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Viewing Exercise Oncology Through the Lens of Multidisciplinarity

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Exercise Oncology

Abstract

Exercise is an important addition to cancer care. Individuals with cancer, however, may face health problems which can be improved with exercise, but which can also be barriers to exercise. Thus, exercise support is pivotal throughout the cancer care trajectory. Which (health-care) professionals should be involved in providing exercise support is dependent on the context and related to the complexity of the health condition and the self-management skills of the patient. Because these factors will change over time, the need for multidisciplinary involvement needs to be regularly reevaluated. In this chapter, a framework to aid decisions on this topic will be discussed and illustrated using cases.

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References

  1. Silver JK, Baima J. Cancer prehabilitation. Am J Phys Med Rehabil. 2013;92:715–27. https://doi.org/10.1097/PHM.0b013e31829b4afe.

    Article  PubMed  Google Scholar 

  2. Hijazi Y, Gondal U, Aziz O. A systematic review of prehabilitation programs in abdominal cancer surgery. Int J Surg. 2017;39:156–62. https://doi.org/10.1016/j.ijsu.2017.01.111.

    Article  PubMed  Google Scholar 

  3. Driessen EJ, Peeters ME, Bongers BC, et al. Effects of prehabilitation and rehabilitation including a home-based component on physical fitness, adherence, treatment tolerance, and recovery in patients with non-small cell lung cancer: a systematic review. Crit Rev Oncol Hematol. 2017;114:63–76. https://doi.org/10.1016/j.critrevonc.2017.03.031.

  4. Kessels E, Husson O, Van der Feltz-Cornelis CM. The effect of exercise on cancer-related fatigue in cancer survivors: a systematic review and meta-analysis. Neuropsychiatr Dis Treat. 2018;14:479–94. https://doi.org/10.2147/NDT.S150464.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Stout NL, Baima J, Swisher AK, et al. A systematic review of exercise systematic reviews in the cancer literature (2005–2017). PM&R. 2017;9:S347–84. https://doi.org/10.1016/j.pmrj.2017.07.074.

    Article  Google Scholar 

  6. Mishra SI, Scherer RW, Snyder C, Geigle PM, Berlanstein DR, Topaloglu O. Exercise interventions on health-related quality of life for people with cancer during active treatment. Cochrane Database of Systematic Reviews 2012, Issue 8. Art. No.: CD008465. https://doi.org/10.1002/14651858.CD008465.pub2.

  7. Jones LW, Habel LA, Weltzien E, et al. Exercise and risk of cardiovascular events in women with nonmetastatic breast cancer. J Clin Oncol. 2016;34:2743–9. https://doi.org/10.1200/JCO.2015.65.6603.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Cormie P, Zopf EM, Zhang X, et al. The impact of exercise on cancer mortality, recurrence, and treatment-related adverse effects. Epidemiol Rev. 2017;39:71–92. https://doi.org/10.1093/epirev/mxx007.

    Article  PubMed  Google Scholar 

  9. Schmitz KH, Courneya KS, Matthews C, et al. American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc. 2010;42:1409–26. https://doi.org/10.1249/MSS.0b013e3181e0c112.

    Article  PubMed  Google Scholar 

  10. Blaney JM, Lowe-Strong A, Rankin-Watt J, et al. Cancer survivors’ exercise barriers, facilitators and preferences in the context of fatigue, quality of life and physical activity participation: a questionnaire-survey. Psycho-Oncology. 2011;22:186–94. https://doi.org/10.1002/pon.2072.

    Article  PubMed  Google Scholar 

  11. van Waart H, van Harten WH, Buffart LM, et al. Why do patients choose (not) to participate in an exercise trial during adjuvant chemotherapy for breast cancer? Psycho-Oncology. 2015;25:964–70. https://doi.org/10.1002/pon.3936.

    Article  PubMed  Google Scholar 

  12. Huber M, van Vliet M, Giezenberg M, et al. Towards a ‘patient-centred’ operationalisation of the new dynamic concept of health: a mixed methods study. BMJ Open. 2016;6:e010091–12. https://doi.org/10.1136/bmjopen-2015-010091.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Velthuis MJ, Peeters PH, Gijsen BC, et al. Role of fear of movement in cancer survivors participating in a rehabilitation program: a longitudinal cohort study. Arch Phys Med Rehabil. 2012;93:332–8. https://doi.org/10.1016/j.apmr.2011.08.014.

    Article  PubMed  Google Scholar 

  14. Timmerman JG, Dekker-van Weering MGH, Tönis TM, et al. Relationship between patterns of daily physical activity and fatigue in cancer survivors. Eur J Oncol Nurs. 2015;19:162–8. https://doi.org/10.1016/j.ejon.2014.09.005.

    Article  CAS  PubMed  Google Scholar 

  15. Wolvers MDJ, Bussmann JBJ, Bruggeman-Everts FZ, et al. Physical behavior profiles in chronic cancer-related fatigue. Int J Behav Med. 2018;1–8. https://doi.org/10.1007/s12529-017-9670-3.

