American College of Sports Medicine Roundtable on Exercise Guidelines for Cancer Survivors

医学 老年学 癌症 人口 生活质量(医疗保健) 不利影响 癌症幸存者 替代医学 癌症预防 运动医学 疾病 物理疗法 家庭医学 内科学 护理部 病理 环境卫生
作者
Kathryn H. Schmitz,Kerry S. Courneya,Charles E. Matthews,Wendy Demark‐Wahnefried,Daniel A. Galvão,B. Mario Pinto,Melinda L. Irwin,Kathleen Y. Wolin,Roanne Segal,Alejandro Lucía,Carole M. Schneider,Vivian E. von Gruenigen,Anna L. Schwartz
出处
期刊:Medicine and Science in Sports and Exercise [Ovid Technologies (Wolters Kluwer)]
卷期号:42 (7): 1409-1426 被引量:2435
标识
DOI:10.1249/mss.0b013e3181e0c112
摘要

EXPERT PANEL Kathryn H. Schmitz, PhD, MPH, FACSM Kerry S. Courneya, PhD Charles Matthews, PhD, FACSM Wendy Demark-Wahnefried, PhD Daniel A. Galvão, PhD Bernardine M. Pinto, PhD Melinda L. Irwin, PhD, FACSM Kathleen Y. Wolin, ScD, FACSM Roanne J. Segal, MD, FRCP Alejandro Lucia, MD, PhD Carole M. Schneider, PhD, FACSM Vivian E. von Gruenigen, MD Anna L. Schwartz, PhD, FAAN Early detection and improved treatments for cancer have resulted in roughly 12 million survivors alive in the United States today. This growing population faces unique challenges from their disease and treatments, including risk for recurrent cancer, other chronic diseases, and persistent adverse effects on physical functioning and quality of life. Historically, clinicians advised cancer patients to rest and to avoid activity; however, emerging research on exercise has challenged this recommendation. To this end, a roundtable was convened by American College of Sports Medicine to distill the literature on the safety and efficacy of exercise training during and after adjuvant cancer therapy and to provide guidelines. The roundtable concluded that exercise training is safe during and after cancer treatments and results in improvements in physical functioning, quality of life, and cancer-related fatigue in several cancer survivor groups. Implications for disease outcomes and survival are still unknown. Nevertheless, the benefits to physical functioning and quality of life are sufficient for the recommendation that cancer survivors follow the 2008 Physical Activity Guidelines for Americans, with specific exercise programming adaptations based on disease and treatment-related adverse effects. The advice to "avoid inactivity," even in cancer patients with existing disease or undergoing difficult treatments, is likely helpful.
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