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A qualitative analysis of cancer patients' views on facilitators and barriers for the implementation of oncological exercise therapy.

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Updated: Aug 15, 2025

Conducting Maximal and Submaximal Endurance Exercise Testing to Measure Physiological and Biological Responses to Acute Exercise in Humans
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[Physical activity and exercise therapy in oncology].

Nora Zoth1, Lena Böhlke2, Sebastian Theurich3

  • 1Centrum für integrierte Onkologie (CIO) Aachen, Bonn, Köln, Düsseldorf, Klinik für Innere Medizin, Universitätsklinikum Köln, Kerpener Str. 62, 50937, Köln, Deutschland. Nora.zoth@uk-koeln.de.

Innere Medizin (Heidelberg, Germany)
|January 3, 2023
PubMed
Summary

Physical activity and exercise therapy improve cancer patient outcomes by reducing side effects like fatigue and depression. Personalized exercise programs, including endurance and strength training, are recommended for all cancer patients.

Keywords:
CancerLong-term effectsPhysical activitySide effectsSupportive care

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Area of Science:

  • Oncology
  • Exercise Science
  • Rehabilitation Medicine

Context:

  • Optimized cancer treatments improve patient prognosis, increasing the importance of managing treatment side effects and long-term consequences.
  • Physical activity and targeted exercise therapy demonstrate a positive impact on patient-related outcomes in numerous studies.
  • Integrating exercise therapy early post-diagnosis is ideal for supportive monitoring and sustainable reduction of therapy-associated side effects.

Purpose:

  • To summarize the scientific evidence supporting the role of exercise therapy in cancer care.
  • To highlight the benefits of physical activity in mitigating treatment-related side effects and improving patient quality of life.
  • To advocate for the widespread implementation of professional exercise therapy services for cancer patients.

Summary:

  • Scientific findings provide concrete recommendations for improving patient outcomes such as fatigue and depression through exercise.
  • Moderate endurance training combined with individualized strength training is particularly beneficial.
  • Oncological training and exercise therapy are broadly applicable to cancer patients across all cancer types and treatment stages, provided contraindications are considered.

Impact:

  • Exercise therapy can significantly improve key patient-related outcomes, including fatigue and depression.
  • Implementing comprehensive exercise therapy programs can enhance patient care during and after cancer treatment.
  • National and communal efforts should focus on increasing access to professional exercise therapy for all cancer patients.