Weight management and physical activity throughout the cancer care continuum
Open accessAbstract
Mounting evidence suggests that weight management and physical activity (PA) improve overall health and well being, and reduce the risk of morbidity and mortality among cancer survivors. Although many opportunities exist to include weight management and PA in routine cancer care, several barriers remain. This review summarizes key topics addressed in a recent National Academies of Science, Engineering, and Medicine workshop entitled, “Incorporating Weight Management and Physical Activity Throughout the Cancer Care Continuum.” Discussions related to body weight and PA among cancer survivors included: 1) current knowledge and gaps related to health outcomes; 2) effective intervention approaches; 3) addressing the needs of diverse populations of cancer survivors; 4) opportunities and challenges of workforce, care coordination, and technologies for program implementation; 5) models of care; and 6) program coverage. While more discoveries are still needed for the provision of optimal weight‐management and PA programs for cancer survivors, obesity and inactivity currently jeopardize their overall health and quality of life. Actionable future directions are presented for research; practice and policy changes required to assure the availability of effective, affordable, and feasible weight management; and PA services for all cancer survivors as a part of their routine cancer care. CA Cancer J Clin 2018;68:64‐89 . © 2017 American Cancer Society .
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Maintenance of body weight can be difficult during treatment for some cancers (advanced colon, lung, pancreatic) where weight and lean mass loss is common; weight gain is a common side effect of chemotherapy and anti-estrogen therapy for breast cancer or anti-androgen therapy for prostate cancer.
“maintenance of body weight can be difficult during treatment for some cancers, where loss of weight and lean body mass is a common concern, such as advanced colon, lung cancer and pancreatic cancer(98); whereas weight gain can be a common side effect of chemotherapy and anti-estrogen therapy for breast cancer or anti-androgen therapy for prostate cancer(99).”
From Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable (2019) · cites this paper as [99]
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- Authors
- Demark‐Wahnefried, W., Schmitz, K. H., Alfano, C. M., Bail, J. R., Goodwin, P. J., Thomson, C. A., Bradley, D. W., Courneya, K. S., Befort, C. A., Denlinger, C. S., Ligibel, J. A., Dietz, W. H., Stolley, M. R., Irwin, M. L., Bamman, M. M., Apovian, C. M., Pinto, B. M., Wolin, K. Y., Ballard, R. M., Dannenberg, A. J., Eakin, E. G., Longjohn, M. M., Raffa, S. D., Adams‐Campbell, L. L., Buzaglo, J. S., Nass, S. J., Massetti, G. M., Balogh, E. P., Kraft, E. S., Parekh, A. K., Sanghavi, D. M., Morris, G. S., & Basen‐Engquist, K.
- Affiliations
- University of Alabama at Birmingham (US)
- Pennsylvania State University (US)
- American Cancer Society (US)
- Mount Sinai Hospital (CA)
- University of Arizona (US)
- Duke University (US)
- University of Alberta (CA)
- University of Kansas Medical Center (US)
- Fox Chase Cancer Center (US)
- Harvard University (US)
- George Washington University (US)
- Medical College of Wisconsin (US)
- Yale University (US)
- Boston University (US)
- University of South Carolina (US)
- CEO, Coeus Health Chicago IL
- National Institutes of Health (US)
- Weill Cornell Medicine (US)
- The University of Queensland (AU)
- Young Men's Christian Association (US)
- Veterans Health Administration (US)
- Professor of Oncology, Georgetown Lombardi Comprehensive Cancer Center Washington DC
- Cancer Support Community (US)
- National Academy of Sciences (US)
- Centers for Disease Control and Prevention (US)
- Anthem (United States) (US)
- Bipartisan Policy Center (US)
- Chief Medical Officer, Senior Vice President, Translation Optum Labs Cambridge MA
- Wingate University (US)
- Professor of Behavioral Science, The University of Texas MD Anderson Cancer Center Houston TX.
- Corresponding author
- Demark‐Wahnefried, Wendy
- ORCID
- Demark‐Wahnefried, Wendy
- Schmitz, Kathryn H.
- Alfano, Catherine M.
- Bail, Jennifer R.
- Goodwin, Pamela J.
- Thomson, Cynthia A.
- Courneya, Kerry S.
- Befort, Christie A.
- Denlinger, Crystal S.
- Ligibel, Jennifer A.
- Dietz, William H.
- Stolley, Melinda R.
- Irwin, Melinda L.
- Bamman, Marcas M.
- Apovian, Caroline M.
- Pinto, Bernardine M.
- Wolin, Kathleen Y.
- Ballard, Rachel M.
- Dannenberg, Andrew J.
- Eakin, Elizabeth G.
- Raffa, Susan D.
- Adams‐Campbell, Lucile L.
- Buzaglo, Joanne S.
- Nass, Sharyl J.
- Massetti, Greta M.
- Balogh, Erin P.
- Parekh, Anand K.
- Sanghavi, Darshak M.
- Venue
- CA: A Cancer Journal for Clinicians
- Publisher
- Wiley
- Published
- 2017-11-22
- Volume
- 68
- Issue
- 1
- Pages
- 64-89
- ISSN
- 0007-9235 (ISSN-L)
- 1542-4863
- PMC
- PMC5766382
- OpenAlex
- W2768608541
- Cited by
- 172
- References
- 208
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 27 · 2023: 18 · 2022: 21 · 2021: 42 · 2020: 23 · 2019: 10 · 2018: 12 · 2016: 1
- FWCI
- 1.29
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- CA A Cancer Journal for Clinicians (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (P30 CA023074, P30 CA13148, P30 CA 16672)
- Breast Cancer Research Foundation
- National Institutes of Health (P2CHD086851)
- American Cancer Society (CRP‐14‐111‐01‐CPPB)
- Cancer Prevention Research Institute of Texas (PP 130079, PP170023)
- Duncan Family Institute
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- weight management, physical activity, cancer survivors, cancer care continuum, obesity, physical inactivity, survivorship care, health interventions, care coordination, labor force, health policy, program implementation, quality of life
- MeSH terms
- Cancer Survivors, Body Weight, Continuity of Patient Care, Patient Care, Humans, Neoplasms, Obesity, Quality of Life, Exercise, Randomized Controlled Trials as Topic, Treatment Outcome, Weight Reduction Programs
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.
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