{
    "id": 9629,
    "date": "2026-09-16T13:32:51",
    "date_gmt": "2026-09-16T13:32:51",
    "guid": {
        "rendered": "https:\/\/edenshealth.de\/?page_id=9629"
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    "modified": "2026-09-16T21:37:29",
    "modified_gmt": "2026-09-16T21:37:29",
    "slug": "bewegung-bei-krebs",
    "status": "publish",
    "type": "page",
    "link": "https:\/\/edenshealth.at\/en\/krebserkrankungen\/bewegung-bei-krebs\/",
    "title": {
        "rendered": "Exercise during cancer"
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0;border-bottom:1px solid var(--linie-2)} #ehkr .sp-l a span{font-family:var(--serif);font-size:15px;color:var(--gold);min-width:22px} #ehkr .sp-l a:hover{color:var(--gold);border-bottom-color:var(--gold-mitte)} #ehkr section.kap{scroll-margin-top:90px} @media(max-width:880px){#ehkr .sp-l{grid-template-columns:repeat(2,1fr)}} @media(max-width:560px){#ehkr .sp-l{grid-template-columns:1fr}}<\/style>\n<div class=\"blatt\">\n<header class=\"kopf\">\n<div class=\"in\">\n<svg viewbox=\"0 0 400 400\" aria-hidden=\"true\" class=\"ehsk-wappen siegel\"><g stroke=\"#e3cf92\" fill=\"none\" stroke-width=\"1.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"200\" cy=\"200\" r=\"186\" stroke-opacity=\"0.29\"\/><circle cx=\"200\" cy=\"200\" r=\"168\" stroke-opacity=\"0.51\"\/><circle cx=\"200\" cy=\"200\" r=\"132\" stroke-opacity=\"0.93\"\/><circle cx=\"200\" cy=\"200\" r=\"120\" stroke-opacity=\"0.38\"\/><line x1=\"346.0\" y1=\"200.0\" x2=\"362.0\" y2=\"200.0\" 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stroke-opacity=\"0.99\"\/><line x1=\"287.2\" y1=\"75.5\" x2=\"292.9\" y2=\"67.3\" stroke-opacity=\"0.48\"\/><line x1=\"297.7\" y1=\"83.6\" x2=\"304.1\" y2=\"75.9\" stroke-opacity=\"0.48\"\/><line x1=\"307.5\" y1=\"92.5\" x2=\"314.6\" y2=\"85.4\" stroke-opacity=\"0.48\"\/><line x1=\"316.4\" y1=\"102.3\" x2=\"324.1\" y2=\"95.9\" stroke-opacity=\"0.48\"\/><line x1=\"324.5\" y1=\"112.8\" x2=\"332.7\" y2=\"107.1\" stroke-opacity=\"0.48\"\/><line x1=\"326.4\" y1=\"127.0\" x2=\"340.3\" y2=\"119.0\" stroke-opacity=\"0.99\"\/><line x1=\"337.8\" y1=\"135.8\" x2=\"346.8\" y2=\"131.5\" stroke-opacity=\"0.48\"\/><line x1=\"342.8\" y1=\"148.0\" x2=\"352.2\" y2=\"144.6\" stroke-opacity=\"0.48\"\/><line x1=\"346.8\" y1=\"160.7\" x2=\"356.5\" y2=\"158.1\" stroke-opacity=\"0.48\"\/><line x1=\"349.7\" y1=\"173.6\" x2=\"359.5\" y2=\"171.9\" stroke-opacity=\"0.48\"\/><line x1=\"351.4\" y1=\"186.8\" x2=\"361.4\" y2=\"185.9\" stroke-opacity=\"0.48\"\/><path d=\"M96 284q104-34 208 0\" stroke-opacity=\"0.35\"\/><path d=\"M133 238h72c12 0 22-5 29-14l19-22M133 238v14a7 7 0 0 0 7 7h67c14 0 26-7 34-17M157 238v-34l19-14 22 19 24 10\" stroke-opacity=\"0.95\"\/><circle cx=\"176\" cy=\"162\" r=\"12\" stroke-opacity=\"0.9\"\/><\/g><\/svg><\/p>\n<p class=\"ob\">Cancer \u00b7 Exercise<\/p>\n<h1>Movement, the strongest way<\/h1>\n<p class=\"lead\">No method in this field enjoys as much support as exercise. What the guidelines say, what a new study shows, how to get started when nothing seems to work \u2013 and what the health insurance covers.<\/p>\n<div class=\"meta\"><span>As of September 2026<\/span><span>Sources at the end<\/span><span>No product links<\/span><\/div>\n<\/div>\n<\/header>\n<section class=\"hin\">\n<div class=\"in\">\n<h3>First of all<\/h3>\n<p><b>This page does not recommend any treatment and does not advise against any.<\/b> It&#039;s there so you understand what you&#039;re deciding on.<\/p>\n<p>Exercise is the one thing we don&#039;t need to categorize: it&#039;s listed in the German guidelines with the highest recommendation level. It costs nothing, it doesn&#039;t come from a bottle, and nobody profits from it. This page explains why that is, and how to do it when your body isn&#039;t currently the one you know.<\/p>\n<p><b>Exercise is also part of the treatment team&#039;s role,<\/b> If you are in the middle of treatment or if bones, blood, or heart are affected. Not because it&#039;s forbidden, but because the form changes in those cases. Chapter 5 explains exactly when.<\/p>\n<\/div>\n<\/section>\n<nav class=\"sprung\" aria-label=\"Chapters of this page\">\n<div class=\"in\">\n<p class=\"sp-ob\">Six chapters<\/p>\n<ol class=\"sp-l\">\n<li><a href=\"#k1\"><span>01<\/span>The \u201eshould\u201c<\/a><\/li>\n<li><a href=\"#k2\"><span>02<\/span>Fatigue<\/a><\/li>\n<li><a href=\"#k3\"><span>03<\/span>Begin<\/a><\/li>\n<li><a href=\"#k4\"><span>04<\/span>Strength and endurance<\/a><\/li>\n<li><a href=\"#k5\"><span>05<\/span>Ask beforehand<\/a><\/li>\n<li><a href=\"#k6\"><span>06<\/span>On prescription<\/a><\/li>\n<\/ol>\n<\/div>\n<\/nav>\n<section class=\"kap\" id=\"k1\">\n<div class=\"in\">\n<div class=\"rand\"><span class=\"ksiegel\"><svg viewbox=\"0 0 100 100\" aria-hidden=\"true\"><g stroke=\"#8f7128\" fill=\"none\" stroke-width=\"1.1\" stroke-linecap=\"round\"><circle cx=\"50\" cy=\"50\" r=\"47\" stroke-opacity=\"0.38\"\/><circle cx=\"50\" cy=\"50\" r=\"42\" stroke-opacity=\"0.85\"\/><line x1=\"86.0\" y1=\"50.0\" x2=\"91.0\" y2=\"50.0\" stroke-opacity=\"0.90\"\/><line x1=\"87.2\" y1=\"60.0\" x2=\"89.6\" y2=\"60.6\" stroke-opacity=\"0.40\"\/><line x1=\"83.3\" y1=\"69.2\" x2=\"85.5\" y2=\"70.5\" stroke-opacity=\"0.40\"\/><line x1=\"77.2\" y1=\"77.2\" x2=\"79.0\" y2=\"79.0\" stroke-opacity=\"0.40\"\/><line x1=\"69.2\" y1=\"83.3\" x2=\"70.5\" y2=\"85.5\" stroke-opacity=\"0.40\"\/><line x1=\"60.0\" y1=\"87.2\" x2=\"60.6\" y2=\"89.6\" stroke-opacity=\"0.40\"\/><line x1=\"50.0\" y1=\"86.0\" x2=\"50.0\" y2=\"91.0\" stroke-opacity=\"0.90\"\/><line x1=\"40.0\" y1=\"87.2\" x2=\"39.4\" y2=\"89.6\" stroke-opacity=\"0.40\"\/><line