• Ringel, A. E., Drijvers, J. M., Baker, G. J., et al. (2020). Obesity shapes metabolism in the tumor microenvironment to suppress anti-tumor immunity. Cell, 183(7), 1848-1866.
• NIH National Cancer Institute, 2022, https://www.cancer.gov/about-cancer/causes-prevention/risk/obesity/obesity-fact-sheet, zugegriffen am 27.06.2024
• Fuller JT, Hartland MC, Maloney LT, Davison K.(2018). Therapeutic effects of aerobic and resistance exercises for cancer survivors: a systematic review of meta-analysis of clinical trials. Br J Sports Med.52(20):1311.doi:10.1136/bjsports-2017-098285.
• Baumann FT, Schüle K.(2022). Bewegungstherapie in der Onkologie: wissenschaftliche Grundlagen, Übungsanleitungen OTT-Versorgungsmodell. Deutscher Ärzteverlag. 2. Auflage.
• Van Waart H et al. (2015).Effect of Low-Intensity Physical Activity and Moderate-to High-Intensity Physical Exercise During Adjuvant Chemotherapy on Physical fitness, Fatigue, and Chemotherapy Completion Rates: Results of PACES Randomized Clinical Trial. J Clin Oncol.33.1918-1927.
• Segal R et al.(2017). Exercise for People with Cancr: A Systematic Review. Curr Oncol.24, e290-e315.
• Fairman CM et al.(2016). Effects of Exercise Interventions during Different Treatmetns in Breast Cancer. J Community Support Oncol.14, 200-209.
• Velthuis MJ et al.(2010). The effect of physical exercise on cancer-related fatigue during cancer treatment, a meta-analysis of randomised controlled trisl. Clin Oncol.22.208-221
• Mustian KM et al.(2017). Comparison of Pharmaceutical, Psychological, and Exercise Treatments for Cancer-Related Fatigue: A Meta-Analysis. JAMA Oncol.3, 961-968.
• Courneya KS et a.(2009). Randomized controlled trial of the effects of aerobic exercise on physical functioning and quality of life in lymphoma patients. J Clin Oncol.27.4605-4612.
• Coleman ET et al.(2012). Effects of exercise on fatigue, sleep and performance: a randomizd trial Oncol Nurs Forum.39.468-477.
• Andrykowski MA, Henslee PJ, Barnett RL.(1989). Longitudinal assessment of psychosocial functioning of adult survivors of allogeneic bone marrow transplantation. Bone Marrow Transplant.4.505-509.
• Dimeo F et al.(1996). An aerobic exercise program for patients with haematological malignancies after boen marrow transplantation. Bone Marrow Transplantation.18.1157-1160
• Wanchai A, Armer JM.(2018). Effects of weight-lifting or resistance exercise on breast-cancer related lymphedema: a systematic review. Int J Nurs Sci.6(1):92-98.doi:10.1016/j.ijnss.2018.12.006.
• Shao Y, Zhong DS.(2017). Manual lymphatic drainage for breast cancer-related lymphoedema. Eur J Cancer Care.26(5)
• De Vrieze T, Gebruers N, Nevelsteeen I, Thomis S, De Groef A, Tjalma WAA, Belgrado JP, Vandermeeren L, Monten C, Hanssens M, Asnong A, Dams L, Van der Gucht E, Heroes AK, Devoogdt N. Does Manual Lymphatic Drainage Add Value in REducing Suprafascial Fluid accumulation and Skin Elasticity in Patients With Breast Cancer-Related Lymphedema? Phys Ther.2022.102(12).
• Ezzo J, manheimer E, McNeely ML, Howell DM, WEiss R, Johansson KI, Bao T, Bily L, Tuppo CM, Williams AF, Kardibak D. Manual lymphatic dranage for lymphedema following breast cancer treatment. Cochrane Database Syst REv.2015.21(5):
• De Vrize T et al. (2022). Does Manual Lymphatic Dranage Add Value in Reudicn Suprafascial Fluid Accumulation and Skin Elasticity in Patients with Breast Cancer-Related Lymphedema? Phys Ther.2022.102(12).
• Tidhar D, Armer JM, STewart BR. What is Clinically Improtant in Pymphedema Management? A Systmatic REview. Rehabilitation Oncology.2018.36(1).13-27.
