Interventions to promote exercise in cancer survivors who report better levels of adherence share some common behaviour change techniques .
These involve setting programme goals , prompting practise and self-monitoring and encouraging participants to attempt to generalise behaviours learned in supervised exercise environments to other , non-supervised context s. However , expecting most sedentary survivors to achieve current guideline recommendations of at least 150 minutes per week of aerobic exercise is likely to be unrealistic .
BACKGROUND The beneficial effects of regular exercise for people living with or beyond cancer are becoming apparent .
However , how to promote exercise behaviour in sedentary cancer cohorts is not as well understood .
A large majority of people living with or recovering from cancer do not meet exercise recommendations .
Hence , review ing the evidence on how to promote and sustain exercise behaviour is important .
OBJECTIVES To assess the effects of interventions to promote exercise behaviour in sedentary people living with and beyond cancer and to address the following questions : Which interventions are most effective in improving aerobic fitness and skeletal muscle strength and endurance ?
What adverse effects are attributed to different exercise interventions ?
Which interventions are most effective in improving exercise behaviour amongst patients with different cancers ?
Which interventions are most likely to promote long-term ( 12 months or longer ) exercise behaviour ?
What frequency of contact with exercise professionals is associated with increased exercise behaviour ?
What theoretical basis is most often associated with increased exercise behaviour ?
What behaviour change techniques are most often associated with increased exercise behaviour ?
Effects of supervised exercise on progression-free survival in lymphoma patients: an exploratory follow-up of the HELP Trial
Purpose Few r and omized controlled trials in exercise oncology have examined survival outcomes . Here , we report an exploratory follow-up of progression-free survival ( PFS ) from the Healthy Exercise for Lymphoma Patients ( HELP ) Trial . Methods The HELP Trial r and omized 122 lymphoma patients between 2005 and 2008 to either control ( n = 62 ) or 12 weeks of supervised aerobic exercise ( n = 60 ) . PFS events were abstract ed from medical records in 2013 . In addition to the r and omized comparison , we explored the effects of exercise adherence ( < 80 % vs. ≥80 % ) and control group crossover ( no vs. yes ) . Results After a median follow-up of 61 months ( interquartile range 36–67 ) , the adjusted 5-year PFS was 64.8 % for the exercise group compared with 65.0 % for the control group ( Hazard ratio [ HR ] 1.01 , 95 % CI 0.51–2.01 , p = 0.98 ) . In the secondary analysis , the adjusted 5-year PFS was 59.0 % in the control group without crossover compared with 69.2 % for the control group with crossover ( HR 0.68 , 95 % CI 0.22–2.06 , p = 0.49 ) , 67.7 % for the exercise group with < 80 % adherence ( HR 0.72 , 95 % CI 0.28–1.85 , p = 0.50 ) , and 68.4 % for the exercise group with ≥80 % adherence ( HR 0.70 , 95 % CI 0.32–1.56 , p = 0.39 ) . In a post hoc analysis combining the three groups that received supervised exercise , the adjusted 5-year PFS for the supervised exercise groups was 68.5 % compared with 59.0 % for the group that received no supervised exercise ( HR 0.70 , 95 % CI 0.35–1.39 , p = 0.31 ) . Conclusions This exploratory follow-up of the HELP Trial suggests that supervised aerobic exercise may be associated with improved PFS in lymphoma patients . Larger trials design ed to answer this question are needed
Interventions to promote exercise in cancer survivors who report better levels of adherence share some common behaviour change techniques .
These involve setting programme goals , prompting practise and self-monitoring and encouraging participants to attempt to generalise behaviours learned in supervised exercise environments to other , non-supervised context s. However , expecting most sedentary survivors to achieve current guideline recommendations of at least 150 minutes per week of aerobic exercise is likely to be unrealistic .
BACKGROUND The beneficial effects of regular exercise for people living with or beyond cancer are becoming apparent .
However , how to promote exercise behaviour in sedentary cancer cohorts is not as well understood .
A large majority of people living with or recovering from cancer do not meet exercise recommendations .
Hence , review ing the evidence on how to promote and sustain exercise behaviour is important .
OBJECTIVES To assess the effects of interventions to promote exercise behaviour in sedentary people living with and beyond cancer and to address the following questions : Which interventions are most effective in improving aerobic fitness and skeletal muscle strength and endurance ?
What adverse effects are attributed to different exercise interventions ?
Which interventions are most effective in improving exercise behaviour amongst patients with different cancers ?
Which interventions are most likely to promote long-term ( 12 months or longer ) exercise behaviour ?
What frequency of contact with exercise professionals is associated with increased exercise behaviour ?
What theoretical basis is most often associated with increased exercise behaviour ?
What behaviour change techniques are most often associated with increased exercise behaviour ?