x1=\"30.8\" y1=\"83.3\" x2=\"29.5\" y2=\"85.5\" stroke-opacity=\"0.40\"\/><line x1=\"22.8\" y1=\"77.2\" x2=\"21.0\" y2=\"79.0\" stroke-opacity=\"0.40\"\/><line x1=\"16.7\" y1=\"69.2\" x2=\"14.5\" y2=\"70.5\" stroke-opacity=\"0.40\"\/><line x1=\"12.8\" y1=\"60.0\" x2=\"10.4\" y2=\"60.6\" stroke-opacity=\"0.40\"\/><line x1=\"14.0\" y1=\"50.0\" x2=\"9.0\" y2=\"50.0\" stroke-opacity=\"0.90\"\/><line x1=\"12.8\" y1=\"40.0\" x2=\"10.4\" y2=\"39.4\" stroke-opacity=\"0.40\"\/><line x1=\"16.7\" y1=\"30.7\" x2=\"14.5\" y2=\"29.5\" stroke-opacity=\"0.40\"\/><line x1=\"22.8\" y1=\"22.8\" x2=\"21.0\" y2=\"21.0\" stroke-opacity=\"0.40\"\/><line x1=\"30.7\" y1=\"16.7\" x2=\"29.5\" y2=\"14.5\" stroke-opacity=\"0.40\"\/><line x1=\"40.0\" y1=\"12.8\" x2=\"39.4\" y2=\"10.4\" stroke-opacity=\"0.40\"\/><line x1=\"50.0\" y1=\"14.0\" x2=\"50.0\" y2=\"9.0\" stroke-opacity=\"0.90\"\/><line x1=\"60.0\" y1=\"12.8\" x2=\"60.6\" y2=\"10.4\" stroke-opacity=\"0.40\"\/><line x1=\"69.2\" y1=\"16.7\" x2=\"70.5\" y2=\"14.5\" stroke-opacity=\"0.40\"\/><line x1=\"77.2\" y1=\"22.8\" x2=\"79.0\" y2=\"21.0\" stroke-opacity=\"0.40\"\/><line x1=\"83.3\" y1=\"30.7\" x2=\"85.5\" y2=\"29.5\" stroke-opacity=\"0.40\"\/><line x1=\"87.2\" y1=\"40.0\" x2=\"89.6\" y2=\"39.4\" stroke-opacity=\"0.40\"\/><\/g><\/svg><i>01<\/i><\/span><span class=\"lbl\">The starting point<\/span><\/div>\n<h3 class=\"gr\">Why exercise has the highest recommendation rate<\/h3>\n<div class=\"satz\">\n<div class=\"spalte-links\">\n<p class=\"fuehr\">The guideline has three levels: &quot;can,&quot; &quot;should,&quot; and &quot;must.&quot; Movement is at the highest level. Almost nothing else in this area uses this.<\/p>\n<p><svg class=\"zeichnung\" viewbox=\"0 0 120 120\" role=\"img\" aria-label=\"Drawing: three stages\">\n<path d=\"M16 96h28V72h28V48h28V24h4\"\/>\n<path d=\"M16 96h88\"\/>\n<path d=\"M92 34l6-6 6 6\" stroke-opacity=\".6\"\/>\n<\/svg><\/p>\n<dl class=\"marg\">\n<dt>In the guideline<\/dt>\n<dd>The S3 guideline on complementary medicine (May 2024) evaluates dozens of methods. Physical activity is included. <b>\u201e&quot;should&quot;\u201c<\/b> - to combat fatigue and improve quality of life, during and after treatment. Yoga, Tai Chi, and Qigong are recommended.<\/dd>\n<\/dl>\n<dl class=\"marg\">\n<dt>The new study<\/dt>\n<dd><span class=\"zahl-gross\">889<\/span>People with colon cancer, randomly assigned and followed for three years: Those who received a guided exercise program had a higher rate after eight years. <b>less frequently relapsed and lived more often<\/b>. Published in 2025 in the New England Journal of Medicine.<\/dd>\n<\/dl>\n<\/div>\n<div class=\"rest\">\n<p>For a long time, exercise was considered something cancer patients had to earn: first get healthy, then get back to it. That has now reversed. Today, every major recommendation states that exercise is essential. <b>while<\/b> Treatment and its aftermath are beneficial \u2013 not only for mood, but measurably for fatigue, energy, sleep, anxiety, and quality of life. The 2019 international consensus of sports medicine experts describes the evidence for this as &quot;strong.&quot; That&#039;s a word these bodies rarely use.<\/p>\n<h4>What the new study really shows<\/h4>\n<p>Until 2025, observations had shown that people who exercised more after a cancer diagnosis lived longer. However, no one could say whether exercise was the reason or simply that healthier people tend to be more active. Then a study dissected this: 889 people with colon cancer who had completed their treatment were randomly divided into two groups. One group received informational materials. The other was supported for three years by an exercise coach \u2013 initially every two weeks, later less frequently \u2013 with the goal of permanently increasing their walking, cycling, and swimming habits. No equipment, no supplements, just guidance.<\/p>\n<p>After five years, around 80 out of 100 patients in the exercise group were relapse-free, compared to 74 in the other group. After eight years, around 90 out of 100 patients in the exercise group were alive, compared to 83 in the other group. This is the first evidence of its kind, and it initially applies to colorectal cancer and to people whose treatment had been completed. Whether the same holds true for other types of cancer is currently being investigated. But the trend is clear, and it aligns with all previous observations.<\/p>\n<h4>Why are we explaining this in such detail?<\/h4>\n<p>Because that&#039;s what we&#039;re looking for on this entire page: something natural, something the body does itself, something that costs nothing, that no one sells \u2013 and yet stands up to scrutiny in studies. Movement is the proof that it exists. We measure everything else in this area against it.