Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable

Kristin L. Campbell, Kerri M. Winters-Stone, Joachim Wiskemann, Anne M. May, Anna L. Schwartz, Kerry S. Courneya, David S. Zucker, Charles E. Matthews, Jennifer A. Ligibel, Lynn H. Gerber, G. Stephen Morris, Alpa V. Patel, Trisha F. Hue, Frank M. Perna, Kathryn H. Schmitz

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

PURPOSE: The 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. METHODS: A 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. RESULTS: Overall 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. CONCLUSIONS: The 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.

Original languageEnglish (US)
Pages (from-to)2375-2390
Number of pages16
JournalMedicine and science in sports and exercise
Volume51
Issue number11
DOIs
StatePublished - Nov 1 2019

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Survivors
Consensus
Guidelines
Exercise
Neoplasms
Resistance Training
Quality of Life
Fatigue
Delivery of Health Care
Physical Fitness
Health
Peripheral Nervous System Diseases
Anxiety
Public Health
Depression
Recurrence

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Campbell, Kristin L. ; Winters-Stone, Kerri M. ; Wiskemann, Joachim ; May, Anne M. ; Schwartz, Anna L. ; Courneya, Kerry S. ; Zucker, David S. ; Matthews, Charles E. ; Ligibel, Jennifer A. ; Gerber, Lynn H. ; Morris, G. Stephen ; Patel, Alpa V. ; Hue, Trisha F. ; Perna, Frank M. ; Schmitz, Kathryn H. / Exercise Guidelines for Cancer Survivors : Consensus Statement from International Multidisciplinary Roundtable. In: Medicine and science in sports and exercise. 2019 ; Vol. 51, No. 11. pp. 2375-2390.
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title = "Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable",
abstract = "PURPOSE: The 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. METHODS: A 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. RESULTS: Overall 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. CONCLUSIONS: The 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.",
author = "Campbell, {Kristin L.} and Winters-Stone, {Kerri M.} and Joachim Wiskemann and May, {Anne M.} and Schwartz, {Anna L.} and Courneya, {Kerry S.} and Zucker, {David S.} and Matthews, {Charles E.} and Ligibel, {Jennifer A.} and Gerber, {Lynn H.} and Morris, {G. Stephen} and Patel, {Alpa V.} and Hue, {Trisha F.} and Perna, {Frank M.} and Schmitz, {Kathryn H.}",
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Campbell, KL, Winters-Stone, KM, Wiskemann, J, May, AM, Schwartz, AL, Courneya, KS, Zucker, DS, Matthews, CE, Ligibel, JA, Gerber, LH, Morris, GS, Patel, AV, Hue, TF, Perna, FM & Schmitz, KH 2019, 'Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable', Medicine and science in sports and exercise, vol. 51, no. 11, pp. 2375-2390. https://doi.org/10.1249/MSS.0000000000002116

Exercise Guidelines for Cancer Survivors : Consensus Statement from International Multidisciplinary Roundtable. / Campbell, Kristin L.; Winters-Stone, Kerri M.; Wiskemann, Joachim; May, Anne M.; Schwartz, Anna L.; Courneya, Kerry S.; Zucker, David S.; Matthews, Charles E.; Ligibel, Jennifer A.; Gerber, Lynn H.; Morris, G. Stephen; Patel, Alpa V.; Hue, Trisha F.; Perna, Frank M.; Schmitz, Kathryn H.

In: Medicine and science in sports and exercise, Vol. 51, No. 11, 01.11.2019, p. 2375-2390.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Exercise Guidelines for Cancer Survivors

T2 - Consensus Statement from International Multidisciplinary Roundtable

AU - Campbell, Kristin L.

AU - Winters-Stone, Kerri M.

AU - Wiskemann, Joachim

AU - May, Anne M.

AU - Schwartz, Anna L.

AU - Courneya, Kerry S.

AU - Zucker, David S.

AU - Matthews, Charles E.

AU - Ligibel, Jennifer A.

AU - Gerber, Lynn H.

AU - Morris, G. Stephen

AU - Patel, Alpa V.

AU - Hue, Trisha F.

AU - Perna, Frank M.

AU - Schmitz, Kathryn H.

PY - 2019/11/1

Y1 - 2019/11/1

N2 - PURPOSE: The 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. METHODS: A 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. RESULTS: Overall 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. CONCLUSIONS: The 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.

AB - PURPOSE: The 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. METHODS: A 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. RESULTS: Overall 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. CONCLUSIONS: The 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.

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