Vol 15, No 3 (2021)
Review paper
Published online: 2021-06-25
The role of physical activity in cancer patients: a narrative review
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DOI: 10.5603/PMPI.2021.0019
Palliat Med Pract 2021;15(3):254-262.
Abstract
Physical activity plays an important role in the proper functioning of the human body and it is recommended in the prevention and treatment of many disease syndromes. The importance of physical activity in cancer patients has been highlighted in recent years. Physical activity has a positive impact on the course of the disease as well as on the condition of patients after anticancer treatment. It also reduces the risk of developing some types of cancer. Physical activity can be recommended to patients during and after cancer treatment. This narrative review presents current knowledge regarding the indications, applicability, and efficacy of physical activity in cancer patients, based on the recommendations of the American College of Sports Medicine International Multidisciplinary Roundtable on Exercise and Cancer. The paper discusses the role of physical activity in cancer patients receiving palliative care on the basis of the available systematic reviews.
Keywords: physical activitycanceranticancer treatmentquality of lifepalliative care
References
- Patel AV, Friedenreich CM, Moore SC, et al. American College of Sports Medicine Roundtable Report on Physical Activity, Sedentary Behavior, and Cancer Prevention and Control. Med Sci Sports Exerc. 2019; 51(11): 2391–2402.
- Campbell KL, Winters-Stone KM, Wiskemann J, et al. Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable. Med Sci Sports Exerc. 2019; 51(11): 2375–2390.
- Friendenreich CM, Courneya KS. Exercise as rehabilitation for cancer patients. Clin J Sport Med. 1996; 6(4): 237–244.
- Campbell KL, Winters-Stone KM, Wiskemann J, et al. American College of Sports Medicine. American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc. 2010; 42(7): 1409–1426.
- Rock CL, Doyle C, Demark-Wahnefried W, et al. Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin. 2012; 62(4): 243–274.
- Rock CL, Thomson C, Gansler T, et al. American Cancer Society guideline for diet and physical activity for cancer prevention. CA Cancer J Clin. 2020; 70(4): 245–271.
- Hayes SC, Newton RU, Spence RR, et al. The Exercise and Sports Science Australia position statement: Exercise medicine in cancer management. J Sci Med Sport. 2019; 22(11): 1175–1199.
- Cormie P, Atkinson M, Bucci L, et al. Clinical Oncology Society of Australia position statement on exercise in cancer care. Med J Aust. 2018; 209(4): 184–187.
- Segal R, Zwaal C, Green E, et al. Exercise for People with Cancer Guideline Development Group. Exercise for people with cancer: a clinical practice guideline. Curr Oncol. 2017; 24(1): 40–46.
- Leitzmann M, Powers H, Anderson AS, et al. European Code against Cancer 4th Edition: Physical activity and cancer. Cancer Epidemiol. 2015; 39 Suppl 1: S46–S55.
- WHO guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization; 2020. Licence: CC BY-NC-SA 3.0 IGO. Accessed 19 Feb 2021.
- https://www heart org/en/healthy-living/fitness/fitness-basics/aha-recs-for-physical-activity-in-adults (19 Feb 2021).
- Physical Activity Guidelines Advisory Committee. 2018 Physical Activity Guidelines Advisory Committee Scientific Report. In: Department of Health and Human Services. Washington, DC. 2018.
- Friedenreich CM. The role of physical activity in breast cancer etiology. Semin Oncol. 2010; 37(3): 297–302.
- Boyle T. Physical Activity and Colon Cancer. American Journal of Lifestyle Medicine. 2012; 6(3): 204–215.
- Schmid D, Leitzmann MF. Television viewing and time spent sedentary in relation to cancer risk: a meta-analysis. J Natl Cancer Inst. 2014; 106(7).
- Lynch B, Mahmood S, Boyle T. Sedentary Behaviour and Cancer. Sedentary Behaviour Epidemiology. 2017: 245–298.
- Shen D, Mao W, Liu T, et al. Sedentary behavior and incident cancer: a meta-analysis of prospective studies. PLoS One. 2014; 9(8): e105709.
- Nguyen LH, Liu PH, Zheng X, et al. Sedentary Behaviors, TV Viewing Time, and Risk of Young-Onset Colorectal Cancer. JNCI Cancer Spectr. 2018; 2(4): pky073.
- Patel AV, Rodriguez C, Pavluck AL, et al. Recreational physical activity and sedentary behavior in relation to ovarian cancer risk in a large cohort of US women. Am J Epidemiol. 2006; 163(8): 709–716.
