Exercise as part of routine cancer care

The Italian consensus conference on the role of rehabilitation for children and adolescents with leukemia, central nervous system, and bone tumors, part 1: Review of the conference and presentation of consensus statements on rehabilitative evaluation of motor aspects

“…30 We believe that preventive rehabilitation programs should be developed with available resources that capitalize on the skills of the multidisciplinary team in the promotion of physical activity at all phases of the cancer trajectory. 31,32 This could be achieved by introducing alternative modes of service delivery (eg, telemedicine) 31 and strategies to improve adherence to preventive behavior (eg, mobile phone app). 33 The multidisciplinary team should be coordinated by a clinical manager, who would generally be the referring doctor at each phase of the treatment (oncologist, neurosurgeon, orthopedist, child neuropsychiatrist, physiatrist).…”

“…Therefore, rehabilitation should be an integral part in the care of these patients from the point of diagnosis 30 . We believe that preventive rehabilitation programs should be developed with available resources that capitalize on the skills of the multidisciplinary team in the promotion of physical activity at all phases of the cancer trajectory 31,32 . This could be achieved by introducing alternative modes of service delivery (eg, telemedicine) 31 and strategies to improve adherence to preventive behavior (eg, mobile phone app) 33 …”

Cost-Effectiveness Analysis from a Randomized Controlled Trial of Tailored Exercise Prescription for Women with Breast Cancer with 8-Year Follow-Up

“…The benefits for women in the exercise group may be explained through improved health-related quality of life, improved progression-free survival or from higher overall survival, which the EfH trial suggests are robust long-term outcomes of exercise. Evidence shows that exercise programs are beneficial across all these effects [8,13]. The 8-year follow-up data from the EfH trial demonstrated that mixed-type, moderate-intensity exercise was favorable to disease recurrence and overall survival outcomes, irrespective of age, stage of disease, presence of other comorbidities, or body mass index [18].…”

“…Physical activity is advocated by cancer agencies and public health organizations to reduce the impacts of symptoms and side-effects from cancer and its treatment [7][8][9][10][11]. Evidence supports the beneficial effects of physical activity during breast cancer treatment and beyond, particularly when the exercise dose exceeds 150 min of moderate intensity, mixed mode exercise per week [10].…”

Exploring cardiologists’ and oncologists’ exercise recommendation and referral practices

“…System-level structures and referral pathways for exercise rehabilitation have been part of treatment of CVD for many decades (Mampuya, 2012). Calls for exercise as part of standard care for cancer treatment have only recently been proposed (Cormie et al, 2018; Mina et al, 2018), with many suggesting the ‘cardiac-rehabilitation’ model be used as paradigm for oncology rehabilitation (Hubbard et al, 2016). In the USA, there still remains variability in the provision of exercise as part of cancer rehabilitation services (Stubblefield et al, 2013) and uncertainty as to how consistently cardiologists are referring to available exercise-based rehabilitation services.…”