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"kap\" id=\"k2\">\n<div class=\"in\">\n<div class=\"rand\"><span class=\"ksiegel\"><svg viewbox=\"0 0 100 100\" aria-hidden=\"true\"><g stroke=\"#8f7128\" fill=\"none\" stroke-width=\"1.1\" stroke-linecap=\"round\"><circle cx=\"50\" cy=\"50\" r=\"47\" stroke-opacity=\"0.38\"\/><circle cx=\"50\" cy=\"50\" r=\"42\" stroke-opacity=\"0.85\"\/><line x1=\"86.0\" y1=\"50.0\" x2=\"91.0\" y2=\"50.0\" stroke-opacity=\"0.90\"\/><line x1=\"87.2\" y1=\"60.0\" x2=\"89.6\" y2=\"60.6\" stroke-opacity=\"0.40\"\/><line x1=\"83.3\" y1=\"69.2\" x2=\"85.5\" y2=\"70.5\" stroke-opacity=\"0.40\"\/><line x1=\"77.2\" y1=\"77.2\" x2=\"79.0\" y2=\"79.0\" stroke-opacity=\"0.40\"\/><line x1=\"69.2\" y1=\"83.3\" x2=\"70.5\" y2=\"85.5\" stroke-opacity=\"0.40\"\/><line x1=\"60.0\" y1=\"87.2\" x2=\"60.6\" y2=\"89.6\" stroke-opacity=\"0.40\"\/><line x1=\"50.0\" y1=\"86.0\" x2=\"50.0\" y2=\"91.0\" stroke-opacity=\"0.90\"\/><line x1=\"40.0\" y1=\"87.2\" x2=\"39.4\" y2=\"89.6\" stroke-opacity=\"0.40\"\/><line x1=\"30.8\" y1=\"83.3\" x2=\"29.5\" y2=\"85.5\" stroke-opacity=\"0.40\"\/><line x1=\"22.8\" y1=\"77.2\" x2=\"21.0\" y2=\"79.0\" stroke-opacity=\"0.40\"\/><line x1=\"16.7\" y1=\"69.2\" x2=\"14.5\" y2=\"70.5\" stroke-opacity=\"0.40\"\/><line x1=\"12.8\" y1=\"60.0\" x2=\"10.4\" y2=\"60.6\" stroke-opacity=\"0.40\"\/><line x1=\"14.0\" y1=\"50.0\" x2=\"9.0\" y2=\"50.0\" stroke-opacity=\"0.90\"\/><line x1=\"12.8\" y1=\"40.0\" x2=\"10.4\" y2=\"39.4\" stroke-opacity=\"0.40\"\/><line x1=\"16.7\" y1=\"30.7\" x2=\"14.5\" y2=\"29.5\" stroke-opacity=\"0.40\"\/><line x1=\"22.8\" y1=\"22.8\" x2=\"21.0\" y2=\"21.0\" stroke-opacity=\"0.40\"\/><line x1=\"30.7\" y1=\"16.7\" x2=\"29.5\" y2=\"14.5\" stroke-opacity=\"0.40\"\/><line x1=\"40.0\" y1=\"12.8\" x2=\"39.4\" y2=\"10.4\" stroke-opacity=\"0.40\"\/><line x1=\"50.0\" y1=\"14.0\" x2=\"50.0\" y2=\"9.0\" stroke-opacity=\"0.90\"\/><line x1=\"60.0\" y1=\"12.8\" x2=\"60.6\" y2=\"10.4\" stroke-opacity=\"0.40\"\/><line x1=\"69.2\" y1=\"16.7\" x2=\"70.5\" y2=\"14.5\" stroke-opacity=\"0.40\"\/><line x1=\"77.2\" y1=\"22.8\" x2=\"79.0\" y2=\"21.0\" stroke-opacity=\"0.40\"\/><line x1=\"83.3\" y1=\"30.7\" x2=\"85.5\" y2=\"29.5\" stroke-opacity=\"0.40\"\/><line x1=\"87.2\" y1=\"40.0\" x2=\"89.6\" y2=\"39.4\" stroke-opacity=\"0.40\"\/><\/g><\/svg><i>02<\/i><\/span><span class=\"lbl\">The fatigue<\/span><\/div>\n<h3 class=\"gr\">Fatigue: the tiredness that doesn&#039;t go away after sleeping.<\/h3>\n<div class=\"satz\">\n<div class=\"spalte-links\">\n<p class=\"fuehr\">Fatigue is the most common complaint in cancer patients. And it has a characteristic that reverses everything we know about tiredness: rest makes it worse.<\/p>\n<p><svg class=\"zeichnung\" viewbox=\"0 0 120 120\" role=\"img\" aria-label=\"Drawing: Bed and window\">\n<path d=\"M18 88V60h84v28M18 88h84M18 70h84\"\/>\n<path d=\"M26 60V50h24v10\"\/>\n<path d=\"M72 26h30v24H72zM87 26v24M72 38h30\" stroke-opacity=\".55\"\/>\n<\/svg><\/p>\n<dl class=\"marg\">\n<dt>What Fatigue is<\/dt>\n<dd>An exhaustion that <b>does not match the effort<\/b> and doesn&#039;t get better with sleep. Physically, mentally, emotionally. Up to nine out of ten people are affected during treatment, and in some cases, it lasts for years.<\/dd>\n<\/dl>\n<dl class=\"marg\">\n<dt>The Cochrane Review<\/dt>\n<dd><span class=\"zahl-gross\">56<\/span>Studies with over 4,000 participants: Endurance exercise reduces fatigue during and after treatment. No other medication has comparable evidence.<\/dd>\n<\/dl>\n<dl class=\"marg\">\n<dt>What else helps<\/dt>\n<dd>Yoga, Tai Chi, and Qigong are listed with &quot;should&quot; in the guidelines. The reasons why they are effective are explained on the [document\/page\/etc.]. <a href=\"\/en\/krebserkrankungen\/sauerstofftherapie-bei-krebs\/#k4\">Oxygen page, chapter on breathing<\/a>.<\/dd>\n<\/dl>\n<\/div>\n<div class=\"rest\">\n<p>People with fatigue are usually advised to rest. This advice is well-intentioned but wrong. With ordinary tiredness, rest replenishes energy reserves. With fatigue, this doesn&#039;t happen \u2013 the energy reserves aren&#039;t depleted, they&#039;re disrupted. Lying down leads to muscle loss, reduced fitness, and a loss of circadian rhythm, all of which exacerbate exhaustion the next day. This creates a downward spiral that many sufferers don&#039;t recognize as such for months because each step seems reasonable.<\/p>\n<h4>What the body needs<\/h4>\n<p>The opposite approach: small, regular movements, especially on days when you don&#039;t feel like it. Not to exhaust yourself, but to signal to your body that it&#039;s needed. In studies, it&#039;s almost always endurance exercise that makes the difference: walking, cycling, swimming, at an intensity where you can still talk. Strength training is added because muscles are where fatigue tends to accumulate.<\/p>\n<p>What is often overlooked in this context: <b>Fatigue also has causes that can be treated.<\/b> Anemia, thyroid issues, pain, sleep disorders, depression, certain medications. The treatment team should look at these things before blaming everything on exercise. Both factors combined are the approach the guideline suggests.<\/p>\n<h4>Our position on this<\/h4>\n<p>We believe that fatigue is the point where family members can help the most\u2014and also make the most mistakes. &quot;Rest&quot; is the phrase almost everyone says. &quot;Come on, let&#039;s walk to the corner&quot; is the phrase that helps. Anyone supporting someone with fatigue should know this.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"kap\" id=\"k3\">\n<div class=\"in\">\n<div class=\"rand\"><span class=\"ksiegel\"><svg viewbox=\"0 0 100 100\" aria-hidden=\"true\"><g stroke=\"#8f7128\" fill=\"none\" stroke-width=\"1.1\" stroke-linecap=\"round\"><circle cx=\"50\" cy=\"50\" r=\"47\" stroke-opacity=\"0.38\"\/><circle cx=\"50\" cy=\"50\" r=\"42\" stroke-opacity=\"0.85\"\/><line x1=\"86.0\" y1=\"50.0\" x2=\"91.0\" y2=\"50.0\" stroke-opacity=\"0.90\"\/><line x1=\"87.2\" y1=\"60.0\" x2=\"89.6\" y2=\"60.6\" stroke-opacity=\"0.40\"\/><line x1=\"83.3\" y1=\"69.2\" x2=\"85.5\" y2=\"70.5\" stroke-opacity=\"0.40\"\/><line x1=\"77.2\" y1=\"77.2\" x2=\"79.0\" y2=\"79.0\" stroke-opacity=\"0.40\"\/><line x1=\"69.2\" y1=\"83.3\" x2=\"70.5\" y2=\"85.5\" stroke-opacity=\"0.40\"\/><line x1=\"60.0\" y1=\"87.2\" x2=\"60.6\" y2=\"89.6\" stroke-opacity=\"0.40\"\/><line x1=\"50.0\" y1=\"86.0\" x2=\"50.0\" y2=\"91.0\" stroke-opacity=\"0.90\"\/><line