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Innovative Exercise in Routine Cancer Care: Insights from Eight Years of Integrated Oncological Exercise Therapy

Timo Sonntag1, Ariana Safi2, Vera Coutellier2

  • 1Faculty of Medicine and University Hospital Cologne, Department I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf, University of Cologne, Cologne, Germany. timo.niels@uk-koeln.de.

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Summary

Structured oncological exercise therapy (OTT) shows benefits for cancer patients, improving physical performance and patient-reported outcomes. Strategies to increase exercise attendance are crucial for maximizing these positive effects in clinical settings.

Keywords:
Cancer patientsClinical careExercise oncologyExercise programNeoplasmsPhysical activity

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Area of Science:

  • Oncology
  • Exercise Science
  • Rehabilitation Medicine

Background:

  • The positive impact of exercise on cancer patients is recognized, but integrating structured oncological exercise into standard care is challenging.
  • This study evaluates a supervised Oncological Exercise Therapy (OTT) program integrated into clinical care.

Purpose of the Study:

  • To assess patient characteristics, exercise participation, and the effects of OTT on patient-reported outcomes (PROs) and physical performance.
  • To determine the feasibility and efficacy of implementing OTT in a standard clinical setting.

Main Methods:

  • An observational study analyzed data from 1660 cancer patients enrolled in OTT between 2012 and 2020.
  • Patients were encouraged to attend personalized OTT for at least three months, with data collected on demographics, medical history, and treatment.
  • Exercise attendance was tracked for up to one year, and efficacy was assessed via strength/endurance tests and PROs (quality of life, fatigue, psychosocial distress) between 6 and 24 weeks.

Main Results:

  • The study included 1660 patients (median age 54, 70% female, 40% breast cancer, 80% without metastasis).
  • Only 32% exercised regularly (average 19 sessions over 19 weeks), with only 1% meeting the recommended ≥2 sessions/week.
  • Improved strength, endurance, and PROs were observed, with greater benefits correlating with higher exercise attendance. Older age and shorter travel distance were linked to better attendance.

Conclusions:

  • Innovative exercise programs like OTT can be integrated into standard hospital-based cancer care.
  • Real-world data confirm the beneficial effects of exercise on PROs and physical outcomes in cancer patients.
  • Enhancing exercise attendance is critical to fully realize the benefits of real-world exercise interventions for cancer patients.