Exercise Guidelines for Leukemia Patients: A Comprehensive Guide

Safe Physical Activity During Treatment and Recovery

Oncology

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Last updated: Mar 24, 2025

Introduction

Physical activity plays a crucial role in managing leukemia symptoms and improving overall well-being during treatment. This guide provides safe exercise recommendations tailored for leukemia patients.

Safety Considerations

  • Always consult your oncologist before starting any exercise program
  • Monitor platelet counts (exercise may need modification if <50,000/μL)
  • Check hemoglobin levels (should be >8 g/dL for moderate exercise)
  • Stop activity if experiencing dizziness or unusual fatigue

Recommended Activities

Light Intensity Exercises

  • Gentle walking
  • Stretching
  • Basic yoga poses
  • Light resistance bands

Moderate Activities (When Approved)

  • Brisk walking
  • Stationary cycling
  • Swimming (when immune function permits)
  • Light weights

Exercise Guidelines

  1. Duration

    • Start with 5-10 minutes
    • Gradually increase to 20-30 minutes
    • Rest between activities
  2. Frequency

    • Aim for 3-5 sessions per week
    • Allow recovery days between sessions
  3. Intensity

    • Should be able to talk during exercise
    • Rate of Perceived Exertion (RPE) 11-13 on scale of 20

Warning Signs to Stop

  • Chest pain
  • Unusual shortness of breath
  • Dizziness or lightheadedness
  • Unusual fatigue
  • Bone pain

Special Precautions

  • Avoid public gyms during low immunity periods
  • Use hand sanitizer and clean equipment
  • Wear appropriate footwear
  • Stay hydrated
  • Exercise indoors during extreme weather

Documentation

Keep a log of:

  • Exercise type and duration
  • How you felt during/after
  • Any symptoms experienced

When to Modify/Avoid Exercise

  • Fever >38°C (100.4°F)
  • Active bleeding
  • Severe fatigue
  • Severe pain
  • Recent chemotherapy (24-48 hours)

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