Download PDF
B&G Bewegungstherapie und Gesundheitssport 2022; 38(04): 189-192
DOI: 10.1055/a-1871-0057
Praxis

Praxisbeispiel HIIT in der Onkologie

Practical Example of HIIT in Oncology
Nikolai Bauer
1   AG Onkologische Sport- und Bewegungstherapie, Abteilung Medizinische Onkologie, Nationales Centrum für Tumorerkrankungen (NCT) und Universitätsklinikum Heidelberg
,
Joachim Wiskemann
1   AG Onkologische Sport- und Bewegungstherapie, Abteilung Medizinische Onkologie, Nationales Centrum für Tumorerkrankungen (NCT) und Universitätsklinikum Heidelberg
,
Friederike Rosenberger
1   AG Onkologische Sport- und Bewegungstherapie, Abteilung Medizinische Onkologie, Nationales Centrum für Tumorerkrankungen (NCT) und Universitätsklinikum Heidelberg
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints

Zusammenfassung

Onkologischen PatientInnen wird ein regelmäßiges körperliches Training explizit empfohlen. Das Hochintensive Intervalltraining (HIIT) rückt dank steigender Evidenzlage in unterschiedlichen Diagnosegruppen vermehrt in den Fokus der onkologischen Sport- und Bewegungstherapie. Die Betrachtung der aktuellen Literatur zeigt, dass das HIIT für Krebspatienten nach Abschluss der Therapie eine potenziell sichere sowie durchführbare Trainingsmethode ist. Darüber hinaus kann das HIIT positive Effekte auf die verringerte körperliche Leistungsfähigkeit von Krebspatienten haben. In diesem Zusammenhang ist sowohl das „4×4“- als auch das „10×1“-Protokoll mit onkologischen PatientInnen nach Abschluss der Therapie auf dem Fahrradergometer durchführbar, wobei insbesondere das „4×4“-Schema zur Realisierung von intensiven Trainingsreizen geeignet ist. Trotz zunehmender Untersuchungen bezüglich der Effekte von HIIT auf onkologische PatientInnen werden in diesem Forschungsbereich weitere qualitativ hochwertige Studien mit großer Teilnehmendenzahl benötigt.

Abstract

Regular physical training is explicitly recommended for oncological patients. High-intensity interval training (HIIT) is increasingly becoming the focus of oncological sports and exercise therapy thanks to increasing evidence in various diagnostic groups. A review of the current literature shows that HIIT is a potentially safe as well as feasible training method for cancer patients after completion of therapy. In addition, HIIT can have positive effects on the reduced physical performance of cancer patients. In this regard, both the "4×4" and the "10×1" protocol can be carried out with oncological patients on the bicycle ergometer after completion of the therapy. The "4×4" scheme in particular is suitable for the realization of intensive training stimuli. Despite increasing studies regarding the effects of HIIT on oncological patients, further high-quality studies with a large number of participants are needed in this area of research.

Stichworte

Krebs - Tumorerkrankungen - Training - Bewegung - körperliche Aktivität.

Keywords

Cancer - tumor diseases - training - exercise - physical activity.