x1=\"40.0\" y1=\"87.2\" x2=\"39.4\" y2=\"89.6\" stroke-opacity=\"0.40\"\/><line x1=\"30.8\" y1=\"83.3\" x2=\"29.5\" y2=\"85.5\" stroke-opacity=\"0.40\"\/><line x1=\"22.8\" y1=\"77.2\" x2=\"21.0\" y2=\"79.0\" stroke-opacity=\"0.40\"\/><line x1=\"16.7\" y1=\"69.2\" x2=\"14.5\" y2=\"70.5\" stroke-opacity=\"0.40\"\/><line x1=\"12.8\" y1=\"60.0\" x2=\"10.4\" y2=\"60.6\" stroke-opacity=\"0.40\"\/><line x1=\"14.0\" y1=\"50.0\" x2=\"9.0\" y2=\"50.0\" stroke-opacity=\"0.90\"\/><line x1=\"12.8\" y1=\"40.0\" x2=\"10.4\" y2=\"39.4\" stroke-opacity=\"0.40\"\/><line x1=\"16.7\" y1=\"30.7\" x2=\"14.5\" y2=\"29.5\" stroke-opacity=\"0.40\"\/><line x1=\"22.8\" y1=\"22.8\" x2=\"21.0\" y2=\"21.0\" stroke-opacity=\"0.40\"\/><line x1=\"30.7\" y1=\"16.7\" x2=\"29.5\" y2=\"14.5\" stroke-opacity=\"0.40\"\/><line x1=\"40.0\" y1=\"12.8\" x2=\"39.4\" y2=\"10.4\" stroke-opacity=\"0.40\"\/><line x1=\"50.0\" y1=\"14.0\" x2=\"50.0\" y2=\"9.0\" stroke-opacity=\"0.90\"\/><line x1=\"60.0\" y1=\"12.8\" x2=\"60.6\" y2=\"10.4\" stroke-opacity=\"0.40\"\/><line x1=\"69.2\" y1=\"16.7\" x2=\"70.5\" y2=\"14.5\" stroke-opacity=\"0.40\"\/><line x1=\"77.2\" y1=\"22.8\" x2=\"79.0\" y2=\"21.0\" stroke-opacity=\"0.40\"\/><line x1=\"83.3\" y1=\"30.7\" x2=\"85.5\" y2=\"29.5\" stroke-opacity=\"0.40\"\/><line x1=\"87.2\" y1=\"40.0\" x2=\"89.6\" y2=\"39.4\" stroke-opacity=\"0.40\"\/><\/g><\/svg><i>03<\/i><\/span><span class=\"lbl\">The beginning<\/span><\/div>\n<h3 class=\"gr\">How to start when nothing seems to work<\/h3>\n<div class=\"satz\">\n<div class=\"spalte-links\">\n<p class=\"fuehr\">All recommendations specify target values. No one who has just received a diagnosis reaches them. The beginning looks different.<\/p>\n<p><svg class=\"zeichnung\" viewbox=\"0 0 120 120\" role=\"img\" aria-label=\"Drawing: two footprints\">\n<path d=\"M40 84c-8 0-12-8-10-18s6-22 14-22 10 12 8 22-4 18-12 18z\"\/>\n<path d=\"M78 62c-8 0-12-8-10-18s6-22 14-22 10 12 8 22-4 18-12 18z\" stroke-opacity=\".55\"\/>\n<path d=\"M32 92c2 6 12 6 16 0M70 70c2 6 12 6 16 0\" stroke-opacity=\".5\"\/>\n<\/svg><\/p>\n<dl class=\"marg\">\n<dt>In the recommendations<\/dt>\n<dd>The international consensus identifies the goal as <b>three times a week for half an hour<\/b> Brisk walking or similar activities, plus strength training twice a week. That&#039;s the goal, not the beginning.<\/dd>\n<\/dl>\n<dl class=\"marg\">\n<dt>The beginning<\/dt>\n<dd>That&#039;s what&#039;s possible today. If you can only get out of bed through the window, you start at the window. If you can get to the mailbox, you go to the mailbox. <b>More than yesterday<\/b> That is the only rule.<\/dd>\n<\/dl>\n<\/div>\n<div class=\"rest\">\n<p>The problem with target values is that they are discouraging when you&#039;re far from them. For someone who can only manage 20 meters after surgery, &quot;150 minutes per week&quot; isn&#039;t helpful, it&#039;s an insult. That&#039;s why the most important sentence on this page is this: <b>The effect begins with the first step, not with the target value.<\/b> The studies show that those who benefit the most are precisely those who start with very little.<\/p>\n<p class=\"liste-t\">What carries at the beginning<\/p>\n<ul class=\"liste\">\n<li><b>Everyday life matters.<\/b> Taking the stairs instead of the elevator, walking to the bakery, talking on the phone while standing, setting the table yourself. This isn&#039;t just a clich\u00e9 about replacing exercise \u2013 in the large colon study, walking was the most frequent form of movement.<\/li>\n<li><b>Fixed time, small goal.<\/b> Go outside at the same time every day, even if it&#039;s just for five minutes. Regularity is more important than duration. Those who intend to go &quot;sometime today&quot; usually don&#039;t.<\/li>\n<li><b>For two people.<\/b> It&#039;s easier with someone else, and that&#039;s not a weakness, but rather the reason why group training performs better than individual training in studies. If you don&#039;t have anyone to train with, you can find information about available groups in Chapter 6.<\/li>\n<li><b>Plan for bad days.<\/b> There will be days when nothing works. They are not a setback, they are part of the process. Start again the next day, not from scratch, but from where you left off.<\/li>\n<li><b>Outdoors, if possible.<\/b> Light, air, and path together. Why this is more than the sum of its parts is explained on the page about... <a href=\"\/en\/behandlung-von-krankheitsarten\/sonnenlicht-vitamin-d-zirkadianer-rhythmus\/\">Key topic: Sunlight<\/a>.<\/li>\n<\/ul>\n<h4>If the bed is the place<\/h4>\n<p>There&#039;s something you can do there too. Circle your feet, pull your legs in and straighten them, press against the mattress, sit up and lie down again. Many wards have physiotherapists who can guide you through these exercises, and a stationary bike that can be brought to you. It&#039;s worth asking. The muscles you lose in two weeks of lying down take months to regain \u2013 that&#039;s why movement starts so early on the ward.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"karte-bahn\">\n<div class=\"in\">\n<p class=\"kb-ob\">Interim status<\/p>\n<h3 class=\"gr kb-h\">Three sentences about movement<\/h3>\n<p class=\"kb-vor\">Before we get to power, limits and cost coverage - this is the situation after the first three chapters.<\/p>\n<div class=\"karte\">\n<p class=\"k-marke\">Edenshealth<\/p>\n<p class=\"k-h\">Exercise and cancer, honestly<\/p>\n<ol>\n<li><span><b>Exercise has the highest level of recommendation known to the guideline.