  16. Steiner WA, Ryser L, Huber E, et al. Use of the ICF model as a clinical problem-solving tool in physical therapy and rehabilitation medicine. Phys Ther. 2002;82:1098–107.

    Article  PubMed  Google Scholar 

  17. van Waart H, Stuiver MM, van Harten WH, et al. Effect of low-intensity physical activity and moderate- to high-intensity physical exercise during adjuvant chemotherapy on physical fitness, fatigue, and chemotherapy completion rates: results of the PACES randomized clinical trial. J Clin Oncol. 2015;33:1918–27. https://doi.org/10.1200/JCO.2014.59.1081.

    Article  CAS  PubMed  Google Scholar 

  18. Jones LW, Courneya KS, Fairey AS, et al. Effects of an oncologist’s recommendation to exercise on self-reported exercise behavior in newly diagnosed breast cancer survivors: a single-blind, randomized controlled trial. Ann Behav Med. 2004;28:105–13. https://doi.org/10.1207/s15324796abm2802_5.

    Article  PubMed  Google Scholar 

  19. Schmitz KH, Campbell AM, Stuiver MM, Pinto BM, Schwartz AL, Morris GS, et al. Exercise is medicine in oncology: engaging clinicians to help patients move through cancer. CA Cancer J Clin. 2019;69(6):468–84. https://doi.org/10.3322/caac.21579.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Buffart LM, Kalter J, Sweegers MG, et al. Effects and moderators of exercise on quality of life and physical function in patients with cancer: an individual patient data meta-analysis of 34 RCTs. Cancer Treat Rev. 2017;52:91–104. https://doi.org/10.1016/j.ctrv.2016.11.010.

    Article  PubMed  Google Scholar 

  21. Stout NL, Binkley JM, Schmitz KH, et al. A prospective surveillance model for rehabilitation for women with breast cancer. Cancer. 2012;118:2191–200. https://doi.org/10.1002/cncr.27476.

    Article  PubMed  Google Scholar 

  22. Silver JK, Baima J, Mayer RS. Impairment-driven cancer rehabilitation: an essential component of quality care and survivorship. CA Cancer J Clin. 2013;63:295–317. https://doi.org/10.3322/caac.21186.

    Article  PubMed  Google Scholar 

  23. de Vreede PL, Samson MM, van Meeteren NLU, et al. Functional-task exercise versus resistance strength exercise to improve daily function in older women: a randomized, controlled trial. J Am Geriatr Soc. 2005;53:2–10. https://doi.org/10.1111/j.1532-5415.2005.53003.x.

    Article  PubMed  Google Scholar 

  24. Rijpkema C, Van Hartingsveldt M, Stuiver MM. Occupational therapy in cancer rehabilitation: going beyond physical function in enabling activity and participation. Expert Review of Quality of Life in Cancer Care. 2018;00:1–3. https://doi.org/10.1080/23809000.2018.1438844.

    Article  Google Scholar 

  25. Dutch National Guideline ‘Cancer Rehabilitation’: modular revision 2017. Netherlands Comprehensive Cancer Organization. 2017.

    Google Scholar 

  26. Irwin ML, Cartmel B, Gross CP, et al. Randomized exercise trial of aromatase inhibitor–induced arthralgia in breast cancer survivors. J Clin Oncol. 2015;33:1104–11. https://doi.org/10.1200/JCO.2014.57.1547.

    Article  PubMed  Google Scholar 

  27. Kampshoff CS, Dongen JM, Mechelen W, et al. Long-term effectiveness and cost-effectiveness of high versus low-to-moderate intensity resistance and endurance exercise interventions among cancer survivors. 2018;1–13. https://doi.org/10.1007/s11764-018-0681-0

  28. Mugele H, Freitag N, Wilhelmi J, et al. High-intensity interval training in the therapy and aftercare of cancer patients: a systematic review with meta-analysis. J Cancer Surviv. 2019;23:3633–19. https://doi.org/10.1007/s11764-019-00743-3.

    Article  Google Scholar 

  29. Campbell KL, Winters-Stone KM, Wiskemann J, et al. Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable. Med Sci Sports Exerc. 2019;51(11):2375–90. https://doi.org/10.1249/MSS.0000000000002116.v.

  30. Basen-Engquist K, Alfano CM, Maitin-Shepard M, et al. Moving research into practice: physical activity, nutrition, and weight management for cancer patients and survivors. NAM Perspect. 2018;8. https://doi.org/10.31478/201810g.

  31. Passchier E, Stuiver MM, Molen L, et al. Feasibility and impact of a dedicated multidisciplinary rehabilitation program on health-related quality of life in advanced head and neck cancer patients. Eur Arch Otorhinolaryngol. 2015;1–13. https://doi.org/10.1007/s00405-015-3648-z.

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Stuiver, M.M. (2020). Viewing Exercise Oncology Through the Lens of Multidisciplinarity. In: Schmitz, K. (eds) Exercise Oncology. Springer, Cham. https://doi.org/10.1007/978-3-030-42011-6_19

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  • DOI: https://doi.org/10.1007/978-3-030-42011-6_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-42010-9

  • Online ISBN: 978-3-030-42011-6

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