Exercise training in cancer control and treatment
Abstract
Exercise training is playing an increasing role in cancer care, as accumulating evidence demonstrates that exercise may prevent cancer, control disease progression, interact with anti-cancer therapies, and improve physical functioning and psychosocial outcomes. In this overview article, we present the current state of the field of exercise oncology, which currently comprises of nearly 700 unique exercise intervention trials with more than 50,000 cancer patients. First, we summarize the range of these interventions with regard to diagnoses, clinical setting, timing, and type of intervention. Next, we provide a detailed discussion of the 292 trials, which have delivered structured exercise programs, outlining the impact of exercise training on cancer-specific, physiological, and psychosocial outcomes in the light of the challenges and physiological limitations cancer patients may experience. In summary, the safety and feasibility of exercise training is firmly established across the cancer continuum, and a wide range of beneficial effects on psychosocial and physiological outcomes are well documented. Many of these beneficial effects are linked to the general health-promoting properties of exercise. However, it is becoming increasing evident that exercise training can have direct effects on cancer and its treatment. This calls for future exercise oncology initiatives, which aim to target cancer-specific outcomes, and which are integrated into the concurrent cancer trajectory. Here, the field must bridge extensive knowledge of integrative exercise physiology with clinical oncology and cancer biology to provide a basis of individualized targeted approaches, which may place exercise training as an integrated component of standard cancer care. © 2019 American Physiological Society. Compr Physiol 9:165-205, 2019.
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Epidemiological studies suggest that physical activity in leisure time reduces the risk of at least 13 different cancer types.
“Epidemiological studies suggest that physical activity in leisure time reduces the risk of at least 13 different cancer types (41, 42, 222, 223).”
From Muscle–Organ Crosstalk: The Emerging Roles of Myokines (2020) · cites this paper as [223]
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Østergren, P. B., Kistorp, C., Bennedbæk, F. N., Faber, J. O., Sønksen, J., & Fode, M. M. (2016) · Nature Reviews Urology · doi:10.1038/nrurol.2016.67 · Cited by 25 · see citing works
Rueegg, C. S., Kriemler, S., Zürcher, S. J., Schindera, C., Renner, A., Hebestreit, H. U., Meier, C., Eser, P., & von der Weid, N. (2017) · BMC Cancer · doi:10.1186/s12885-017-3801-8 · Cited by 22 · see citing works
Chiarotto, J. A., Akbarali, R., Bellotti, L., & Dranitsaris, G. (2017) · Cancer Management and Research · doi:10.2147/cmar.s147054 · Cited by 20 · see citing works
Preoperative exercise training for patients with non-small cell lung cancer
Cavalheri, V., & Granger, C. L. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012020 · Cited by 20 · see citing works
Nielsen, M. K. F., Larsen, H. B., Schmiegelow, K., & Christensen, J. F. (2016) · EMJ Oncology · doi:10.33590/emjoncol/10310846 · Cited by 16 · see citing works
Self-citationChristensen, J. F., Schjerling, P., Andersen, J. L., Daugaard, G., Rørth, M. R., & Mackey, A. L. (2016) · Acta Oncologica · doi:10.3109/0284186x.2016.1170200 · Cited by 10 · see citing works
Self-citationBay, M. L., Gehl, J., Pedersen, B. K., & Højman, P. (2017) · Cancer Prevention Research · doi:10.1158/1940-6207.capr-17-0075 · Cited by 8 · see citing works
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Muscle–Organ Crosstalk: The Emerging Roles of Myokines
Severinsen, M. C. K., & Pedersen, B. K. (2020) · Endocrine Reviews · doi:10.1210/endrev/bnaa016 · Cited by 1,226 · see citing works
Physical Activity and Mortality in Cancer Survivors: A Systematic Review and Meta-Analysis
Friedenreich, C. M., Stone, C. R., Cheung, W. Y., & Hayes, S. C. (2020) · JNCI Cancer Spectrum · doi:10.1093/jncics/pkz080 · Cited by 453 · see citing works
Cytotoxic T-cells mediate exercise-induced reductions in tumor growth
Rundqvist, H., Veliça, P., Barbieri, L., Gameiro, P. A., Bargiela, D., Gojkovic, M., Mijwel, S., Reitzner, S. M., Wulliman, D., Ahlstedt, E., et al. (2020) · eLife · doi:10.7554/elife.59996 · Cited by 216 · see citing works
- Authors
- Christensen, J. F., Simonsen, C., & Hojman, P.
- Affiliations
- Copenhagen University Hospital (DK)
- Venue
- Comprehensive physiology
- Publisher
- Wiley
- Published
- 2018-12-13
- Volume
- 9
- Issue
- 1
- Pages
- 165-205
- ISSN
- 2040-4603 (ISSN-L)
- OpenAlex
- W2905146028
- Cited by
- 203
- References
- 191
- Citations by year
- 2026: 10 · 2025: 14 · 2024: 28 · 2023: 37 · 2022: 29 · 2021: 39 · 2020: 33 · 2019: 13
- Type
- other
- Language
- en
- Open access
- closed
- Locations
- Comprehensive physiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Lundbeckfonden (R238-2016-2821)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- exercise training, exercise oncology, cancer patients, cancer prevention, cancer therapy, physical function, psychosocial outcomes, exercise safety and feasibility
- MeSH terms
- Animals, Clinical Trials as Topic, Combined Modality Therapy, Exercise Therapy, Humans, Neoplasms
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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