Exploring Physical Activity Levels, Barriers, and Education Sources in People with Cancer Undergoing Chemotherapy

Physical activity (PA) during chemotherapy can lessen side effects, support treatment adherence, and improve overall outcomes, yet the barriers to PA in this population remain underexplored. This study assessed self-reported PA levels, barriers, and sources of PA education among adults with cancer undergoing chemotherapy.

A cross-sectional survey was conducted among adult outpatients receiving chemotherapy in the ACT, Australia. The survey collected demographic information, PA levels using the modified Godin-Shephard Leisure Time Questionnaire, barriers to PA, and sources of PA education. Both quantitative and qualitative analyses were performed.

Of 111 participants (mean age 59.2), only 11.7% met 'active' PA status and 9.9% met resistance exercise guidelines. Barriers included fatigue, strength, pain, motivation, nausea, and lack of time. Notably, almost one-third received no PA education during chemotherapy, and nearly half wanted more. Education by accredited exercise physiologists increased resistance exercise participation.

Few participants met PA recommendations during chemotherapy, with many reporting insufficient PA education and significant barriers. These findings highlight critical gaps in patient care and education. Addressing these through integrated, evidence-based PA programs and policy changes could enhance patient health, improve outcomes, and reduce disparities in supportive cancer care.