Exercise and the gut microbiome: implications for supportive care in cancer

Purpose Growing recognition of the gut microbiome as an influential modulator of cancer treatment efficacy and toxicity has led to the emergence of clinical interventions targeting the microbiome to enhance cancer and health outcomes. The highly modifiable nature of microbiota to endogenous, exogeno...

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Published inSupportive care in cancer Vol. 31; no. 12; p. 724
Main Authors Hart, Nicolas H., Wallen, Matthew P., Farley, Morgan J., Haywood, Darren, Boytar, Alexander N., Secombe, Kate, Joseph, Ria, Chan, Raymond J., Kenkhuis, Marlou-Floor, Buffart, Laurien M., Skinner, Tina L., Wardill, Hannah R.
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.12.2023
Springer Nature B.V
Subjects
Cancer therapies
Diet
Digestive system
Exercise
Exercise - physiology
Gastrointestinal Microbiome - physiology
Humans
Medicine
Medicine & Public Health
Microbiota
Neoplasms - therapy
Nursing
Nursing Research
Oncology
Pain Medicine
Physical fitness
Probiotics
Probiotics - therapeutic use
Rehabilitation Medicine
Review
Sports
Resistance
Supportive care
Microbiota
Aerobic
Physical activity
Immune system
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Abstract Purpose Growing recognition of the gut microbiome as an influential modulator of cancer treatment efficacy and toxicity has led to the emergence of clinical interventions targeting the microbiome to enhance cancer and health outcomes. The highly modifiable nature of microbiota to endogenous, exogenous, and environmental inputs enables interventions to promote resilience of the gut microbiome that have rapid effects on host health, or response to cancer treatment. While diet, probiotics, and faecal microbiota transplant are primary avenues of therapy focused on restoring or protecting gut function in people undergoing cancer treatment, the role of physical activity and exercise has scarcely been examined in this population. Methods A narrative review was conducted to explore the nexus between cancer care and the gut microbiome in the context of physical activity and exercise as a widely available and clinically effective supportive care strategy used by cancer survivors. Results Exercise can facilitate a more diverse gut microbiome and functional metabolome in humans; however, most physical activity and exercise studies have been conducted in healthy or athletic populations, primarily using aerobic exercise modalities. A scarcity of exercise and microbiome studies in cancer exists. Conclusions Exercise remains an attractive avenue to promote microbiome health in cancer survivors. Future research should elucidate the various influences of exercise modalities, intensities, frequencies, durations, and volumes to explore dose-response relationships between exercise and the gut microbiome among cancer survivors, as well as multifaceted approaches (such as diet and probiotics), and examine the influences of exercise on the gut microbiome and associated symptom burden prior to, during, and following cancer treatment.
AbstractList Growing recognition of the gut microbiome as an influential modulator of cancer treatment efficacy and toxicity has led to the emergence of clinical interventions targeting the microbiome to enhance cancer and health outcomes. The highly modifiable nature of microbiota to endogenous, exogenous, and environmental inputs enables interventions to promote resilience of the gut microbiome that have rapid effects on host health, or response to cancer treatment. While diet, probiotics, and faecal microbiota transplant are primary avenues of therapy focused on restoring or protecting gut function in people undergoing cancer treatment, the role of physical activity and exercise has scarcely been examined in this population. A narrative review was conducted to explore the nexus between cancer care and the gut microbiome in the context of physical activity and exercise as a widely available and clinically effective supportive care strategy used by cancer survivors. Exercise can facilitate a more diverse gut microbiome and functional metabolome in humans; however, most physical activity and exercise studies have been conducted in healthy or athletic populations, primarily using aerobic exercise modalities. A scarcity of exercise and microbiome studies in cancer exists. Exercise remains an attractive avenue to promote microbiome health in cancer survivors. Future research should elucidate the various influences of exercise modalities, intensities, frequencies, durations, and volumes to explore dose-response relationships between exercise and the gut microbiome among cancer survivors, as well as multifaceted approaches (such as diet and probiotics), and examine the influences of exercise on the gut microbiome and associated symptom burden prior to, during, and following cancer treatment.
