Journal
MEDICINE & SCIENCE IN SPORTS & EXERCISE
Volume 51, Issue 11, Pages 2375-2390Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1249/MSS.0000000000002116
Keywords
CANCER SURVIVORSHIP; EXERCISE PRESCRIPTION; SAFETY
Categories
Funding
- American College of Sports Medicine
- American Cancer Society
- American Academy of Physical Medicine and Rehabilitation
- American Physical Therapy Association
- Canadian Society for Exercise Physiology
- Exercise and Sports Science Australia
- German Union for Health Exercise and Exercise Therapy (DVGS)
- McMillan
- Royal Dutch Society for Physical Therapy (KNGF)
- Sunflower Wellness
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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.
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