학술논문

American College of Sports Medicine Roundtable Report on Physical Activity, Sedentary Behavior, and Cancer Prevention and Control.
Document Type
article
Source
Medicine & Science in Sports & Exercise. 51(11)
Subject
Biomedical and Clinical Sciences
Health Services and Systems
Health Sciences
Public Health
Clinical Sciences
Oncology and Carcinogenesis
Uterine Cancer
Behavioral and Social Science
Aging
Rehabilitation
Cancer
Clinical Research
Digestive Diseases
Prevention
Colo-Rectal Cancer
Good Health and Well Being
Animals
Cancer Survivors
Evidence-Based Medicine
Exercise
Humans
Neoplasms
Risk Factors
Sedentary Behavior
Human Movement and Sports Sciences
Medical Physiology
Public Health and Health Services
Sport Sciences
Clinical sciences
Medical physiology
Sports science and exercise
Language
Abstract
IntroductionThe American College of Sports Medicine convened an International Multidisciplinary Roundtable on Exercise and Cancer in March 2018 to evaluate and translate the evidence linking physical activity and cancer prevention, treatment, and control. This article discusses findings from the Roundtable in relation to the biologic and epidemiologic evidence for the role of physical activity in cancer prevention and survival.ResultsThe evidence supports that there are a number of biologically plausible mechanisms, whereby physical activity can influence cancer risk, and that physical activity is beneficial for the prevention of several types of cancer including breast, colon, endometrial, kidney, bladder, esophageal, and stomach. Minimizing time spent in sedentary behavior may also lower risk of endometrial, colon and lung cancers. Conversely, physical activity is associated with higher risk of melanoma, a serious form of skin cancer. Further, physical activity before and after a cancer diagnosis is also likely to be relevant for improved survival for those diagnosed with breast and colon cancer; with data suggesting that postdiagnosis physical activity provides greater mortality benefits than prediagnosis physical activity.ConclusionsCollectively, there is consistent, compelling evidence that physical activity plays a role in preventing many types of cancer and for improving longevity among cancer survivors, although the evidence related to higher risk of melanoma demonstrates the importance of sun safe practices while being physically active. Together, these findings underscore the importance of physical activity in cancer prevention and control. Fitness and public health professionals and health care providers worldwide are encouraged to spread the message to the general population and cancer survivors to be physically active as their age, abilities, and cancer status will allow.