• Takkouche B, Etminan M, Montes-Martínez A. Personal Use of Hair Dyes and Risk of Cancer: A Meta-analysis. 2005;293(20):2516–2525. doi:10.1001/jama.293.20.2516
• Bahi Takkouche, Carlos Regueira-Méndez, Agustín Montes-Martínez, Risk of cancer among hairdressers and related workers: a meta-analysis, International Journal of Epidemiology, Volume 38, Issue 6, December 2009, Pages 1512–1531, https://doi.org/10.1093/ije/dyp283
• Baumann Ft, Zopf EM, Bloch W.(2012). Clinical exercise interventions in prostate cancer patients – a systematic review of randomized controlled trials. Support Care Cancer.20.212-233.
• Hwang JH et al.(2008). Effects of supervised exercise therapy in patients receiving radiotherapy for breast cancer. Yonsei Med J.49, 443-450.
• Gardner JR, Livingston PM, Fraser SF. (2014).Effects of exercise on treatment-related adverse effects for patients with prostate cancer receiving androgen-deprivation therapy: a systematic review. J Clin Oncol.32.335-346.
• Ostergren PB et al.(2016).The use of exercise interventions to overcome adverse effects of androgen deprivation therapy. Nat Rev Urol.13.353-364.
• Lahart IM et al. (2018). Physical activity for women with breast cancer after adjuvant therapy. Cochrane Database Syst Rev.1.CD011292.
• Hojan K et al.(2013). Effect of physical activity on bone strength and body composition in breast cancer premenopausal women during endocrine therapy. Eur j Phys Rehabil Med.49.331-339
• Winters-Stone KM et al.(2012. The effect of resistance training on muscle strength and physical function in older, postmenopausal breast cancer survivors: a randomized controlled tiral. J Cancer Surviv.6.189-199
• Winters-Stone KM et al.(2013). Impact and resistance training improves bone health and body composition in prematurely menopausal breast cancer survivors: a randomized controlled trial. Osteoporose Int.24.637-646.
• Tomlinson et al. (2014). Effect of exercise on cancer-related fatigue: a meta-analysis. Am J Physi Med Rehabil.93.675-686
• Dennett et al. (2016). Moderate-intensity exercise reduces fatigue and improves mobility in cancer survivors: a systematic review and meta-regression. J Physiother.62.68-82.
• Hilfiker et al.(2018). Exercise and other non-pharmaceutical interventions for cancer-related fatigue in patients during or after cancer treatment: a systematic review incorporating an indirect-comparisons meta-analysis. Br J Sports Med.52.651-658.
• Van Vulpen et al.(2020). Moderators of Exercise Effects on Cancer-related Fatigue: A Meta-Analysis of Individual Patient DAta. Med Sci Sports Exerc.52.303-314.
• Campbell et al. (2019). Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable. Med Sci Sports Exerc. 51. 2375-3290
• Hayes et al.(2019). The Exercise and Sports Science Australia position statement: Exercise medicine in cancer management. Sci Med Sport.22, 1175-1199.
• Schmitz et al.(2019). Exercise is medicine in oncolog: Engaging clinicians to help patients move through cancer. CA Cancer J Clin. 69, 468-484.
• Mustian KM et al. (2017). Comparision of Pharmaceutical, Psychological, and Exercise Treatments for Cancer-Related Fatigue: A Metaanalysis. JAMA Oncol. 3.961-968.
• Mcneely ML, Courneya KS.(2019). Exercise programs for cancer-related fatigue: evidence and clinical guidelines J Natl Compr Canc Netw.8.945-953.
• Meneses-Evhavez JF, Gonzalez-Jimenez E, Ramirez-Velez R.(2015). Supervised exercise reduces cancer-related fatigue: a systematic review. J Physiother.61.3-9
• Zimmer P et al.(2018). Influence of Personalized Exercise Recommendations During Rehabilitation on the Sustainability of Objectively Measured Physical Activity Levels, Fatigue, and Fatigue-Related Biomarkers in Patients With Breast Cancer. Integr Cancer Ther.17.306-311.
• Coleman et al.(2014).Bone health in cancer patients: ESMO Clinical Practice Guidelines. Ann Oncol. 25 Suppl 3, iii124-iii137.
• Hong et al. (2016).Long-term effect of aromatase inhibitors on bone microarchitecture and macroarchitecure in non-osteoporotic postmenopausal women with breast cancer. Osteoporos Int.28.1413-1422.