- Gilchrist SC, Howard VJ, Akinyemiju T, et al. Association of Sedentary Behavior With Cancer Mortality in Middle-aged and Older US Adults. JAMA Oncol. 2020; 6(8): 1210–1217.
- Courneya KS, McKenzie DC, Mackey JR, et al. Effects of exercise dose and type during breast cancer chemotherapy: multicenter randomized trial. J Natl Cancer Inst. 2013; 105(23): 1821–1832.
- Kohrt WM, Bloomfield SA, Little KD, et al. American College of Sports Medicine. American College of Sports Medicine Position Stand: physical activity and bone health. Med Sci Sports Exerc. 2004; 36(11): 1985–1996.
- Chen JJ, Wu PT, Middlekauff HR, et al. Aerobic exercise in anthracycline-induced cardiotoxicity: a systematic review of current evidence and future directions. Am J Physiol Heart Circ Physiol. 2017; 312(2): H213–H222.
- Danhauer SC, Addington EL, Cohen L, et al. Yoga for symptom management in oncology: A review of the evidence base and future directions for research. Cancer. 2019; 125(12): 1979–1989.
- Cramer H, Lauche R, Klose P, et al. Yoga for improving health-related quality of life, mental health and cancer-related symptoms in women diagnosed with breast cancer. Cochrane Database Syst Rev. 2017; 1: CD010802.
- Schmitz KH, Campbell AM, Stuiver MM, et al. Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer. CA Cancer J Clin. 2019; 69(6): 468–484.
- Quist M, Adamsen L, Rørth M, et al. The Impact of a Multidimensional Exercise Intervention on Physical and Functional Capacity, Anxiety, and Depression in Patients With Advanced-Stage Lung Cancer Undergoing Chemotherapy. Integr Cancer Ther. 2015; 14(4): 341–349.
- Cheville AL, Kollasch J, Vandenberg J, et al. A home-based exercise program to improve function, fatigue, and sleep quality in patients with Stage IV lung and colorectal cancer: a randomized controlled trial. J Pain Symptom Manage. 2013; 45(5): 811–821.
- Pyszora A, Budzyński J, Wójcik A, et al. Physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: randomized controlled trial. Support Care Cancer. 2017; 25(9): 2899–2908.
- Navigante A, Morgado PC. Does physical exercise improve quality of life of advanced cancer patients? Curr Opin Support Palliat Care. 2016; 10(4): 306–309.
- Beaton R, Pagdin-Friesen W, Robertson C, et al. Effects of exercise intervention on persons with metastatic cancer: a systematic review. Physiother Can. 2009; 61(3): 141–153.
- Yang J, Choi M, Choi J, et al. Supervised Physical Rehabilitation in the Treatment of Patients with Advanced Cancer: a Systematic Review and Meta-analysis. J Korean Med Sci. 2020; 35(29): e242.
- Albrecht TA, Taylor AG. Physical activity in patients with advanced-stage cancer: a systematic review of the literature. Clin J Oncol Nurs. 2012; 16(3): 293–300.
- Lowe SS, Watanabe SM, Courneya KS. Physical activity as a supportive care intervention in palliative cancer patients: a systematic review. J Support Oncol. 2009; 7(1): 27–34.
- Titz C, Hummler S, Thomas M, et al. Physical exercise in advanced cancer patients undergoing palliative treatment. Expert Review of Quality of Life in Cancer Care. 2016; 1(6): 433–442.
- Cormie P, Galvão DA, Spry N, et al. Functional benefits are sustained after a program of supervised resistance exercise in cancer patients with bone metastases: longitudinal results of a pilot study. Support Care Cancer. 2014; 22(6): 1537–1548.
- Mirels H. Metastatic disease in long bones: A proposed scoring system for diagnosing impending pathologic fractures. Clin Orthop Relat Res. 2003(415 Suppl): S4–13.
- https://www.macmillan.org.uk/_images/physical-activity-for-people-with-metastatic-bone-disease-guidance_tcm9-326004.pdf (14 Feb 2021).
- http://www.boos.org.uk/wp-content/uploads/2016/03/BOOS-MBD-2016-BOA.pdf (14 Feb 2021).
- Brooks DB, Burstein AH, Frankel VH. The biomechanics of torsional fractures. The stress concentration effect of a drill hole. J Bone Joint Surg Am. 1970; 52(3): 507–514.