<\/b> For fatigue, strength, sleep, anxiety and quality of life - and since 2025 also for survival in the case of colon cancer.<\/span><\/li>\n<li><span><b>Rest doesn&#039;t help with fatigue, but exercise does.<\/b> This is the one point where instinct points in the wrong direction.<\/span><\/li>\n<li><span><b>The beginning is what&#039;s possible today.<\/b> More than yesterday, but no more than possible.<\/span><\/li>\n<\/ol>\n<p class=\"k-tipp\">What comes next: why muscles are different from fitness when it comes to cancer - and when you should ask before taking the first step.<\/p>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"kap\" id=\"k4\">\n<div class=\"in\">\n<div class=\"rand\"><span class=\"ksiegel\"><svg viewbox=\"0 0 100 100\" aria-hidden=\"true\"><g stroke=\"#8f7128\" fill=\"none\" stroke-width=\"1.1\" stroke-linecap=\"round\"><circle cx=\"50\" cy=\"50\" r=\"47\" stroke-opacity=\"0.38\"\/><circle cx=\"50\" cy=\"50\" r=\"42\" stroke-opacity=\"0.85\"\/><line x1=\"86.0\" y1=\"50.0\" x2=\"91.0\" y2=\"50.0\" stroke-opacity=\"0.90\"\/><line x1=\"87.2\" y1=\"60.0\" x2=\"89.6\" y2=\"60.6\" stroke-opacity=\"0.40\"\/><line x1=\"83.3\" y1=\"69.2\" x2=\"85.5\" y2=\"70.5\" stroke-opacity=\"0.40\"\/><line x1=\"77.2\" y1=\"77.2\" x2=\"79.0\" y2=\"79.0\" stroke-opacity=\"0.40\"\/><line x1=\"69.2\" y1=\"83.3\" x2=\"70.5\" y2=\"85.5\" stroke-opacity=\"0.40\"\/><line x1=\"60.0\" y1=\"87.2\" x2=\"60.6\" y2=\"89.6\" stroke-opacity=\"0.40\"\/><line x1=\"50.0\" y1=\"86.0\" x2=\"50.0\" y2=\"91.0\" stroke-opacity=\"0.90\"\/><line x1=\"40.0\" y1=\"87.2\" x2=\"39.4\" y2=\"89.6\" stroke-opacity=\"0.40\"\/><line x1=\"30.8\" y1=\"83.3\" x2=\"29.5\" y2=\"85.5\" stroke-opacity=\"0.40\"\/><line x1=\"22.8\" y1=\"77.2\" x2=\"21.0\" y2=\"79.0\" stroke-opacity=\"0.40\"\/><line x1=\"16.7\" y1=\"69.2\" x2=\"14.5\" y2=\"70.5\" stroke-opacity=\"0.40\"\/><line x1=\"12.8\" y1=\"60.0\" x2=\"10.4\" y2=\"60.6\" stroke-opacity=\"0.40\"\/><line x1=\"14.0\" y1=\"50.0\" x2=\"9.0\" y2=\"50.0\" stroke-opacity=\"0.90\"\/><line x1=\"12.8\" y1=\"40.0\" x2=\"10.4\" y2=\"39.4\" stroke-opacity=\"0.40\"\/><line x1=\"16.7\" y1=\"30.7\" x2=\"14.5\" y2=\"29.5\" stroke-opacity=\"0.40\"\/><line x1=\"22.8\" y1=\"22.8\" x2=\"21.0\" y2=\"21.0\" stroke-opacity=\"0.40\"\/><line x1=\"30.7\" y1=\"16.7\" x2=\"29.5\" y2=\"14.5\" stroke-opacity=\"0.40\"\/><line x1=\"40.0\" y1=\"12.8\" x2=\"39.4\" y2=\"10.4\" stroke-opacity=\"0.40\"\/><line x1=\"50.0\" y1=\"14.0\" x2=\"50.0\" y2=\"9.0\" stroke-opacity=\"0.90\"\/><line x1=\"60.0\" y1=\"12.8\" x2=\"60.6\" y2=\"10.4\" stroke-opacity=\"0.40\"\/><line x1=\"69.2\" y1=\"16.7\" x2=\"70.5\" y2=\"14.5\" stroke-opacity=\"0.40\"\/><line x1=\"77.2\" y1=\"22.8\" x2=\"79.0\" y2=\"21.0\" stroke-opacity=\"0.40\"\/><line x1=\"83.3\" y1=\"30.7\" x2=\"85.5\" y2=\"29.5\" stroke-opacity=\"0.40\"\/><line x1=\"87.2\" y1=\"40.0\" x2=\"89.6\" y2=\"39.4\" stroke-opacity=\"0.40\"\/><\/g><\/svg><i>04<\/i><\/span><span class=\"lbl\">The two halves<\/span><\/div>\n<h3 class=\"gr\">Strength and endurance, both<\/h3>\n<div class=\"satz\">\n<div class=\"spalte-links\">\n<p class=\"fuehr\">Endurance banishes fatigue. Strength holds the body together. With cancer, you need both, and the latter is almost always forgotten.<\/p>\n<p><svg class=\"zeichnung\" viewbox=\"0 0 120 120\" role=\"img\" aria-label=\"Drawing: Dumbbell and heart line\">\n<path d=\"M22 70h76M22 60v20M30 56v28M90 56v28M98 60v20\"\/>\n<path d=\"M18 36h20l6-10 8 20 8-16 6 6h36\" stroke-opacity=\".6\"\/>\n<\/svg><\/p>\n<dl class=\"marg\">\n<dt>Why muscles count in cancer<\/dt>\n<dd>They are the <b>Protein storage<\/b> of the body. Those who lose muscle lose the reserve from which the immune system and wound healing draw. How to maintain it is explained on the <a href=\"\/en\/krebserkrankungen\/begleitende-hilfe-bei-krebs\/#k2\">Page Accompanying Help, Chapter 2<\/a>.<\/dd>\n<\/dl>\n<dl class=\"marg\">\n<dt>The lymphedema misconception<\/dt>\n<dd>For decades, it was said that women who develop lymphedema after breast cancer should not put any strain on their arm. A 2009 study of 141 women showed the opposite: <b>Gradually increased strength training did not worsen anything.<\/b> and halved the relapses. Today it&#039;s included in the recommendations.<\/dd>\n<\/dl>\n<\/div>\n<div class=\"rest\">\n<p>When people talk about exercise during cancer treatment, most think of walking and cycling. That&#039;s correct, and it&#039;s a good start. But the body loses one thing above all else when battling cancer: muscle mass. The tumor consumes protein, the treatment consumes protein, bed rest consumes protein \u2013 and the body takes it from the muscles when it can&#039;t get it anywhere else. This is called sarcopenia, and it&#039;s one of the strongest predictors of how someone will fare after an illness. Not the number on the scale. The muscles.<\/p>\n<h4>What power means here<\/h4>\n<p>Not dumbbells and gyms, at least not at the beginning. Strength means: getting up from a chair without using your hands, climbing stairs, carrying a shopping bag, getting out of the bathtub. Those who can do these things have the strength that counts. Those who lose it lose their independence, and that&#039;s what ultimately determines their quality of life. That&#039;s why all the recommendations say: <b>In addition to endurance, something for strength.<\/b> Large muscle groups, few repetitions, gradually increased. Your own body weight is sufficient for a long time.<\/p>\n<h4>Why both together?