• Axelsen et al. (2018).Bone loss during neoadjuvant/adjuvant chemotherapy for early stage breast cancer: a retrospective cohort study. Mol Clin Oncol.8.767-772.
• VanderWalde A. Hurria A.(2011). Aging and osteoporosis in breast and prostate cancer. CA Cancer J Clin.61.139-156
• Hong AR et al.(2017). Long-term effect of aromataseinhibitors on bone microarchitecture and macroarchitecture in non-osteoporotic postmenopausal women with breast cancer. Osteoporos Int.28.1413-1422.
• Body JJ et al.(2016). Bone health in the elderly cancer patient: A SIOG position paper. Cancer Treat REv.51.46-53.
• Winter-Stone et al.(2011).Strength training stops bone loss and builds muscle in post-menopausal breast cancer survivors: a randomized, controlled trial. Breast Cancer Res Treat.127.447-456.
• Winters-Stone et al.(2013). Impact and resistance training improves bone health and body composition in prematurely menopausal breast cancer survivors: a randomized controlled trial. Osteoporos Int.24.1637-1646.
• Winter-Stone et al.(2014). Skeletal response to resistance and impact training in prostate cancer survivors. Med Sci Sports Exerc.46.1482-1488
• Campbell et al.(2019). Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable. Med Sci Sports Exerc.51.2375-2390.
• Wonders KY, Reigle BS, Drury DG.(2010). Treatment strategies for chemotherapy-induced peripheral neuropathy: potential role fo exercise. Oncol Rev.4.117-125.
• Antoine JC, Camdessanceh JP.(2007). Peripheral nervous system involvement in patients with cancer. Lancet Neurol.6.75-86.
• Winters-Stone KM et al.(2017). Falls, Functioning, and Disability Among Women With Persistent Symptoms of Chemotherapy-Induced Peripheral Neuropathy. J Clin Oncol.35.2604-2612.
• Streckmann F et al.(2021). Exercise and Neuropathy: Systematic Review with Meta-Analysis. Sports Med.Epub ahead of print. Doi:10.1007/s40279-021-01596-6
• Liang Y et al.(XXXX). Exercise for physical fitness, fatigue and quality of life of patients undergoing hematopoietic stem cell transplantation: a meta-analysis of randomized controlled trials. Jpn J Clin Oncol.48.1046-1057.
• Jarden M et al.(2009). A randomized trial on the effect of a multimodal intervention on physical capacity, functional performance and quality of life in adult patients undergoing allogeneic SCT. Bone marrow transplant. 43. 725-737
• Baumannn FT et al.(2010). A controlled randomized study examining the effects of exercise therapy on patients undergoing haematopoietic stem cell transplantation. Bone marrow transplant.45.355-362.
• Hayes SC et al. (2019). The Exercise and Sports Science Australia position statement: Exercise medicine in cancer management. J Sci Med Sport.22.1175-1199.
• Bringzu G, Schreiner O.(2006). Lehrbuch der Entstauungstherapie: II. Behandlungskonzepte für die Praxis. 2. Auflage. Springer Verlag, Heidelberg
• Hinrichs CS et al. (2004). Lymphoedema secondary to postmastectomy radiation: incidence and risk factors. Ann Surg Oncol.11.573-580.
• Bennett Britton TM, Purushotham AD.(2009). Understanding breast-cancer-related lymphoedema. Surgeon.7.120-124
• Herpertz U.(2010). Ödeme und Lymphdrainage. 4. Auflage. Schattauer Verlag, Stuttgart
• Schijven MP et al.(2003). Comparison of morbidity between axillary lymph node dissection and sentinel node biopsy. Eur J Surg Oncol.29.341-350.
• Lee TS et al. (2008). Prognosis of the upper limb following surgery and radiation for breast cancer. Breast Cancer Res Treat.110.19-37.
• Francis WP et al. (2006). Improving surgical outcomes: standardizing the reporting of incidence and severity of acute lymphedema after sentinel lymph node dissection. Am J Surg.192.636-639.
• Reinhardt V.(2006). Brustkrebs- vorbeugen und richtig behandeln. Compact, München.
• Schmitz KH et al.(2010). American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc.42.1409-1426
• Schmitz KH et al. (2019). Exercise is medicine in onclogy: engaging clinicians to help patients move through cancer. CA Cancer J Clin.69.468-484.
• Trost LW et al.(2013). Androgen deprivation therapy impact on quality of life and cardiovascular health, monitoring therapeutic replacement, J Sex Med.10 (Suppl 1), 84-101.
