학술논문

Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable.
Document Type
article
Source
Medicine & Science in Sports & Exercise. 51(11)
Subject
Health Services and Systems
Nursing
Health Sciences
Behavioral and Social Science
Rehabilitation
Cancer
Pain Research
Clinical Research
Mind and Body
Prevention
Mental Health
Depression
Good Health and Well Being
Anxiety
Cancer Survivors
Evidence-Based Medicine
Exercise
Exercise Test
Exercise Therapy
Exercise Tolerance
Fatigue
Humans
Lymphedema
Physical Fitness
Quality of Life
CANCER SURVIVORSHIP
EXERCISE PRESCRIPTION
SAFETY
Human Movement and Sports Sciences
Medical Physiology
Public Health and Health Services
Sport Sciences
Clinical sciences
Medical physiology
Sports science and exercise
Language
Abstract
PurposeThe number of cancer survivors worldwide is growing, with over 15.5 million cancer survivors in the United States alone-a figure expected to double in the coming decades. Cancer survivors face unique health challenges as a result of their cancer diagnosis and the impact of treatments on their physical and mental well-being. For example, cancer survivors often experience declines in physical functioning and quality of life while facing an increased risk of cancer recurrence and all-cause mortality compared with persons without cancer. The 2010 American College of Sports Medicine Roundtable was among the first reports to conclude that cancer survivors could safely engage in enough exercise training to improve physical fitness and restore physical functioning, enhance quality of life, and mitigate cancer-related fatigue.MethodsA second Roundtable was convened in 2018 to advance exercise recommendations beyond public health guidelines and toward prescriptive programs specific to cancer type, treatments, and/or outcomes.ResultsOverall findings retained the conclusions that exercise training and testing were generally safe for cancer survivors and that every survivor should "avoid inactivity." Enough evidence was available to conclude that specific doses of aerobic, combined aerobic plus resistance training, and/or resistance training could improve common cancer-related health outcomes, including anxiety, depressive symptoms, fatigue, physical functioning, and health-related quality of life. Implications for other outcomes, such as peripheral neuropathy and cognitive functioning, remain uncertain.ConclusionsThe proposed recommendations should serve as a guide for the fitness and health care professional working with cancer survivors. More research is needed to fill remaining gaps in knowledge to better serve cancer survivors, as well as fitness and health care professionals, to improve clinical practice.