Purpose Growing recognition of the gut microbiome as an influential modulator of cancer treatment efficacy and toxicity has led to the emergence of clinical interventions targeting the microbiome to enhance cancer and health outcomes. The highly modifiable nature of microbiota to endogenous, exogenous, and environmental inputs enables interventions to promote resilience of the gut microbiome that have rapid effects on host health, or response to cancer treatment. While diet, probiotics, and faecal microbiota transplant are primary avenues of therapy focused on restoring or protecting gut function in people undergoing cancer treatment, the role of physical activity and exercise has scarcely been examined in this population. Methods A narrative review was conducted to explore the nexus between cancer care and the gut microbiome in the context of physical activity and exercise as a widely available and clinically effective supportive care strategy used by cancer survivors. Results Exercise can facilitate a more diverse gut microbiome and functional metabolome in humans; however, most physical activity and exercise studies have been conducted in healthy or athletic populations, primarily using aerobic exercise modalities. A scarcity of exercise and microbiome studies in cancer exists. Conclusions Exercise remains an attractive avenue to promote microbiome health in cancer survivors. Future research should elucidate the various influences of exercise modalities, intensities, frequencies, durations, and volumes to explore dose-response relationships between exercise and the gut microbiome among cancer survivors, as well as multifaceted approaches (such as diet and probiotics), and examine the influences of exercise on the gut microbiome and associated symptom burden prior to, during, and following cancer treatment.
PURPOSEGrowing recognition of the gut microbiome as an influential modulator of cancer treatment efficacy and toxicity has led to the emergence of clinical interventions targeting the microbiome to enhance cancer and health outcomes. The highly modifiable nature of microbiota to endogenous, exogenous, and environmental inputs enables interventions to promote resilience of the gut microbiome that have rapid effects on host health, or response to cancer treatment. While diet, probiotics, and faecal microbiota transplant are primary avenues of therapy focused on restoring or protecting gut function in people undergoing cancer treatment, the role of physical activity and exercise has scarcely been examined in this population.METHODSA narrative review was conducted to explore the nexus between cancer care and the gut microbiome in the context of physical activity and exercise as a widely available and clinically effective supportive care strategy used by cancer survivors.RESULTSExercise can facilitate a more diverse gut microbiome and functional metabolome in humans; however, most physical activity and exercise studies have been conducted in healthy or athletic populations, primarily using aerobic exercise modalities. A scarcity of exercise and microbiome studies in cancer exists.CONCLUSIONSExercise remains an attractive avenue to promote microbiome health in cancer survivors. Future research should elucidate the various influences of exercise modalities, intensities, frequencies, durations, and volumes to explore dose-response relationships between exercise and the gut microbiome among cancer survivors, as well as multifaceted approaches (such as diet and probiotics), and examine the influences of exercise on the gut microbiome and associated symptom burden prior to, during, and following cancer treatment.
ArticleNumber 724
Author Buffart, Laurien M.
Joseph, Ria
Hart, Nicolas H.
Haywood, Darren
Wardill, Hannah R.
Wallen, Matthew P.
Kenkhuis, Marlou-Floor
Boytar, Alexander N.
Chan, Raymond J.
Skinner, Tina L.
Farley, Morgan J.
Secombe, Kate
Author_xml – sequence: 1
  givenname: Nicolas H.
  surname: Hart
  fullname: Hart, Nicolas H.
  email: nicolas.hart@uts.edu.au
  organization: Human Performance Research Centre, INSIGHT Research Institute, University of Technology Sydney (UTS), Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Cancer and Palliative Care Outcomes Centre, Faculty of Health, Queensland University of Technology (QUT), Exercise Medicine Research Institute, Edith Cowan University, Institute for Health Research, University of Notre Dame Australia
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  givenname: Matthew P.
  surname: Wallen
  fullname: Wallen, Matthew P.
  organization: Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Institute for Health and Wellbeing, Federation University
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  givenname: Morgan J.
  surname: Farley
  fullname: Farley, Morgan J.
