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Interview with Dr. Laurent Zelek, Oncology Department, Avicenne Hospital, Bobigny, France
Dr. Carla Ripamonti is interviewing Dr. Laurent Zelek at the TAO Oncology meeting, Hopital Georges Pompidou, Paris, November 2013 on the role of weight and exercise for (breast) cancer patients. Dr. Zelek stresses that overweight is a prognostic factor that is correlated with (specific) survival of cancer patients – not only in breast cancer. Treatment often leads to weight gain, but there is no strong evidence this is of effect, unless it is extreme. Importantly, exercise decreases cancer incidence and relapse rate more effectively than dietary weight control. Dr. Zelek finds that physical activity, supervised by health professionals, should be part of cancer therapy. Patients should more actively be advised on this by oncologists, but also sports teachers – specifically trained to take care of the range of cancer patients – is needed.