• Zhao J et al. (2014). Androgen deprivation therapy for prostate cancer is associated with cardiovascular morbidity and mortality: a meta-analysis of populatoin-based observational studies. PLoS One.9.e107516.
• Bargiota A et al. (2020). Adverse effects of androgen deprivation therapy in patients with prostate cancer: Focus on muscle and bone health. J BUON.25.1286-1294.
• Garreau JR et al. (2006). Side effects of aromatase inhibitors versus tamoxifen: the patients´perspective. Am J Surg.192.496-498
• Burstein HJ.(2010). American Society of Clinical Oncology clinical practice guideline. Update on adjuvante endocrine therapy for women with hormone receptor-positive breast cancer. J Clin Oncol. 28.3784-3796.
• Gardner JR, Livingstone PM, Fraser SF.(2014). Effects of exercise on treatment-related adverse effects for patients with prostate cancer receiving androgen-deprivation therapy: a systemativ review. J Clin Oncol.32.335-346
• Ostergren PB et al. (2016). The use of exercise interventions to overcome adverse effects of androgen deprivation therapy. Nat Rev Urol.13.353-364.
• Cormie P, Zopf EM.(2020). Exercise Medicine for the Management of Androgen Deprivation Therapy Related Side Effects in Prostate Cancer. Urol Oncol.38.62-70.
• Lahart IM et al.(2018). Physical activity for women with breast cancer after adjuvant therapy. Cochrane Database Syst Rev.1.CD011292.
• Hojan K et al. (2017). Inflammation, cardiometabolic markers, and functional changes in men with prostate cancer. A randomized controlled trial of a 12-month exercise program. Pol Arch Intern Med.127.25-35
• Winters-Stone KM et al.(2011). Strength training stops bone loss and builds muscle in post-menopausal breast cancer survivors: a randomized, controlled trial. Breast Cancer Res Treat.127.447-456.
• Knasmüller S.(2014).Krebs und Ernährung: Risiken und Prävention- wissenschaftliche Grundlagen und Ernährungsempfehlungen. Georg Thieme Verlag. 1. Auflage.
• Song C, Zhan R, Wang C, Fu R, Song W, Dou K, Wang S.(2021). Sleep quality and risk of cancer: findings from English longitudinal study of aging. Sleep.44(3):zsaa192.
• Chen Y, Tan F, Wei L, Li X, Lyu Z, Feng X, Wen Y, Guo L, He J, Dai M, Li N.(2018). Sleep duration and the risk fo cancer: a systematic review and meta-analysis including close-response relationship. BMC Cacner.18(1149).
• Thou T, Wang Z, Qiao C, Wang S, Hu S, Wang X, Ma X, Wang D, Li J, Li Z, Hou W.(2023). Sleep disturbances and the risk of lung cancer: a meta-epidemiological study. BMC Cancer.23(1):884.
• Hurley S, goldberg D, Bernstein L, Reynolds P.(2015). Sleep duration and cancer risk in women. Cancer Causes & Control26:1037-1045
• Pelucchi C et al. (2011). Alcohol Consumption and Cancer Risk. Nutrition and Cancer.67(7):983-990. (1)
• Wiencke A et al.(2010). Incident cancer attributable to alcohol consumption in Germany. Cancer Causes and Control. (2)
• Wood A et al. (2018). Risk threshold for alcohol consumption: combined analysis of individual-participant data for 599912 current drinkers in 83 prospective studies. The Lancet. (3).
• Rumgay H et al.(2020). Global burden of cancer in 2020 attributabel to alcohol consumption: a population-based study. Lancet Oncology.22(8):1071-1080. (5)
• Mercier J, Savard J, Bernard P. (2017)Exercise interventions to improve sleep in cancer patients: a systematic review and meta-analysis. Sleep Med Rev.36.43-56.
• Tomeh Ma, Hadianamrei R, Zhao X. (2017).A Review of Curcumin and Its Derivatives a Anticancer Agents. Int J Mol Sci.20(5).
• Wolf R, Heckler CE, Guido JJ, Peoples AR, Gewandtter JS, Ling M, Vinciguerra VP, Anderson T, Evans L, Wade J et al. (2018). Oral curcumin for radiation dermatitis: a URCC NCORP study of 686 breast cancer patients. Support Care Cancer.26(5):1543-1552.
