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Physical activity and exercise training in cancer patients
1Cicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, Bessmer Road, Denmark Hill, London, SE5 9PJ, UK.
Clinical Nutrition ESPEN
|November 13, 2020
Summary
Physical activity and exercise are crucial for cancer survivors, improving function and recovery. Individualized exercise prescriptions, including combined aerobic and resistance training, are key for maximizing benefits across all cancer types.
Area of Science:
- Oncology
- Exercise Physiology
- Rehabilitation
Background:
- Reduced physical function is a common outcome for cancer patients due to the disease and its treatments.
- Current guidelines recommend physical activity and exercise as a continuous part of care for cancer survivors.
- Individualized exercise prescription is essential to fully realize the benefits of physical activity for cancer patients.
Purpose of the Study:
- To review the evidence supporting physical activity and exercise for adult cancer patients.
- To highlight the importance of tailored exercise programs for cancer survivors.
- To discuss the role of combined aerobic and resistance training, and nutritional support.
Main Methods:
- Systematic review of existing literature on exercise interventions in cancer care.
- Analysis of evidence across different cancer types and stages of treatment.
- Evaluation of factors influencing patient participation in exercise programs.
Main Results:
- Strong evidence supports exercise before, during, and after cancer treatment for all adult cancer patients, including those with advanced disease.
- Combined aerobic and resistance exercise training shows particular relevance for patients with cachexia or wasting syndromes.
- Emerging evidence suggests added benefits of nutritional support when combined with exercise.
Conclusions:
- Physical activity and exercise are integral components of care for cancer survivors, improving physical function.
- Personalized exercise prescriptions are necessary to optimize outcomes for cancer patients.
- Addressing patient, family, and professional beliefs is important for promoting exercise adherence in cancer survivorship.
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