Physical Activity and Cancer Survivorship: A Simple Framework for a Complex Field

@article{Courneya2014PhysicalAA,
  title={Physical Activity and Cancer Survivorship: A Simple Framework for a Complex Field},
  author={Kerry S. Courneya},
  journal={Exercise and Sport Sciences Reviews},
  year={2014},
  volume={42},
  pages={102–109}
}
  • K. Courneya
  • Published 1 July 2014
  • Medicine
  • Exercise and Sport Sciences Reviews
For the field of physical activity (PA) and cancer survivorship to flourish, researchers must demonstrate compelling links between cancer variables and PA. In this article, I propose a simple framework that highlights four major propositions that largely define the field of PA and cancer survivorship. I also provide examples of my own research that have tested each of these propositions. 
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26 Citations
Background Citations
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26 Citations

Citation Type

Citation Type

Integrating Physical Activity Into Clinical Cancer Care
TLDR
Providers should prioritize assessment of guideline-concordant physical activity and facilitate achievement of physical activity guidelines through exercise prescription, goal setting, addressing barriers, and capitalizing on support systems.
Diet, Physical Activity, and Body Weight in Cancer Survivorship.
Mindfulness-Based Movement: A Polyvagal Perspective
TLDR
This conceptual review argues that attention should be given to the entire continuum of physical activity from reducing sedentary behavior to increasing higher levels of physical Activity when possible, using Polyvagal Theory as a theoretical framework to understand the role and value of Mindfulness-Based Movement as a potential intervention for cancer care and control.
Top 10 Research Questions Related to Physical Activity and Cancer Survivorship
TLDR
The answers to these questions are critical not only for advancing the field of PA and cancer survivorship, but for improving the lives of the millions of cancer survivors every year.
Navigating physical activity engagement following a diagnosis of cancer: A qualitative exploration
TLDR
Being able to live well and re-engage in meaningful activities following a diagnosis of cancer is both complex and challenging.
Implementing Cancer Exercise Rehabilitation: An Update on Recommendations for Clinical Practice
TLDR
An interdisciplinary model of care for integrating exercise programming into clinical care including guidelines for medical and pre-exercise screening, exercise testing and programming considerations is proposed.
Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable
TLDR
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.
Exercise Training and Cancer: Recognizing What We May Not Know
TLDR
Knowing HRmax is important in defining exercise intensity, but accurately determining HRmax requires an individual to undergo a maximum exercise test, which is challenging to do clinically because of unique equipment requirements, patient status, staff time, and training.
Understanding strength exercise intentions and behavior in hematologic cancer survivors: an analysis of the intention-behavior gap
TLDR
Just over half of HCS intended to do strength exercise and only half of intenders translated that intention into behavior, suggesting interventions targeting both intention formation and translation may provide the best approach for increasing strength exercise in HCS.
An integrated model of exercise support for people affected by cancer: consensus through scoping.
TLDR
Results from this study suggest that the promotion of exercise is not a priority in routine cancer care, and there was consensus on the importance of exercise and critical factors required to develop a sustainable, accessible and effective service.
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References

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TLDR
Although BC, PC, and CRC survivors have similar levels of PA, the correlates of their PA may differ and these findings may inform cancer site-specific interventions to promote PA in cancer survivors.
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Some medical and demographic variables predict exercise behavior in bladder cancer survivors, but these associations are mediated by the TPB.
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Various demographic and medical factors can help identify ovarian cancer survivors at risk for physical inactivity and interventions should attempt to increase physical activity intentions by focusing on instrumental and affective attitudes as well as perceptions of control.
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ObjectivesPhysical activity (PA) improves health-related quality of life (HRQL) in several cancer survivor groups but no studies have focused on young adult cancer survivors (YACS). This study…
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TLDR
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TLDR
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Personal and clinical factors that may predict exercise training responses are examined to improve supportive care outcomes in patients with breast cancer who are receiving adjuvant therapy.
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