Publication History

Article published online:
09 August 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Siegel RL, Miller KD, Fuchs HE. et al. Cancer statistics, 2022. CA: A Cancer Journal for Clinicians 2022; 72: 7-33 DOI: 10.3322/caac.21708.
    CrossrefPubMedGoogle Scholar
  • 2 Adami HO, Berns A, Celis JE. et al. European Academy of Cancer Sciences – position paper. Mol Oncol 2018; 12: 1829-1837 DOI: 10.1002/1878-0261.12379.
    CrossrefPubMedGoogle Scholar
  • 3 Cormie P, Zopf EM, Zhang X. et al. The Impact of Exercise on Cancer Mortality, Recurrence, and Treatment-Related Adverse Effects. Epidemiol Rev 2017; 39: 71-92 DOI: 10.1093/epirev/mxx007.
    CrossrefPubMedGoogle Scholar
  • 4 Campbell KL, Winters-Stone KM, Wiskemann J. et al. Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable. Medicine & Science in Sports & Exercise 2019; 51: 2375-2390 DOI: 10.1249/mss.0000000000002116.
    CrossrefPubMedGoogle Scholar
  • 5 Elshahat S, Treanor C, Donnelly M. Factors influencing physical activity participation among people living with or beyond cancer: a systematic scoping review. Int J Behav Nutr Phys Act 2021; 18: 50 DOI: 10.1186/s12966-021-01116-9.
    CrossrefPubMedGoogle Scholar
  • 6 Clifford BK, Mizrahi D, Sandler CX. et al. Barriers and facilitators of exercise experienced by cancer survivors: a mixed methods systematic review. Support Care Cancer 2018; 26: 685-700 DOI: 10.1007/s00520-017-3964-5.
    CrossrefPubMedGoogle Scholar
  • 7 Tsuji K, Matsuoka YJ, Ochi E. High-intensity interval training in breast cancer survivors: a systematic review. BMC Cancer 2021; 21: 184 DOI: 10.1186/s12885-021-07804-w.
    CrossrefPubMedGoogle Scholar
  • 8 Delgado-Floody P, Espinoza-Silva M, García-Pinillos F. et al. Effects of 28 weeks of high-intensity interval training during physical education classes on cardiometabolic risk factors in Chilean schoolchildren: a pilot trial. European Journal of Pediatrics 2018; 177: 1019-1027 DOI: 10.1007/s00431-018-3149-3.
    CrossrefPubMedGoogle Scholar
  • 9 Costigan SA, Eather N, Plotnikoff RC. et al. High-intensity interval training for improving health-related fitness in adolescents: a systematic review and meta-analysis. British journal of sports medicine 2015; 49: 1253-1261 DOI: 10.1136/bjsports-2014-094490.
    CrossrefPubMedGoogle Scholar
  • 10 Weston M, Weston KL, Prentis JM. et al. High-intensity interval training (HIT) for effective and time-efficient pre-surgical exercise interventions. Perioperative Medicine 2016; 5: 2 DOI: 10.1186/s13741-015-0026-8.
    CrossrefPubMedGoogle Scholar
  • 11 Thompson WR. Worldwide survey of fitness trends for 2020. ACSM's Health & Fitness Journal 2019; 23: 10-18
    CrossrefPubMedGoogle Scholar
  • 12 Mugele H, Freitag N, Wilhelmi J. et al. High-intensity interval training in the therapy and aftercare of cancer patients: a systematic review with meta-analysis. J Cancer Surviv 2019; 13: 205-223 DOI: 10.1007/s11764-019-00743-3.
    CrossrefPubMedGoogle Scholar
  • 13 Schmitt J, Lindner N, Reuss-Borst M. et al. A 3-week multimodal intervention involving high-intensity interval training in female cancer survivors: a randomized controlled trial. Physiol Rep 2016; 4 DOI: 10.14814/phy2.12693.
    CrossrefPubMedGoogle Scholar
  • 14 Toohey K, Pumpa KL, Arnolda L. et al. A pilot study examining the effects of low-volume high-intensity interval training and continuous low to moderate intensity training on quality of life, functional capacity and cardiovascular risk factors in cancer survivors. PeerJ 2016; 4: e2613 DOI: 10.7717/peerj.2613.
    CrossrefPubMedGoogle Scholar
