Journal of Sports Science and Medicine
Journal of Sports Science and Medicine
ISSN: 1303 - 2968   
Ios-APP Journal of Sports Science and Medicine
Androit-APP Journal of Sports Science and Medicine
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©Journal of Sports Science and Medicine ( 2019 ) 18 , 462 - 470

Case report
A Case Study of Exercise Adherence during Stereotactic Ablative Radiotherapy Treatment in a Previously Active Male with Metastatic Renal Cell Carcinoma
Michael C. Hartland1, Kade Davison1, Maximillian J. Nelson1, Jonathan D. Buckley1, Gaynor Parfitt1, Joel T. Fuller2, 
Author Information
1 Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, Sansom Institute for Health Research, University of South Australia, Adelaide, South Australia
2 Faculty of Medicine and Health Sciences, Macquarie University, New South Wales, Australia

Joel T. Fuller
✉ Faculty of Medicine and Health Sciences, Macquarie University, 75 Talavera Rd, Macquarie Park 2109 NSW, Australia
Email: joel.fuller@mq.edu.au
Publish Date
Received: 28-02-2019
Accepted: 20-05-2019
Published (online): 01-09-2019
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ABSTRACT

Stereotactic Ablative Radiotherapy (SABR) is increasingly replacing thoracotomy for resection of lung cancers and oligometastatic lung lesions but it is not known whether exercise can be maintained during SABR, the major side-effect of which is fatigue. This case study describes a 57-year-old male who exercised regularly (above American College of Sports Medicine minimum weekly exercise guidelines) and continued to exercise during SABR for a renal cell metastasis in his left lung. His exercise program included 5x60-minute moderate intensity aerobic exercise sessions and 3x45-minute resistance exercise sessions per week for 12 weeks post-treatment. Cardiorespiratory fitness and strength, as well as self-reported fatigue, depression, anxiety, physical wellbeing and sleep quality were assessed at baseline and fortnightly. Exercise adherence was 98% and no adverse events occurred. Fatigue was elevated from Weeks 2-8, which adversely impacted exercise intensity perception. Minimal changes were observed in cardiorespiratory fitness, depression, anxiety and sleep quality, but strength decreased, and physical wellbeing was improved above baseline levels. This is the first reported clinical case of exercise during SABR for a lung carcinoma. The data suggest that exercise may be feasible for patients undergoing SABR and may improve physical wellbeing. Larger controlled studies are needed to confirm these findings.

Key words: Supportive cancer care, aerobic exercise, resistance exercise, maximal oxygen uptake, muscle strength, fatigue


           Key Points
  • This is the first reported clinical case of exercise during stereotactic ablative radiotherapy for a lung carcinoma.
  • Fatigue during and after stereotactic ablative radiotherapy altered the relationship between the perception of exercise intensity and heart rate and compromised the rating or perceived exertion-based exercise prescription.
  • The patient’s ability to adhere to the exercise and the lack of adverse events suggests that continuing to exercise may be feasible for patients undergoing stereotactic ablative radiotherapy.
  • Exercise improved physical wellbeing, but larger randomised controlled studies are needed to confirm this finding.
 
 
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