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Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable.
Med Sci Sports Exerc 2019; 51(11):2375-2390MS

Abstract

PURPOSE

The number of cancer survivors worldwide is growing, with over 15.5 million cancer survivors in the United States alone-a figure expected to double in the coming decades. Cancer survivors face unique health challenges as a result of their cancer diagnosis and the impact of treatments on their physical and mental well-being. For example, cancer survivors often experience declines in physical functioning and quality of life while facing an increased risk of cancer recurrence and all-cause mortality compared with persons without cancer. The 2010 American College of Sports Medicine Roundtable was among the first reports to conclude that cancer survivors could safely engage in enough exercise training to improve physical fitness and restore physical functioning, enhance quality of life, and mitigate cancer-related fatigue.

METHODS

A second Roundtable was convened in 2018 to advance exercise recommendations beyond public health guidelines and toward prescriptive programs specific to cancer type, treatments, and/or outcomes.

RESULTS

Overall findings retained the conclusions that exercise training and testing were generally safe for cancer survivors and that every survivor should "avoid inactivity." Enough evidence was available to conclude that specific doses of aerobic, combined aerobic plus resistance training, and/or resistance training could improve common cancer-related health outcomes, including anxiety, depressive symptoms, fatigue, physical functioning, and health-related quality of life. Implications for other outcomes, such as peripheral neuropathy and cognitive functioning, remain uncertain.

CONCLUSIONS

The proposed recommendations should serve as a guide for the fitness and health care professional working with cancer survivors. More research is needed to fill remaining gaps in knowledge to better serve cancer survivors, as well as fitness and health care professionals, to improve clinical practice.

Authors+Show Affiliations

Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, CANADA.School of Nursing and Knight Cancer Institute, Oregon Health Sciences University, Portland, OR.Division of Medical Oncology, National Center for Tumor Diseases (NCT) and Heidelberg University Clinic, Heidelberg, GERMANY.Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, THE NETHERLANDS.School of Nursing, Northern Arizona University, Flagstaff, AZ.Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, CANADA.Cancer Rehabilitation Medicine Services, Swedish Cancer Institute, Swedish Health Services, Seattle, WA.Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD.Havard Medical School, Boston, MA.Department of Medicine, Inova Fairfax Medical Campus, Falls Church, VA. Center for the Study of Chronic Illness and Disability, George Mason University, Fairfax, VA.Physical Therapy, Wingate University, Wingate, NC.Epidemiology Research, American Cancer Society, Atlanta, GA.Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA.Division of Cancer Control and Population Sciences, Behavioral Research Program, Health Behaviors Research Branch, National Cancer Institute, Rockville, MD.Public Health Science, Penn State Cancer Institute, Penn State College of Medicine, Hershey, PA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31626055

Citation

Campbell, Kristin L., et al. "Exercise Guidelines for Cancer Survivors: Consensus Statement From International Multidisciplinary Roundtable." Medicine and Science in Sports and Exercise, vol. 51, no. 11, 2019, pp. 2375-2390.
Campbell KL, Winters-Stone KM, Wiskemann J, et al. Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable. Med Sci Sports Exerc. 2019;51(11):2375-2390.
Campbell, K. L., Winters-Stone, K. M., Wiskemann, J., May, A. M., Schwartz, A. L., Courneya, K. S., ... Schmitz, K. H. (2019). Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable. Medicine and Science in Sports and Exercise, 51(11), pp. 2375-2390. doi:10.1249/MSS.0000000000002116.
Campbell KL, et al. Exercise Guidelines for Cancer Survivors: Consensus Statement From International Multidisciplinary Roundtable. Med Sci Sports Exerc. 2019;51(11):2375-2390. PubMed PMID: 31626055.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable. AU - Campbell,Kristin L, AU - Winters-Stone,Kerri M, AU - Wiskemann,Joachim, AU - May,Anne M, AU - Schwartz,Anna L, AU - Courneya,Kerry S, AU - Zucker,David S, AU - Matthews,Charles E, AU - Ligibel,Jennifer A, AU - Gerber,Lynn H, AU - Morris,G Stephen, AU - Patel,Alpa V, AU - Hue,Trisha F, AU - Perna,Frank M, AU - Schmitz,Kathryn H, PY - 2019/10/19/entrez SP - 2375 EP - 2390 JF - Medicine and science in sports and exercise JO - Med Sci Sports Exerc VL - 51 IS - 11 N2 - PURPOSE: The number of cancer survivors worldwide is growing, with over 15.5 million cancer survivors in the United States alone-a figure expected to double in the coming decades. Cancer survivors face unique health challenges as a result of their cancer diagnosis and the impact of treatments on their physical and mental well-being. For example, cancer survivors often experience declines in physical functioning and quality of life while facing an increased risk of cancer recurrence and all-cause mortality compared with persons without cancer. The 2010 American College of Sports Medicine Roundtable was among the first reports to conclude that cancer survivors could safely engage in enough exercise training to improve physical fitness and restore physical functioning, enhance quality of life, and mitigate cancer-related fatigue. METHODS: A second Roundtable was convened in 2018 to advance exercise recommendations beyond public health guidelines and toward prescriptive programs specific to cancer type, treatments, and/or outcomes. RESULTS: Overall findings retained the conclusions that exercise training and testing were generally safe for cancer survivors and that every survivor should "avoid inactivity." Enough evidence was available to conclude that specific doses of aerobic, combined aerobic plus resistance training, and/or resistance training could improve common cancer-related health outcomes, including anxiety, depressive symptoms, fatigue, physical functioning, and health-related quality of life. Implications for other outcomes, such as peripheral neuropathy and cognitive functioning, remain uncertain. CONCLUSIONS: The proposed recommendations should serve as a guide for the fitness and health care professional working with cancer survivors. More research is needed to fill remaining gaps in knowledge to better serve cancer survivors, as well as fitness and health care professionals, to improve clinical practice. SN - 1530-0315 UR - https://www.unboundmedicine.com/medline/citation/31626055/Exercise_Guidelines_for_Cancer_Survivors:_Consensus_Statement_from_International_Multidisciplinary_Roundtable_ L2 - http://dx.doi.org/10.1249/MSS.0000000000002116 DB - PRIME DP - Unbound Medicine ER -