Hitting the gym

A few months after hearing Holtan speak at Marrow on the Move, a fundraising walk/run that supports the U of M Medical School’s Adult Blood and Marrow Transplant Program, Miller had enrolled in the study and was at the gym meeting with Sweetnam for the first time.

The pilot study group included Miller and three other patients, as well as their training partners— family members or friends who also participated in the exercise program and served as a control group for Holtan’s research. Miller’s wife, Sandy, was his partner.

Sweetnam customized people’s exercise plans to their abilities and starting strengths, but two elements of the program were universal: All participants learned seven basic strength exercises and were challenged to either do more repetitions or lift more weight each time they went to the gym.

“Progression is the magic ingredient,” Sweetnam says. “Whether you’re healthy or have gone through something traumatic, it’s all about progression over time.”

For three months, the Millers and the other study participants worked out once a week as a group and at least once a week on their own. Sweetnam provided ongoing one-on-one guidance as well as tips for navigating the gym. By the end of the study, which was funded by money raised at Marrow on the Move, the results were undeniably positive, Sweetnam says. Not just in how much weight each person could lift (“at least a 200% improvement for everyone,” Sweetnam says) but in how much better they felt.

“When you lose your strength, you lose your independence, and you lose yourself,” Greg Miller says. “Exercise just helps your life all around. I take the stairs all the time now. Walking is a lot easier. I just feel better.”

Reversal

It wasn’t just the cancer survivors who benefited from the program, Holtan says.

Sandy Miller agreed to be Greg’s exercise partner with the assumption that she’d be a “cheerleader more than anything else.” After the Millers went through the study’s initial baseline health screening, Sandy received a call from Holtan about the results.

“I thought, ‘Oh, gosh, what’s wrong with Greg now?’” she remembers. “And Dr. Holtan goes, ‘This isn’t about Greg, it’s about you. You have diabetes.’” 

Sandy was stunned. As Greg’s primary caregiver, she knew she was prioritizing her husband’s health over her own, but she had no idea hers had deteriorated so much. No longer just Greg’s cheerleader, Sandy entered the strength-training program with a newfound personal motivation. The results were literally life-changing.

“In 12 weeks, she reversed her diabetes,” Holtan says.

Both Millers continue to work out about three times a week, using the lessons they learned from Sweetnam and Holtan.

“It’s hard to pull yourself off the couch, but when you know it makes you feel better, you do it,” Sandy says.

Strong potential

Holtan and Sweetnam are overseeing a second round of the study this year to collect more data on the possible benefits of strength training for cancer survivors and their partners. Ultimately, Holtan hopes exercise will become an integral part of posttreatment recovery, deliberately prescribed to promote physical and mental resiliency and to help patients get back to a more normal life after the rigors of cancer care.

But based on her own experience, as well as Sandy Miller’s, Holtan knows strength training holds powerful potential for everyone, not just cancer survivors.

For people who are interested in strength training, Holtan recommends seeking out a coach, someone who can help you understand your limits and thoughtfully prescribe your exercise “dosage,” she says.

“Everyone should have a coach like Jason,” she says of Sweetnam, who remains her trainer. “Just like I carefully prescribe chemotherapy at personalized doses, you should have a coach who can help personalize your workouts to achieve your goals.”

And once you’ve started, she says, stick with it.

“If you’re not careful,” Holtan says with a laugh, “you just might set a national record.”