June marks Bowel Cancer Awareness Month, and as we turn our focus to this significant health challenge, it’s essential to understand not just the implications of the disease but also the empowering role of exercise in managing and reducing the modifiable risk factors. Bowel cancer, or colorectal cancer (CRC), is the third most commonly diagnosed cancer in Australia, affecting thousands each year. Its association with lifestyle factors such as physical inactivity, obesity, and poor dietary habits underscores the importance of integrated health approaches in its management and prevention.
Understanding Colorectal Cancer
Colorectal cancer arises from the uncontrolled growth of abnormal cells in the colon or rectum, forming a malignant tumour. Lifestyle factors significantly contribute to its development, with inactivity and poor diet being key risk factors. Treatments typically involve surgery, chemotherapy, and radiotherapy, each carrying potential side effects like fatigue, pain, and psychological distress.
Sheard, R et al, (2019) Understanding Bowel Cancer. Cancer Council Australia
Exercise: A Beacon of Hope
Amidst the physical and emotional challenges that come with a cancer diagnosis, exercise emerges as a crucial ally. According to Guardian Exercise Rehabilitation’s health information, engaging in structured physical activity can dramatically improve outcomes for those with CRC. Here are the significant benefits:
- Improved Physical Functioning: Regular exercise boosts muscular strength and overall conditioning, aiding in recovery from surgeries and enhancing the ability to perform daily activities.
- Management of Treatment Side Effects: Exercise has been shown to alleviate symptoms such as fatigue, pain, and the psychological distress associated with cancer treatment.
- Enhanced Quality of Life: Physical activity contributes to better mental health, reduced risk of recurrence, and decreased overall mortality.
- Management of Other Health Issues: Exercise is vital for treating CRC, but the effects underpinning this treatment include reducing inflammation, obesity/fat mass and managing insulin.
Oruç, Z et al. (2019). Effect of exercise on colorectal cancer prevention and treatment. World Journal Of Gastrointestinal Oncology
Specific Exercise Recommendations
The physical activity guidelines for individuals diagnosed with CRC suggest:
- At least 150 minutes per week of moderate-intensity aerobic exercise like brisk walking or cycling.
- Two sessions per week of resistance-based exercises.
These activities should be tailored to each individual’s capabilities and health status, considering any contraindications such as certain heart conditions or acute infections. It’s also essential for the exercise regimens to be enjoyable to ensure adherence and to foster a positive psychological state.
Patel AV, Friedenreich CM, Moore SC, Hayes SC, Silver JK, Campbell KL, Winters-Stone K, Gerber LH, George SM, Fulton JE, Denlinger C, Morris GS, Hue T, Schmitz KH, Matthews CE. American College of Sports Medicine Roundtable Report on Physical Activity, Sedentary Behavior, and Cancer Prevention and Control. Med Sci Sports Exerc. 2019 Nov;51(11):2391-2402. doi: 10.1249/MSS.0000000000002117. PMID: 31626056; PMCID: PMC6814265
Guardian’s Approach to Exercise in Cancer Care
Guardian Exercise Rehabilitation focuses on creating personalised exercise programs that align with current clinical guidelines and are responsive to the unique needs of each patient. The approach is holistic, considering not only the physical but also the psychological and social dimensions of health, adhering to the biopsychosocial model of care.
Our programs are designed to be safely integrated into the patient’s lifestyle, supported by accredited exercise physiologists who specialise in oncology. This ensures that each regimen not only addresses the physical aspects of recovery but also supports the overall well-being of individuals navigating their cancer journey.
This Bowel Cancer Awareness Month, let’s acknowledge the power of exercise in transforming the cancer care paradigm. If you or someone you know is battling colorectal cancer, consider discussing with a healthcare provider the potential of incorporating exercise into the treatment plan. For more information on tailored exercise programs and support, visit Guardian Exercise Rehabilitation’s website.
As we continue to advance our understanding and resources, it becomes increasingly clear that exercise is not just supplementary but essential in the fight against colorectal cancer. Let’s empower those affected to lead active, healthier lives even in the face of cancer