<\/h4>\n<p>Endurance trains the heart, lungs, and blood vessels\u2014the transport system. It&#039;s what reduces fatigue and improves sleep. Strength training maintains the tissue where the transported substances arrive. One without the other is only half the battle: those who only walk still lose muscle mass. Those who only build strength remain tired. In the colon study, endurance was the focus; in the recommendations for fatigue and quality of life, both are addressed.<\/p>\n<p>And one more thing that contributes to the power: <b>Protein.<\/b> A muscle that is trained but not nourished will not grow. Those who have little appetite during treatment will find information on the... <a href=\"\/en\/krebserkrankungen\/basische-ernaehrung-zuckerreduktion-bei-krebs\/#k6\">Page Acid, Sugar, Diets<\/a> the chapter on that.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"kap\" id=\"k5\">\n<div class=\"in\">\n<div class=\"rand\"><span class=\"ksiegel\"><svg viewbox=\"0 0 100 100\" aria-hidden=\"true\"><g stroke=\"#8f7128\" fill=\"none\" stroke-width=\"1.1\" stroke-linecap=\"round\"><circle cx=\"50\" cy=\"50\" r=\"47\" stroke-opacity=\"0.38\"\/><circle cx=\"50\" cy=\"50\" r=\"42\" stroke-opacity=\"0.85\"\/><line x1=\"86.0\" y1=\"50.0\" x2=\"91.0\" y2=\"50.0\" stroke-opacity=\"0.90\"\/><line x1=\"87.2\" y1=\"60.0\" x2=\"89.6\" y2=\"60.6\" stroke-opacity=\"0.40\"\/><line x1=\"83.3\" y1=\"69.2\" x2=\"85.5\" y2=\"70.5\" stroke-opacity=\"0.40\"\/><line x1=\"77.2\" y1=\"77.2\" x2=\"79.0\" y2=\"79.0\" stroke-opacity=\"0.40\"\/><line x1=\"69.2\" y1=\"83.3\" x2=\"70.5\" y2=\"85.5\" stroke-opacity=\"0.40\"\/><line x1=\"60.0\" y1=\"87.2\" x2=\"60.6\" y2=\"89.6\" stroke-opacity=\"0.40\"\/><line x1=\"50.0\" y1=\"86.0\" x2=\"50.0\" y2=\"91.0\" stroke-opacity=\"0.90\"\/><line x1=\"40.0\" y1=\"87.2\" x2=\"39.4\" y2=\"89.6\" stroke-opacity=\"0.40\"\/><line x1=\"30.8\" y1=\"83.3\" x2=\"29.5\" y2=\"85.5\" stroke-opacity=\"0.40\"\/><line x1=\"22.8\" y1=\"77.2\" x2=\"21.0\" y2=\"79.0\" stroke-opacity=\"0.40\"\/><line x1=\"16.7\" y1=\"69.2\" x2=\"14.5\" y2=\"70.5\" stroke-opacity=\"0.40\"\/><line x1=\"12.8\" y1=\"60.0\" x2=\"10.4\" y2=\"60.6\" stroke-opacity=\"0.40\"\/><line x1=\"14.0\" y1=\"50.0\" x2=\"9.0\" y2=\"50.0\" stroke-opacity=\"0.90\"\/><line x1=\"12.8\" y1=\"40.0\" x2=\"10.4\" y2=\"39.4\" stroke-opacity=\"0.40\"\/><line x1=\"16.7\" y1=\"30.7\" x2=\"14.5\" y2=\"29.5\" stroke-opacity=\"0.40\"\/><line x1=\"22.8\" y1=\"22.8\" x2=\"21.0\" y2=\"21.0\" stroke-opacity=\"0.40\"\/><line x1=\"30.7\" y1=\"16.7\" x2=\"29.5\" y2=\"14.5\" stroke-opacity=\"0.40\"\/><line x1=\"40.0\" y1=\"12.8\" x2=\"39.4\" y2=\"10.4\" stroke-opacity=\"0.40\"\/><line x1=\"50.0\" y1=\"14.0\" x2=\"50.0\" y2=\"9.0\" stroke-opacity=\"0.90\"\/><line x1=\"60.0\" y1=\"12.8\" x2=\"60.6\" y2=\"10.4\" stroke-opacity=\"0.40\"\/><line x1=\"69.2\" y1=\"16.7\" x2=\"70.5\" y2=\"14.5\" stroke-opacity=\"0.40\"\/><line x1=\"77.2\" y1=\"22.8\" x2=\"79.0\" y2=\"21.0\" stroke-opacity=\"0.40\"\/><line x1=\"83.3\" y1=\"30.7\" x2=\"85.5\" y2=\"29.5\" stroke-opacity=\"0.40\"\/><line x1=\"87.2\" y1=\"40.0\" x2=\"89.6\" y2=\"39.4\" stroke-opacity=\"0.40\"\/><\/g><\/svg><i>05<\/i><\/span><span class=\"lbl\">The borders<\/span><\/div>\n<h3 class=\"gr\">When you should ask beforehand<\/h3>\n<div class=\"satz\">\n<div class=\"spalte-links\">\n<p class=\"fuehr\">Movement is almost always the right thing to do. There are a few situations where it&#039;s not the &quot;if&quot; that changes, but the &quot;how&quot; \u2013 and those belong in the team&#039;s hands before you set off.<\/p>\n<p><svg class=\"zeichnung\" viewbox=\"0 0 120 120\" role=\"img\" aria-label=\"Illustration: Speech bubble with question mark\">\n<path d=\"M24 30h72a8 8 0 0 1 8 8v36a8 8 0 0 1-8 8H56L38 98V82H24a8 8 0 0 1-8-8V38a8 8 0 0 1 8-8z\"\/>\n<path d=\"M52 48a8 8 0 0 1 16 0c0 6-8 6-8 14M60 70v2\" stroke-opacity=\".8\"\/>\n<\/svg><\/p>\n<dl class=\"marg\">\n<dt>The principle<\/dt>\n<dd>None of these situations means <b>\u201e&quot;no movement&quot;\u201c<\/b>. They signify: a different form, a different pace, sometimes a guideline. The guideline knows no prohibition, only adaptation.<\/dd>\n<\/dl>\n<dl class=\"marg\">\n<dt>A word to family members<\/dt>\n<dd>Anyone accompanying someone is allowed to go along \u2013 and is also allowed to notice if something is wrong. New pain, dizziness, shortness of breath: these are not reasons to become tougher, but rather to call.<\/dd>\n<\/dl>\n<\/div>\n<div class=\"rest\">\n<ul class=\"liste\">\n<li><b>Bone.<\/b> When bones are affected, they bear less weight. Then, impacts, jumps, and weights on the affected side become the issue, not the movement itself. The team knows which bones are involved and what they can withstand.<\/li>\n<li><b>Blood.<\/b> When blood counts are low\u2014too few red blood cells, too few platelets, too few immune cells\u2014the way you feel changes. With a weak immune system, you should avoid crowded halls and swimming pools; with low platelets, anything that causes bruising; and with anemia, avoid exertion that causes dizziness. Have your blood work done, then go for it.<\/li>\n<li><b>Heart.<\/b> Some treatments put a strain on the heart. In these cases, endurance training is not avoided but supported, often with a preliminary stress test. Anyone experiencing heart palpitations, shortness of breath, or chest pressure during exertion should stop and call.<\/li>\n<li><b>Annoy.<\/b> Numb feet and unsteady hands are common after some treatments. Then the risk of falling becomes a concern. Practice balance, wear sturdy shoes, and cycle on a stationary bike instead of on the road.<\/li>\n<li><b>Recently operated on.<\/b> After surgery, there are periods when certain movements are prohibited \u2013 lifting after abdominal surgery, raising the arm overhead after breast surgery. These periods are short, and the team will inform you of them.