The Exercise and Sports Science Australia position statement: Exercise medicine in cancer management

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Hayes, SC
Newton, RU
Spence, RR
Galvão, DA
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Objectives: Since Exercise and Sports Science Australia (ESSA) first published its position statement on exercise guidelines for people with cancer, there has been exponential growth in research evaluating the role of exercise pre-, during and post-cancer treatment. Design and Methods: The purpose of this report is to use the current scientific evidence, alongside clinical experience and exercise science principles to update ESSA’s position statement on cancer-specific exercise prescription. Results: Reported in this position statement is a summary of the benefits accrued through exercise following a cancer diagnosis and the strengths and limitations of this evidence-base. An exercise prescription framework is then proposed to enable the application of cancer-specific considerations for individualisation, specificity, safety, feasibility and progression of exercise for all patients. Additional specific exercise prescription considerations are provided for the presence of haematological, musculoskeletal, systemic, cardiovascular, lymphatic, gastrointestinal, genitourinary and neurological disease- and treatment-related concerns, as well as presence of co-morbid chronic disease. Further, we also identify and discuss cancer-specific pragmatic issues and barriers requiring consideration for exercise prescription. Conclusions: While for the majority, multimodal, moderate to high intensity exercise will be appropriate, there is no set prescription and total weekly dosage that would be considered evidence-based for all cancer patients. Targeted exercise prescription, which includes the provision of behaviour change advice and support, is needed to ensure greatest benefit (as defined by the patient) in the short and longer term, with low risk of harm.

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Journal of Science and Medicine in Sport

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© 2019 Sports Medicine Australia. Published by Elsevier Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International (CC BY-NC-ND 4.0) License, which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.

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Oncology and carcinogenesis not elsewhere classified

Allied health and rehabilitation science not elsewhere classified

Public health not elsewhere classified

Clinical sciences

Sports science and exercise

Applied and developmental psychology

Science & Technology

Life Sciences & Biomedicine

Sport Sciences



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Hayes, SC; Newton, RU; Spence, RR; Galvão, DA, The Exercise and Sports Science Australia position statement: Exercise medicine in cancer management, Journal of Science and Medicine in Sport, 2019, 22 (11), pp. 1175-1199