It’s time to open our eyes The urgent need to integrate physical exercise into oncology care
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Abstract
Scientific evidence shows that exercise benefits cancer patients, regardless of their disease stage or treatment. However, exercise is not widely included in cancer treatment plans despite its positive effects, like improving treatment tolerance, reducing side effects, and enhancing physical fitness. Exercise is linked to better quality of life and lower rates of anxiety and depression. Group exercise empowers patients and has been documented as beneficial during treatment. Many health organizations support integrating exercise into cancer care, but most oncologists do not prescribe it. There is a significant lack of resources and specialized professionals in oncology exercise, creating an ethical issue in patient care. Public administrations need to address this gap and focus more on patient-centred care. A move towards including exercise specialists in treatment teams could lead to better outcomes for patients. It is essential to act on this issue.
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References
Albini, A., La Vecchia, C., Magnoni, F., Garrone, O., Morelli, D., Janssens, J. Ph., Maskens, A., Rennert, G., Galimberti, V., & Corso, G. (2024). Physical activity and exercise health benefits: cancer prevention, interception, and survival. European Journal of Cancer Prevention. https://doi.org/10.1097/CEJ.0000000000000898
Campbell, K. L., Winters-Stone, K. M., Wiskemann, J., May, A. M., Schwartz, A. L., Courneya, K. S., Zucker, D. S., Matthews, C. E., Ligibel, J. A., Gerber, L. H., Morris, G. S., Patel, A. V., Hue, T. F., Perna, F. M., & Schmitz, K. H. (2019). Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable. Medicine and Science in Sports and Exercise, 51(11), 2375-2390. https://doi.org/10.1249/MSS.0000000000002116
Garcia-Roca, M. E., Catalá-Vilaplana, I., Hernando, C., Baliño, P., Salas-Medina, P., Suarez-Alcazar, P., Folch-Ayora, A., & Collado Boira, E. (2024). Effect of a Long-Term Online Home-Based Supervised Exercise Program on Physical Fitness and Adherence in Breast Cancer Patients: A Randomized Clinical Trial. Cancers 2024, Vol. 16, Page 1912, 16(10), 1912. https://doi.org/10.3390/cancers16101912
Garcia-Roca, M. E., Rodriguez-Arrastia, M., Ropero-Padilla, C., Hernando Domingo, C., Folch-Ayora, A., Temprado-Albalat, M. D., Boldo-Roda, A., & Collado-Boira, E. (2022). Breast Cancer Patients' Experiences with Online Group-Based Physical Exercise in a COVID-19 Context: A Focus Group Study. Journal of Personalized Medicine, 12(3), 356. https://doi.org/10.3390/jpm12030356
Gray, L., Sindall, P., & Pearson, S. J. (2024). Does resistance training ameliorate cancer-related fatigue in cancer survivors? A systematic review with meta-analysis. Disability and Rehabilitation, 46(11), 2213-2222. https://doi.org/10.1080/09638288.2023.2226408
Hayes, S. C., Newton, R. U., Spence, R. R., & Galvão, D. A. (2019). The Exercise and Sports Science Australia position statement: Exercise medicine in cancer management. Journal of Science and Medicine in Sport, 22(11), 1175-1199. https://doi.org/10.1016/j.jsams.2019.05.003
Mattioli, A. V., Bucciarelli, V., & Gallina, S. (2025). The role of physical exercise in cancer therapy-related CV toxicity. Future Cardiology. https://doi.org/10.1080/14796678.2025.2451530
Papadopetraki, A., Giannopoulos, A., Maridaki, M., Zagouri, F., Droufakou, S., Koutsilieris, M., & Philippou, A. (2023). The Role of Exercise in Cancer-Related Sarcopenia and Sarcopenic Obesity. Cancers 2023, Vol. 15, Page 5856, 15(24), 5856. https://doi.org/10.3390/cancers15245856
Pollán, M., Casla-Barrio, S., Alfaro, J., Esteban, C., Segui-Palmer, M. A., Lucia, A., & Martín, M. (2020). Exercise and cancer: a position statement from the Spanish Society of Medical Oncology. Clinical and Translational Oncology, 22(10), 1710-1729. https://doi.org/10.1007/s12094-020-02312-y
Schmitz, K. H., Campbell, A. M., Stuiver, M. M., Pinto, B. M., Schwartz, A. L., Morris, G. S., Ligibel, J. A., Cheville, A., Galvão, D. A., Alfano, C. M., Patel, A. V., Hue, T., Gerber, L. H., Sallis, R., Gusani, N. J., Stout, N. L., Chan, L., Flowers, F., Doyle, C., … Matthews, C. E. (2019). Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer. CA: A Cancer Journal for Clinicians, 69(6), 468-484. https://doi.org/10.3322/caac.21579
Suárez-Alcázar, M. P., García-Roca, M. E., Collado-Boira, E. J., Recacha-Ponce, P., Temprado-Albalat, M. D., Baliño, P., Muriach, M., Flores-Buils, R., Salas-Medina, P., Hernando, C., & Folch-Ayora, A. (2024). Exercise and Quality of Life (QoL) in Patients Undergoing Active Breast Cancer Treatment-Comparison of Three Modalities of a 24-Week Exercise Program-A Randomized Clinical Trial. Healthcare 2024, Vol. 12, Page 1107, 12(11), 1107. https://doi.org/10.3390/healthcare12111107
Uysal, N., Filiz, & Toprak, Ü. (2025). The effect of hand and foot exercises on peripheral neuropathy and quality of life in women with breast cancer: a randomized controlled trial. Supportive Care in Cancer 2025 33:2, 33(2), 1-11. https://doi.org/10.1007/s00520-025-09145-x
Wilson, R. L., Christopher, C. N., Yang, E. H., Barac, A., Adams, S. C., Scott, J. M., & Dieli-Conwright, C. M. (2023). Incorporating Exercise Training into Cardio-Oncology Care: Current Evidence and Opportunities: JACC: CardioOncology State-of-the-Art Review. JACC: CardioOncology, 5(5), 553-569. https://doi.org/10.1016/j.jaccao.2023.08.008