Exercise rehabilitation in patients with cancer

Lakoski, Susan G.; Eves, Neil D.; Douglas, Pamela S.; Jones, Lee W.

doi:10.1038/nrclinonc.2012.27

Cited by 165Cancer survivorship and careCardiovascular and exercise physiologyCardiac Health and Mental Health

Exercise rehabilitation in patients with cancer

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Lakoski, Susan G., Eves, Neil D., Douglas, Pamela S., Jones, Lee W.·2012·Nature Reviews Clinical Oncology

DOI 10.1038/nrclinonc.2012.27PMC PMC3640332

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Abstract

Emerging evidence indicates that patients with cancer have considerable impairments in cardiorespiratory fitness, which is likely to be a result of the direct toxic effects of anticancer therapy as well as the indirect consequences secondary to therapy (for example, deconditioning). This reduced cardiorespiratory fitness is associated with heightened symptoms, functional dependence, and possibly with an increased risk of cardiovascular morbidity and mortality. Current understanding of the complex interaction between the effects of the tumour and cancer-associated therapies on the organ components that govern cardiorespiratory fitness, and the effects of exercise training on these parameters is limited; further research will be critical for further progress of exercise-based rehabilitation in the oncology setting. We assess the current evidence regarding the level, mechanisms, and clinical importance of diminished cardiorespiratory fitness in patients with cancer. The efficacy and adaptations to exercise training to prevent and/or mitigate dysfunction in conjunction with exercise prescription considerations for clinical use are also discussed.

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Aerobic exercise during adjuvant chemotherapy does not appear to stimulate greater red blood cell production, so improvements in cardiorespiratory fitness depend on other central and peripheral adaptations.
“Aerobic exercise during adjuvant chemotherapy does not appear to stimulate greater production of red blood cells(92), so improvements in cardiorespiratory fitness are contingent on other central (i.e., cardiac function, plasma volume) and peripheral adaptations (i.e., improved vascularization and mitochondrial enzyme function)(93).”
From Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable (2019) · cites this paper as [93]

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Authors: Lakoski, S. G., Eves, N. D., Douglas, P. S., & Jones, L. W.
Affiliations: University of British Columbia (CA)
Duke University (US)
Corresponding author: Jones, Lee W.
ORCID: Eves, Neil D.
Douglas, Pamela S.
Jones, Lee W.
Venue: Nature Reviews Clinical Oncology
Publisher: Springer Science and Business Media LLC
Published: 2012-03-06
Volume: 9
Issue: 5
Pages: 288-296
ISSN: 1759-4774 (ISSN-L)
1759-4782
DOI: 10.1038/nrclinonc.2012.27
PMC: PMC3640332
OpenAlex: W2002193164
Cited by: 165
References: 66
Citations by year: 2026: 1 · 2025: 7 · 2024: 9 · 2023: 11 · 2022: 18 · 2021: 10 · 2020: 16 · 2019: 18 · 2018: 11 · 2017: 9 · 2016: 13 · 2015: 19 · 2014: 11 · 2013: 10 · 2012: 2
FWCI: 1.38
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: Nature Reviews Clinical Oncology (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Cancer Institute (CA133895, R21CA143254, CA138634, R01CA138624, CA-143254, CA125458, R01CA138634, R21CA133895, R01CA142566, CA-142566, R21CA125458)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Keywords: exercise rehabilitation, cancer patients, cardiorespiratory fitness, supervised exercise, deconditioning, cardiovascular morbidity, exercise prescription, functional dependence
MeSH terms: Adaptation, Physiological, Exercise Therapy, Humans, Neoplasms

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