Cited by 861Physical Activity and HealthCancer Risks and FactorsCancer survivorship and care

American College of Sports Medicine Roundtable Report on Physical Activity, Sedentary Behavior, and Cancer Prevention and Control

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PATEL, ALPA V., FRIEDENREICH, CHRISTINE M., MOORE, STEVEN C., HAYES, SANDRA C., SILVER, JULIE K., CAMPBELL, KRISTIN L., WINTERS-STONE, KERRI, GERBER, LYNN H. +7 more·2019·Medicine & Science in Sports & Exercise

Abstract

Introduction: The American College of Sports Medicine convened an International Multidisciplinary Roundtable on Exercise and Cancer in March 2018 to evaluate and translate the evidence linking physical activity and cancer prevention, treatment, and control. This article discusses findings from the Roundtable in relation to the biologic and epidemiologic evidence for the role of physical activity in cancer prevention and survival. Results: The evidence supports that there are a number of biologically plausible mechanisms, whereby physical activity can influence cancer risk, and that physical activity is beneficial for the prevention of several types of cancer including breast, colon, endometrial, kidney, bladder, esophageal, and stomach. Minimizing time spent in sedentary behavior may also lower risk of endometrial, colon and lung cancers. Conversely, physical activity is associated with higher risk of melanoma, a serious form of skin cancer. Further, physical activity before and after a cancer diagnosis is also likely to be relevant for improved survival for those diagnosed with breast and colon cancer; with data suggesting that postdiagnosis physical activity provides greater mortality benefits than prediagnosis physical activity. Conclusions: Collectively, there is consistent, compelling evidence that physical activity plays a role in preventing many types of cancer and for improving longevity among cancer survivors, although the evidence related to higher risk of melanoma demonstrates the importance of sun safe practices while being physically active. Together, these findings underscore the importance of physical activity in cancer prevention and control. Fitness and public health professionals and health care providers worldwide are encouraged to spread the message to the general population and cancer survivors to be physically active as their age, abilities, and cancer status will allow.

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  1. [14]Thun MJ, Linet MS, Cerhan JR, Haiman CA, Schottenfeld D (eds.). Schottenfeld and Fraumeni Cancer Epidemiology and Prevention. 4th edition. New York, NY: Oxford University Press; 2017.
  2. [22]Weinberg RA. Multi-step Tumorigenesis The Biology of Cancer, 2nd Edition. 2nd ed. New York: Garland Science, Taylor and Francis Group; 2013 p. 439– 510.
  3. [24]Weinberg RA. The Nature of Cancer The Biology of Cancer, 2nd Edition. 2nd ed. New York: Garland Science, Taylor and Francis Group; 2013 p. 31– 69.
  4. [85]Lynch B, Mahmood S, Boyle T. Sedentary behaviour and cancer In: Leitzmann MFea, editor. Sedentary Behaviour Epidemiology: Springer International Publishing; 2018.

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Authors
PATEL, A. V., FRIEDENREICH, C. M., MOORE, S. C., HAYES, S. C., SILVER, J. K., CAMPBELL, K. L., WINTERS-STONE, K., GERBER, L. H., GEORGE, S. M., FULTON, J. E., DENLINGER, C., MORRIS, G. S., HUE, T., SCHMITZ, K. H., & MATTHEWS, C. E.
Affiliations
  • American Cancer Society (US)
  • Cancer Epidemiology and Prevention Research, Cancer Control Alberta, Alberta Health Sciences, Calgary, CANADA
  • National Cancer Institute (US)
  • Queensland University of Technology (AU)
  • Harvard University (US)
  • University of British Columbia (CA)
  • Oregon Health & Science University, Portland, OR
  • George Mason University (US)
  • National Institutes of Health (US)
  • Centers for Disease Control and Prevention (US)
  • Fox Chase Cancer Center (US)
  • Wingate University (US)
  • Sunflower Wellness, San Francisco, CA
  • Pennsylvania State University (US)
Venue
Medicine & Science in Sports & Exercise
Published
2019-11
Volume
51
Issue
11
Pages
2391-2402
ISSN
  • 0195-9131 (ISSN-L)
  • 1530-0315
OpenAlex
W2980470208
Cited by
861
References
98
Citations by year
2026: 99 · 2025: 140 · 2024: 123 · 2023: 143 · 2022: 136 · 2021: 137 · 2020: 73 · 2019: 6 · 2018: 1
FWCI
10.36
Type
journal article
Language
en
Open access
Locations
  • Medicine & Science in Sports & Exercise (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
  • Griffith Research Online (submittedVersion)
Funders
  • American Academy of Physical Medicine and Rehabilitation
  • Koninklijk Nederlands Genootschap voor Fysiotherapie
  • National Institutes of Health (Z99 CA999999, Z99 CT999999)
  • Cancer Council Queensland
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Oncology › Cancer Risks and Factors
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords
physical activity, sedentary behavior, cancer prevention, cancer control, cancer survivorship, cancer survival, melanoma, breast cancer, colon cancer, endometrial cancer, lung cancer, sun protection
MeSH terms
Cancer Survivors, Animals, Humans, Neoplasms, Risk Factors, Exercise, Evidence-Based Medicine, Sedentary Behavior

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