  • 15 Wallen MP, Hennessy D, Brown S. et al. High-intensity interval training improves cardiorespiratory fitness in cancer patients and survivors: A meta-analysis. Eur J Cancer Care (Engl) 2020; 29: e13267 DOI: 10.1111/ecc.13267.
    CrossrefPubMedGoogle Scholar
  • 16 Heredia-Ciuró A, Fernández-Sánchez M, Martín-Núñez J. et al. High-intensity interval training effects in cardiorespiratory fitness of lung cancer survivors: a systematic review and meta-analysis. Support Care Cancer 2022; 30: 3017-3027 DOI: 10.1007/s00520-021-06647-2.
    CrossrefPubMedGoogle Scholar
  • 17 Jones LW, Courneya KS, Mackey JR. et al. Cardiopulmonary function and age-related decline across the breast cancer survivorship continuum. J Clin Oncol 2012; 30: 2530-2537 DOI: 10.1200/jco.2011.39.9014.
    CrossrefPubMedGoogle Scholar
  • 18 Stenehjem JS, Smeland KB, Murbraech K. et al. Cardiorespiratory fitness in long-term lymphoma survivors after high-dose chemotherapy with autologous stem cell transplantation. Br J Cancer 2016; 115: 178-187 DOI: 10.1038/bjc.2016.180.
    CrossrefPubMedGoogle Scholar
  • 19 Schneider J, Schlüter K, Wiskemann J. et al. Do we underestimate maximal oxygen uptake in cancer survivors? Findings from a supramaximal verification test. Applied physiology, nutrition, and metabolism 2020; 45: 486-492 DOI: 10.1139/apnm-2019-0560.
    CrossrefPubMedGoogle Scholar
  • 20 Schneider J, Schlüter K, Sprave T. et al. Exercise intensity prescription in cancer survivors: ventilatory and lactate thresholds are useful submaximal alternatives to VO(2peak). Support Care Cancer 2020; 28: 5521-5528 DOI: 10.1007/s00520-020-05407-y.
    CrossrefPubMedGoogle Scholar
  • 21 Little JP, Safdar A, Wilkin GP. et al. A practical model of low-volume high-intensity interval training induces mitochondrial biogenesis in human skeletal muscle: potential mechanisms. J Physiol 2010; 588: 1011-1022 DOI: 10.1113/jphysiol.2009.181743.
    CrossrefPubMedGoogle Scholar
  • 22 Helgerud J, Høydal K, Wang E. et al. Aerobic high-intensity intervals improve VO2max more than moderate training. Medicine & Science in Sports & Exercise 2007; 39: 665-671 DOI: 10.1249/mss.0b013e3180304570.
    CrossrefPubMedGoogle Scholar
  • 23 Schlüter K, Schneider J, Sprave T. et al. Feasibility of Two High-Intensity Interval Training Protocols in Cancer Survivors. Medicine & Science in Sports & Exercise 2019; 51: 2443-2450 DOI: 10.1249/mss.0000000000002081.
    CrossrefPubMedGoogle Scholar
  • 24 Adams SC, DeLorey DS, Davenport MH. et al. Effects of high-intensity aerobic interval training on cardiovascular disease risk in testicular cancer survivors: A phase 2 randomized controlled trial. Cancer 2017; 123: 4057-4065 DOI: 10.1002/cncr.30859.
    CrossrefPubMedGoogle Scholar
  • 25 Devin JL, Sax AT, Hughes GI. et al. The influence of high-intensity compared with moderate-intensity exercise training on cardiorespiratory fitness and body composition in colorectal cancer survivors: a randomised controlled trial. J Cancer Surviv 2016; 10: 467-479 DOI: 10.1007/s11764-015-0490-7.
    CrossrefPubMedGoogle Scholar
  • 26 Devin JL, Jenkins DG, Sax AT. et al. Cardiorespiratory Fitness and Body Composition Responses to Different Intensities and Frequencies of Exercise Training in Colorectal Cancer Survivors. Clin Colorectal Cancer 2018; 17: e269-e279 DOI: 10.1016/j.clcc.2018.01.004.
    CrossrefPubMedGoogle Scholar
  • 27 Schulz SVW, Laszlo R, Otto S. et al. Feasibility and effects of a combined adjuvant high-intensity interval/strength training in breast cancer patients: a single-center pilot study. Disabil Rehabil 2018; 40: 1501-1508 DOI: 10.1080/09638288.2017.1300688.
    CrossrefPubMedGoogle Scholar