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American College of Sports Medicine Roundtable Report on Physical Activity, Sedentary Behavior, and Cancer Prevention and Control
Open accessAbstract
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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“The importance of physical activity in the prevention [6] and supportive treatment [7,8] of oncological diseases is increasingly emphasized.”
From The Effect of Vinyasa Yoga Practice on the Well-Being of Breast-Cancer Patients during COVID-19 Pandemic (2023) · cites this paper as [6]
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“The ACSM expert panel concurred with other recent reviews, concluding that exercise prevents at least 7 types of cancer”
From Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer (2019) · cites this paper as [6]
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“there is substantial evidence suggesting exercise is associated with improved cancer-specific survival in patients with breast, colon, and prostate cancer.”
From Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer (2019) · cites this paper as [6]
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Metadata
- 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)
- ORCID
- Venue
- Medicine & Science in Sports & Exercise
- Published
- 2019-11
- Volume
- 51
- Issue
- 11
- Pages
- 2391-2402
- ISSN
- 0195-9131 (ISSN-L)
- 1530-0315
- PMC
- PMC6814265
- 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
- FWCI
- 10.36
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- 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 › Public Health, Environmental and Occupational Health › 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
About these checks
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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