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Cited by 118Cancer survivorship and careCancer-related cognitive impairment studiesChildhood Cancer Survivors' Quality of Life

Exercise programs for cancer-related fatigue: evidence and clinical guidelines

Open access
McNeely, Margaret L., Courneya, Kerry S.·2010·Journal of the National Comprehensive Cancer Network
DOI 10.6004/jnccn.2010.0069
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Abstract

This article provides an overview of the research literature and clinical recommendations on aerobic and resistance exercise programs for managing cancer-related fatigue (CRF). Current research evidence suggests that exercise improves CRF, with more recent evidence suggesting greater benefits when exercise programs are administered in the survivorship phase than in the active treatment phase. Moreover, positive changes in fitness from aerobic exercise programs have been shown to mediate the effects of exercise on CRF. Resistance exercise programs show promise in ameliorating CRF, especially in patients with prostate cancer, and should be considered a potential component of the exercise program. Future trials should examine the potential mechanisms through which exercise influences symptoms of CRF and the effect of exercise on CRF in the long-term. More research is needed evaluating exercise programs for cancer survivors with CRF, especially those with moderate-to-severe CRF.

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  • There is insufficient evidence for a definitive prescription around safety and efficacy for other exercise types such as dragon boating, recreational sports, wall/rock climbing, triathlon, or high intensity interval training.

    “there is also insufficient evidence at this time for a definitive prescription around safety and efficacy for other types of exercise for cancer survivors, such as dragon boating(79, 80), recreational sports(81), wall/rock climbing(82), triathalon(83), or high intensity interval training(84)”

    From Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable (2019) · cites this paper as [81]

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Research works printed but not linked: 11

  1. Knols R, Aaronson NK, Duebelhart D, et al. Physical exercise in cancer patients during and after medical treatment: a systematic review of randomized and controlled trials. J Clin Oncol 2005;23:3830-3841.
  2. Luctkar-Flude MF, Groll DL, Tranmer JE, Woodend K. Fatigue and physical activity in older adults with cancer: a systematic review of the literature. Cancer Nurs 2007;30:E35-45.
  3. Pinto BM, Trunzo JJ, Reiss P, Shiu S. Exercise participation after diagnosis of cancer: trends and effects on quality of life. Psychooncology 2002;11:389-400.
  4. Blanchard CM, Cokkinides V, Courneya KS, et al. A compariosn of physical activity of posttreatment breast cancer survivors and noncancer controls. Behav Med 2003;28:140-149.
  5. Cooper H. The role of physical activity in the recovery from breast cancer. Melpomene J 1995;14:18-20.
  6. Courneya KS, McNeely ML, Peddle CJ, Sellar CM. Cancer. ACSM's Resource for Clinical Exercise Physiology: Musculoskeletal, Neuromuscular, Neoplastic, Immunologic, and Hematologic Conditions, 2nd ed. Baltimore: Lippincott Williams and Wilkins; 2010. Table 3 Suggestions for Survivor Education on Exercise for Management of Cancer-Related Fatigue 1) Ask survivors to explain their expectations and attitudes toward exercise to help determine their willingness to exercise and perceived barriers to exercise.
  7. Lane K, McKenzie DC. Cancer. In: Skinner JS, ed. Exercise Testing and Exercise Prescription for Special Cases, 3rd ed. Baltimore: Lippincott Williams & Wilkins; 2005:363-376.
  8. Jaric S. Muscle strength testing: use of normalisation for body size. Sports Med 2002;32:615-631.
  9. Hall CM, Brody LT. Therapeutic Exercise: Moving Towards Function. Philadelphia: Lippincott Williams & Wilkins; 2004.
  10. Haennel RG, Brassard CP, Tomczak CR, et al. Special populations. In: Stone J, Arthur H, Suskins N, eds. Canadian Guidelines for Cardiac Rehabilitation and Cardiovascular Disease Prevention, 3rd edition. Winnipeg, Manitoba (Canada): Canadian Association of Cardiac Rehabilitation; 2009:449-493.
  11. Courneya KS, Mackey JR, Rhodes RE. Cancer. In: Lemura LM, von Duvillard SP, eds. Clinical Exercise Physiology. Philadelphia: Lippincott Williams & Wilkins; 2004:387-404.

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Authors
McNeely, M. L., & Courneya, K. S.
Affiliations
University of Alberta (CA)
ORCID
Venue
Journal of the National Comprehensive Cancer Network
Publisher
Harborside Press, LLC
Published
2010-08
Volume
8
Issue
8
Pages
945-953
ISSN
  • 1540-1405 (ISSN-L)
  • 1540-1413
DOI
10.6004/jnccn.2010.0069
OpenAlex
W1784289554
Cited by
118
References
24
Citations by year
2026: 3 · 2025: 2 · 2024: 4 · 2023: 7 · 2022: 6 · 2021: 7 · 2020: 10 · 2019: 4 · 2018: 6 · 2017: 4 · 2016: 8 · 2015: 6 · 2014: 8 · 2013: 18 · 2012: 14
FWCI
1.49
Type
journal article
Language
en
Open access
Locations
  • Journal of the National Comprehensive Cancer Network (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Keywords
cancer-related fatigue, exercise therapy, aerobic exercise, resistance training, cancer survivors, prostate cancer, physical fitness, exercise recommendations, cancer survivorship
MeSH terms
Exercise Test, Exercise Therapy, Fatigue, Humans, Neoplasms, Patient Education as Topic, Practice Guidelines as Topic

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