• Hejazi J, Rastmanesh R, Taleban FA, Molana SH, Jejazi E, Ehtejab G, Hara N.(2016). Effect of Curcumin Supplementation During Radiotherapy on Oxidativ Status of Patients With Prostate Cancer: A Double Blinded, Randomized, Placebo-Controlled Study. Nutr Cancer.68(1):77-85.
• Ide H, Tokiwa S, Sakamaki K, Nishio K, Isotani S, Muto S, Hama T, Masuda H, Horie S.(2010). Combined inhibitory effects of soy isoflavones and curcumin on the production of prostate-specific antigen. Prostate. 70(10):1127-33.
• Irwin, M., & Ziegler, M. (2005). „Sleep deprivation impairs immune function by altering natural killer cell activity.
• Irwin, M. R., Wang, M., Campomayor, C. O., Collado-Hidalgo, A., & Cole, S. (2006). „Sleep deprivation and activation of morning levels of cellular and genomic markers of inflammation.
• Daniel, L., Meltzer, L., Gross, J., Flannery, J., Forrest, C., & Barakat, L. (2021). Sleep practices in pediatric cancer patients: Indirect effects on sleep disturbances and symptom burden. Psycho‐Oncology, 30. https://doi.org/10.1002/pon.5669.
• Simeit, R., Deck, R., & Conta-Marx, B. (2004). Sleep management training for cancer patients with insomnia. Supportive Care in Cancer, 12, 176-183. https://doi.org/10.1007/s00520-004-0594-5.
• Elmetwaly, A., Mohamed, E., Elmaati, H., & Mohamed, S. (2019). Sleep Hygiene: Improving Sleep Quality and Fatigue for Patients Receiving Chemotherapy. , 7, 1078-1085. https://doi.org/10.12691/AJNR-7-6-22.
• Muscaritoli M et al. (2010). Consensus definition of ssarcopenia, cachexia and pre-cachexia: joint document elaborated by Special Interest Groups (SIG) “cachexiaanorexia in chronic wasting disease” and “nutrition in geriatrics”. Clin Nutr.29,154-159.
• Aj-Majid S, Waters H. (2008). The Biological Mechanisms of Cancer-Related Skeletal Muscle Wasting. The Role of Progressive Resistance Exercise. Biol Res Nurs.10.7-20.
• Bamman MM et al. (2001). Mechanical load increases muscle IGF-I and androgen receptor mRNA concentrations in humans. Am J Physiol Endocrinol Metab.280, E383-390.
• Eschke, R. C. K. R., Lampit, A., Schenk, A., Javelle, F., Steindorf, K., Diel, P., … & Zimmer, P. (2019). Impact of physical exercise on growth and progression of cancer in rodents—a systematic review and meta-analysis. Frontiers in oncology, 9, 35.
• Guais A, Baronzio G, Sanders E, Campion F, Mainini C, Fiorentini G, Montagnani F, Behzadi M, Schwartz L, Abolhassani M. Adding a combination of hydroxycitrate and lipoic acid (METABLOC™) to chemotherapy improves effectiveness against tumor development: experimental results and case report. Invest New Drugs. 2012 Feb;30(1):200-11. doi: 10.1007/s10637-010-9552-x. Epub 2010 Oct 8. PMID: 20931262
• Israël, M., & Schwartz, L. (2020). SCOT is a vital enzyme for tumors: With reference to Carney Triad Cancers and the ketogenic diet. Trends in Res, 3, 1-2.
• da Veiga Moreira, J., Hamraz, M., Abolhassani, M., Schwartz, L., Jolicœur, M., & Peres, S. (2019). Metabolic therapies inhibit tumor growth in vivo and in silico. Scientific reports, 9(1), 3153.
• Altman, B. J., Stine, Z. E., & Dang, C. V. (2016). From Krebs to clinic: glutamine metabolism to cancer therapy. Nature Reviews Cancer, 16(10), 619-634.
• Gaesser GA. Whole Grains, Refined Grains, and Cancer Risk: A Systematic Review of Meta-Analyses of Observational Studies. Nutrients. 2020 Dec 7;12(12):3756. doi: 10.3390/nu12123756. PMID: 33297391; PMCID: PMC7762239.
• Klement RJ, Champ CE,. (2014). Calories, carbohydrates and cancer therapy with radiation: exploiting the five R´s through dietary manipulation. Cancer Metastasis Review. 33(1):217-29. Doi:10.1007/s10555-014-9495-3.