<\/li>\n<li><b>Port, catheter, open wounds.<\/b> No swimming. Everything else is fine.<\/li>\n<li><b>Fever.<\/b> No training. If you develop a fever while undergoing treatment, call immediately, regardless of anything on this page.<\/li>\n<\/ul>\n<h4>And a sentence for your next conversation<\/h4>\n<p>\u201e&quot;I want to exercise more. Is there anything I need to be aware of right now \u2013 bones, blood values, heart, wounds?&quot; This question almost always gets a clear answer, and most of the time it&#039;s: Yes, go.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"karte-bahn negativ\">\n<div class=\"in\">\n<p class=\"kb-ob\">Our stance<\/p>\n<h3 class=\"gr kb-h\">Cancer patients should not eat anything processed or industrially produced.<\/h3>\n<p class=\"kb-vor\">This is our position, not a guideline recommendation \u2013 and we explain what it&#039;s based on. Even those who don&#039;t share it will still find everything they need on this page.<\/p>\n<div class=\"karte\">\n<p class=\"k-marke\">Edenshealth<\/p>\n<p class=\"k-h\">What&#039;s gone - and what&#039;s instead<\/p>\n<div class=\"k-spalten\">\n<div>\n<p class=\"k-sp weg\">Get away<\/p>\n<ul>\n<li>Refined sugar, in any form<\/li>\n<li>Ready meals and anything with a long list of ingredients<\/li>\n<li>Sausage, ham, bacon, all cured and smoked meats<\/li>\n<li>White flour in its usual forms<\/li>\n<li>Soft drinks, including the &quot;sugar-free&quot; ones\u201e<\/li>\n<li>Sweetened dairy products, fruit yogurt, breakfast cereals<\/li>\n<li>Refined oils and margarine<\/li>\n<li>Sweeteners<\/li>\n<\/ul>\n<\/div>\n<div>\n<p class=\"k-sp statt\">Instead<\/p>\n<ul>\n<li>Grass-fed beef, meat in a single piece<\/li>\n<li>Organic eggs, free-range chicken<\/li>\n<li>Fish<\/li>\n<li>Fresh vegetables and herbs, according to the season<\/li>\n<li>Cold-pressed oils: olive oil, linseed oil<\/li>\n<li>Nuts, legumes, quark<\/li>\n<li>If sweet: a teaspoon of honey<\/li>\n<li>Water and herbal tea<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"k-fuss\">\n<div><span>Proven<\/span><b>Processed meat<\/b><small>Group 1 of the WHO Cancer Agency<\/small><\/div>\n<div><span>Observed<\/span><b>Ultra-processed<\/b><small>105,000 people: more of them, more cancer cases \u2013 a correlation, but not a proven cause.<\/small><\/div>\n<\/div>\n<p class=\"k-tipp\">The one exception: Those who can barely eat anything and continue to lose weight eat as much as they can. Then every calorie counts more than any ideal.<\/p>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"kap\" id=\"k6\">\n<div class=\"in\">\n<div class=\"rand\"><span class=\"ksiegel\"><svg viewbox=\"0 0 100 100\" aria-hidden=\"true\"><g stroke=\"#8f7128\" fill=\"none\" stroke-width=\"1.1\" stroke-linecap=\"round\"><circle cx=\"50\" cy=\"50\" r=\"47\" stroke-opacity=\"0.38\"\/><circle cx=\"50\" cy=\"50\" r=\"42\" stroke-opacity=\"0.85\"\/><line x1=\"86.0\" y1=\"50.0\" x2=\"91.0\" y2=\"50.0\" stroke-opacity=\"0.90\"\/><line x1=\"87.2\" y1=\"60.0\" x2=\"89.6\" y2=\"60.6\" stroke-opacity=\"0.40\"\/><line x1=\"83.3\" y1=\"69.2\" x2=\"85.5\" y2=\"70.5\" stroke-opacity=\"0.40\"\/><line x1=\"77.2\" y1=\"77.2\" x2=\"79.0\" y2=\"79.0\" stroke-opacity=\"0.40\"\/><line x1=\"69.2\" y1=\"83.3\" x2=\"70.5\" y2=\"85.5\" stroke-opacity=\"0.40\"\/><line x1=\"60.0\" y1=\"87.2\" x2=\"60.6\" y2=\"89.6\" stroke-opacity=\"0.40\"\/><line x1=\"50.0\" y1=\"86.0\" x2=\"50.0\" y2=\"91.0\" stroke-opacity=\"0.90\"\/><line x1=\"40.0\" y1=\"87.2\" x2=\"39.4\" y2=\"89.6\" stroke-opacity=\"0.40\"\/><line x1=\"30.8\" y1=\"83.3\" x2=\"29.5\" y2=\"85.5\" stroke-opacity=\"0.40\"\/><line x1=\"22.8\" y1=\"77.2\" x2=\"21.0\" y2=\"79.0\" stroke-opacity=\"0.40\"\/><line x1=\"16.7\" y1=\"69.2\" x2=\"14.5\" y2=\"70.5\" stroke-opacity=\"0.40\"\/><line x1=\"12.8\" y1=\"60.0\" x2=\"10.4\" y2=\"60.6\" stroke-opacity=\"0.40\"\/><line x1=\"14.0\" y1=\"50.0\" x2=\"9.0\" y2=\"50.0\" stroke-opacity=\"0.90\"\/><line x1=\"12.8\" y1=\"40.0\" x2=\"10.4\" y2=\"39.4\" stroke-opacity=\"0.40\"\/><line x1=\"16.7\" y1=\"30.7\" x2=\"14.5\" y2=\"29.5\" stroke-opacity=\"0.40\"\/><line x1=\"22.8\" y1=\"22.8\" x2=\"21.0\" y2=\"21.0\" stroke-opacity=\"0.40\"\/><line x1=\"30.7\" y1=\"16.7\" x2=\"29.5\" y2=\"14.5\" stroke-opacity=\"0.40\"\/><line x1=\"40.0\" y1=\"12.8\" x2=\"39.4\" y2=\"10.4\" stroke-opacity=\"0.40\"\/><line x1=\"50.0\" y1=\"14.0\" x2=\"50.0\" y2=\"9.0\" stroke-opacity=\"0.90\"\/><line x1=\"60.0\" y1=\"12.8\" x2=\"60.6\" y2=\"10.4\" stroke-opacity=\"0.40\"\/><line x1=\"69.2\" y1=\"16.7\" x2=\"70.5\" y2=\"14.5\" stroke-opacity=\"0.40\"\/><line x1=\"77.2\" y1=\"22.8\" x2=\"79.0\" y2=\"21.0\" stroke-opacity=\"0.40\"\/><line x1=\"83.3\" y1=\"30.7\" x2=\"85.5\" y2=\"29.5\" stroke-opacity=\"0.40\"\/><line x1=\"87.2\" y1=\"40.0\" x2=\"89.6\" y2=\"39.4\" stroke-opacity=\"0.40\"\/><\/g><\/svg><i>06<\/i><\/span><span class=\"lbl\">Thereafter<\/span><\/div>\n<h3 class=\"gr\">Exercise on prescription: what the health insurance covers<\/h3>\n<div class=\"satz\">\n<div class=\"spalte-links\">\n<p class=\"fuehr\">You don&#039;t have to do most things alone here. There are groups, guidance, and cost coverage \u2013 you just need to know what to call it.<\/p>\n<p><svg class=\"zeichnung\" viewbox=\"0 0 120 120\" role=\"img\" aria-label=\"Illustration: Recipe sheet\">\n<path d=\"M32 18h44l16 16v68H32z\"\/>\n<path d=\"M76 18v16h16\" stroke-opacity=\".7\"\/>\n<path d=\"M44 50h32M44 62h32M44 74h20\" stroke-opacity=\".6\"\/>\n<\/svg><\/p>\n<dl class=\"marg\">\n<dt>Rehabilitation sports<\/dt>\n<dd>It&#039;s stipulated by law (\u00a7 64 SGB IX). Any doctor can prescribe it, and the health insurance company covers the cost \u2013 usually in the case of cancer. <b>50 training sessions within 18 months<\/b>, renewable. Free for you.