No abstract

Bone health is often threatened in cancer patients. Bone metastasis and osteoporosis frequently occur in patients with cancer and may lead to different skeletal-related events, which may negatively affect patients’ quality of life and are associated with high mortality risk. Physical exercise has been recognized as a potential adjunctive strategy in the cancer setting to improve physical function as well as treatment-related side effects. Nevertheless, exercise is often not recommended to patients with bone health impairments due to safety concerns. In the current review, we aimed, through a comprehensive review of the evidence, to explore the impact of exercise in terms of safety profile, bone outcomes, and the effects on other outcomes in patients with cancer affected by bone metastasis or at high risk of losing bone. Additionally, we explored the potential mechanisms by which exercise may act on bone, particularly the impact of mechanical load on bone remodeling. Finally, considerations about exercise prescription and programming in these populations are also discussed.

No abstract

Delivering physical activity in cancer care requires knowledge, competence, and specific skills to adapt the exercise program to the patients’ specific needs. Kinesiology students could be one of the main stakeholders involved in the promotion of physical activity. This study aims to investigate the knowledge, perception, and competence about exercise in patients with oncological disease in a sample of students attending the Sports Science University. A total of 854 students (13% response rate) from four Italian universities completed the online survey between May and June 2021. About half of the study participants identified the correct amount of aerobic (44%) and strength (54%) activities proposed by the American College of Sports Medicine for patients with cancer. Almost all the students recognized the importance of physical activity in cancer prevention (96%), in the management of cancer before surgery (96%), during anticancer treatments (84%), and after therapies completion (98%). On the contrary, they reported a lack of university courses dedicated to cancer diseases, psychological implications, and prescription of physical activity in all types of cancer prevention. Overall, few students felt qualified in delivered counseling about physical activity and individual or group-based exercise programs in patients with cancer. Logistic regression revealed that the students attending the Master’s Degree in Preventive and Adapted Physical Activity were more likely to have knowledge and competence than other students. The present study suggests that kinesiology universities should increase the classes and internships about exercise oncology to train experts with specific skills who are able to adequately support patients in their lifestyle modification.

METHODS: 150 Cancer Survivors responded to a modified NCCN Distress Thermometer administered via Survey Monkey in March 2019 and Sept 2020. We added 14 items in Exercise and COVID categories. Time 1 and 2 ratings of distress, identification of problems and Pearson correlations with exercise items were determined. A rating >4 indicates high distress 1 . 10% min percent cut point was category source of distress. This study was approved by the SFU IRB. RESULTS: Mean patient time 1 distress = 4.14 (N=47) and time 2 = 4.20 (N=103). Mean sources of distress time 1 and 2: Practical Problems (12% to 19%), Family Problems (21% to 26%), Emotional Problems (44% to 48%), Spiritual/ Religious (17% to 19%), Physical Problems (12.5% to 22%), COVID-19 Concerns (23% to 15%), Exercise Concerns (39% to 41%). Significant (p<.05) low to moderate correlations (r<0.