Exercise therapy and cardiovascular toxicity in cancer

Scott, Jessica M.; Nilsen, Tormod S.; Gupta, Dipti; Jones, Lee W.

doi:10.1161/circulationaha.117.024671

Cited by 239Chemotherapy-induced cardiotoxicity and mitigationCardiovascular and exercise physiologyCancer survivorship and care

Exercise therapy and cardiovascular toxicity in cancer

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Scott, Jessica M., Nilsen, Tormod S., Gupta, Dipti, Jones, Lee W.·2018·Circulation

DOI 10.1161/circulationaha.117.024671PMC PMC6028047

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Abstract

Cardio-oncology is an emerging discipline focused predominantly on the detection and management of cancer treatment–induced cardiac dysfunction (cardiotoxicity), which predisposes to development of overt heart failure or coronary artery disease. The direct adverse consequences, as well as those secondary to anticancer therapeutics, extend beyond the heart, however, to affect the entire cardiovascular-skeletal muscle axis (ie, whole-organism cardiovascular toxicity). The global nature of impairment creates a strong rationale for treatment strategies that augment or preserve global cardiovascular reserve capacity. In noncancer clinical populations, exercise training is an established therapy to improve cardiovascular reserve capacity, leading to concomitant reductions in cardiovascular morbidity and its attendant symptoms. Here, we overview the tolerability and efficacy of exercise on cardiovascular toxicity in adult patients with cancer. We also propose a conceptual research framework to facilitate personalized risk assessment and the development of targeted exercise prescriptions to optimally prevent or manage cardiovascular toxicity after a cancer diagnosis.

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During chemotherapy, there is a well-documented decline in cardiorespiratory fitness as measured by VO2peak or 6-minute walk test.
“during chemotherapy treatment there is a well-documented decline in cardiorespiratory fitness, as measured by VO2peak or 6-minute walk test(4).”
From Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable (2019) · cites this paper as [4]

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[64]Jones LW Douglas PS Khouri MG Mackey JR Wojdyla D Kraus WE Whellan DJ O’Connor CM Safety and Efficacy of Aerobic Training in Patients With Cancer Who Have Heart Failure: An Analysis of the HF-ACTION Randomized Trial J Clin Oncol 2014 32 2496 2502 25002717 PMC4121507

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Authors: Scott, J. M., Nilsen, T. S., Gupta, D., & Jones, L. W.
Affiliations: Memorial Sloan Kettering Cancer Center (US)
Norwegian School of Sport Sciences (NO)
ORCID: Scott, Jessica M.
Nilsen, Tormod S.
Gupta, Dipti
Jones, Lee W.
Venue: Circulation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2018-03-13
Volume: 137
Issue: 11
Pages: 1176-1191
ISSN: 0009-7322 (ISSN-L)
1524-4539
DOI: 10.1161/circulationaha.117.024671
PMC: PMC6028047
OpenAlex: W2793682287
Cited by: 239
References: 105
Citations by year: 2026: 14 · 2025: 18 · 2024: 29 · 2023: 33 · 2022: 35 · 2021: 29 · 2020: 48 · 2019: 25 · 2018: 8
FWCI: 5.13
Type: journal article
Language: en
Open access: green
europepmc.org
Locations: Circulation (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: Memorial Sloan-Kettering Cancer Center
National Cancer Institute (P30CA008748)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Chemotherapy-induced cardiotoxicity and mitigation
Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords: exercise therapy, cardio-oncology, cardiotoxicity, heart failure, coronary artery disease, cancer therapy, exercise prescription, individual risk assessment, cancer patients
MeSH terms: Antineoplastic Agents, Cardiovascular Diseases, Exercise Therapy, Health Status, Humans, Risk Factors, Treatment Outcome, Risk Assessment, Cardiotoxicity

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