Why the study?
Cancer patients are recommended to exercise across all disease stages, but safety precautions, risk stratification, and specific exercise prescription modifications are required to enable safe participation.
Provides guidance on medical and cardiac risk stratification and necessary modifications for safe exercise prescription in cancer patients.
Requires preparticipation evaluation before exercise in cancer; leaves open optimal risk-stratification protocols.
Cancer patients are recommended to exercise at all stages of disease given the multiple health and functional benefits of physical activity. Certain safety precautions, including a preparticipation medical evaluation and periodic re-evaluations, should be undertaken before creating an exercise program based on individual cancer and treatment history. When designing an exercise program, physiatrists should use similar principles of frequency, intensity, timing, and type for cancer patients that are used for noncancer patients. Special attention to risks of cardiac and pulmonary disease along with risks of sarcopenia, thrombocytopenia, anemia, neutropenia, fracture risk, neurotoxicity, lymphedema, and metastases should be made. This article will outline these specific risks and necessary modifications to the exercise prescription for cancer patients that can be used to enable safe participation in recommended exercise.
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Knowlton et al. (2023) studied this question.
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