<\/dd>\n<\/dl>\n<dl class=\"marg\">\n<dt>Where the groups are<\/dt>\n<dd>Sports clubs with qualified instructors, often called &quot;Sports after Cancer&quot; or &quot;Cancer Sports Group,&quot; can offer these programs. State sports federations and cancer support centers can provide information about clubs in your area. The network... <b>OnkoAktiv<\/b> lists certified facilities.<\/dd>\n<\/dl>\n<\/div>\n<div class=\"rest\">\n<p>Many people affected by cancer only find out about this years later. That&#039;s why it&#039;s included here in a separate chapter: Exercise during cancer treatment is a service you are entitled to, with guidance from people who are specifically trained for this \u2013 not as a favor, but as a right.<\/p>\n<p class=\"liste-t\">The four paths, in order<\/p>\n<ul class=\"liste\">\n<li><b>At the station.<\/b> Physiotherapy and exercise programs are part of the treatment in many clinics. Some centers have their own exercise therapists. Ask about them on your first day.<\/li>\n<li><b>The follow-up rehabilitation.<\/b> Immediately following hospital treatment, there is a follow-up rehabilitation program, usually lasting three weeks, with exercise as an integral part. The hospital&#039;s social services department applies for it, often during the hospital stay.<\/li>\n<li><b>Rehabilitation sports on prescription.<\/b> Afterwards, or even concurrently: the form is called Form 56, any doctor can fill it out, and the health insurance company approves it. Then you join a group, once a week, with people who have had the same experience. Many remain members of the association after the 50 sessions.<\/li>\n<li><b>The cancer counseling center.<\/b> Free of charge, in every major city, and she knows which groups are available near you, including for yoga, qigong, and hiking. The Cancer Information Service has the addresses.<\/li>\n<\/ul>\n<h4>Our position on this<\/h4>\n<p>A group is more than just a place to exercise. Studies show that people persevere longer in groups than when exercising alone, and anyone who has ever been in a cancer support group knows why: there&#039;s no need to explain anything. We advise you not to see rehabilitation exercise as an obligation, but for what it is \u2013 an hour a week with people who know what it feels like, and a body that can do things again.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"weiter\">\n<div class=\"in\">\n<p class=\"titel\">In the same area<\/p>\n<div class=\"reihe vier\"><a href=\"\/en\/krebserkrankungen\/begleitende-hilfe-bei-krebs\/\"><span class=\"art\">accompaniment<\/span><strong>Accompanying assistance<\/strong><\/a><a href=\"\/en\/krebserkrankungen\/basische-ernaehrung-zuckerreduktion-bei-krebs\/\"><span class=\"art\">Nutrition<\/span><strong>Acid, sugar, diets<\/strong><\/a><a href=\"\/en\/krebserkrankungen\/fasten-autophagie-bei-krebs\/\"><span class=\"art\">Fast<\/span><strong>Fasting, categorized<\/strong><\/a><a href=\"\/en\/krebserkrankungen\/sauerstofftherapie-bei-krebs\/\"><span class=\"art\">oxygen<\/span><strong>Oxygen, classified<\/strong><\/a><\/div>\n<p class=\"zurueck\">All pages in this section at a glance: <a href=\"\/en\/krebserkrankungen\/\">Cancers: An Overview<\/a><\/p>\n<\/div>\n<\/section>\n<section class=\"fuss\">\n<div class=\"in\">\n<h3>Sources<\/h3>\n<ol>\n<li>Guidelines Programme Oncology (AWMF, German Cancer Society, German Cancer Aid): S3 guideline Complementary medicine in the treatment of oncology patients, version 2.0, May 2024 - physical activity \u201eshould\u201c be used for fatigue and to improve quality of life; yoga, tai chi and qigong \u201eshould\u201c.<\/li>\n<li>Courneya KS, Booth CM et al.: Structured Exercise after Adjuvant Chemotherapy for Colon Cancer (CHALLENGE trial), New England Journal of Medicine, June 2025. 889 participants, three-year program; disease-free survival at five years 80.3% vs. 73.9%, overall survival at eight years 90.3% vs. 83.2%.<\/li>\n<li>Campbell KL et al.: Exercise Guidelines for Cancer Survivors, Consensus of the International Round Table (ACSM), Medicine &amp; Science in Sports &amp; Exercise 2019 - strong evidence for fatigue, anxiety, depression, quality of life and physical function; target values are 30 minutes of endurance exercise three times a week and strength training twice a week.<\/li>\n<li>Cochrane Database of Systematic Reviews: Exercise for the management of cancer-related fatigue in adults (Cramp, Byron-Daniel, 2012). 56 studies, 4,068 participants.<\/li>\n<li>Schmitz KH et al.: Weight Lifting in Women with Breast-Cancer-Related Lymphedema (PAL study), New England Journal of Medicine 2009. 141 participants; increased strength training did not worsen the lymphedema and halved the flare-ups.<\/li>\n<li>Cancer Information Service of the German Cancer Research Center: Sport and exercise in cancer \u00b7 Fatigue \u00b7 Cancer counseling centers.<\/li>\n<li>German Cancer Aid: The Blue Guides No. 48, Exercise and Sport for Cancer Patients. Rehabilitation sport according to \u00a7 64 SGB IX, framework agreement of the Federal Working Group for Rehabilitation (Prescription Form 56; for cancer patients, usually 50 exercise sessions over 18 months). OnkoAktiv Network of the National Center for Tumor Diseases Heidelberg.<\/li>\n<\/ol>\n<p class=\"klein\">This page provides information and does not replace medical advice, diagnosis, or treatment. It does not recommend any procedure or product. 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