  organization: Human Performance Research Centre, INSIGHT Research Institute, University of Technology Sydney (UTS), School of Human Movement and Nutrition Sciences, The University of Queensland
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  givenname: Darren
  surname: Haywood
  fullname: Haywood, Darren
  organization: Human Performance Research Centre, INSIGHT Research Institute, University of Technology Sydney (UTS), Mental Health Division, St Vincent’s Hospital Melbourne, Department of Psychiatry, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne
– sequence: 5
  givenname: Alexander N.
  surname: Boytar
  fullname: Boytar, Alexander N.
  organization: School of Human Movement and Nutrition Sciences, The University of Queensland
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  surname: Secombe
  fullname: Secombe, Kate
  organization: The University of Queensland Diamantina Institute, Faculty of Medicine, The University of Queensland, Adelaide Medical School, University of Adelaide
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  givenname: Ria
  surname: Joseph
  fullname: Joseph, Ria
  organization: Caring Futures Institute, College of Nursing and Health Sciences, Flinders University
– sequence: 8
  givenname: Raymond J.
  surname: Chan
  fullname: Chan, Raymond J.
  organization: Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Cancer and Palliative Care Outcomes Centre, Faculty of Health, Queensland University of Technology (QUT)
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  givenname: Marlou-Floor
  surname: Kenkhuis
  fullname: Kenkhuis, Marlou-Floor
  organization: Department of Medical BioSciences, Radboud University Medical Center
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  givenname: Laurien M.
  surname: Buffart
  fullname: Buffart, Laurien M.
  organization: Department of Medical BioSciences, Radboud University Medical Center
– sequence: 11
  givenname: Tina L.
  surname: Skinner
  fullname: Skinner, Tina L.
  organization: Human Performance Research Centre, INSIGHT Research Institute, University of Technology Sydney (UTS), School of Human Movement and Nutrition Sciences, The University of Queensland
– sequence: 12
  givenname: Hannah R.
  surname: Wardill
  fullname: Wardill, Hannah R.
  organization: School of Biomedicine, University of Adelaide, Supportive Oncology Research Group, Precision Cancer Medicine, South Australian Health and Medical Research Institute
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CitedBy_id crossref_primary_10_1016_j_apjon_2024_100535
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Keywords Resistance
Supportive care
Microbiota
Aerobic
Physical activity
Immune system
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PublicationDate 2023-12-01
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PublicationDate_xml – month: 12
  year: 2023
  text: 2023-12-01
  day: 01
PublicationDecade 2020
PublicationPlace Berlin/Heidelberg
PublicationPlace_xml – name: Berlin/Heidelberg
– name: Germany
– name: Heidelberg
PublicationTitle Supportive care in cancer
PublicationTitleAbbrev Support Care Cancer
PublicationTitleAlternate Support Care Cancer
PublicationYear 2023
Publisher Springer Berlin Heidelberg
Springer Nature B.V
Publisher_xml – name: Springer Berlin Heidelberg
– name: Springer Nature B.V
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Snippet Purpose Growing recognition of the gut microbiome as an influential modulator of cancer treatment efficacy and toxicity has led to the emergence of clinical...
Growing recognition of the gut microbiome as an influential modulator of cancer treatment efficacy and toxicity has led to the emergence of clinical...
PurposeGrowing recognition of the gut microbiome as an influential modulator of cancer treatment efficacy and toxicity has led to the emergence of clinical...
PURPOSEGrowing recognition of the gut microbiome as an influential modulator of cancer treatment efficacy and toxicity has led to the emergence of clinical...
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SubjectTerms Cancer therapies
Diet
Digestive system
Exercise
Exercise - physiology
Gastrointestinal Microbiome - physiology
Humans
Medicine
Medicine & Public Health
Microbiota
Neoplasms - therapy
Nursing
Nursing Research
Oncology
Pain Medicine
Physical fitness
Probiotics
Probiotics - therapeutic use
Rehabilitation Medicine
Review
Sports
Title Exercise and the gut microbiome: implications for supportive care in cancer
URI https://link.springer.com/article/10.1007/s00520-023-08183-7
https://www.ncbi.nlm.nih.gov/pubmed/38012463
https://www.proquest.com/docview/2894133522
https://search.proquest.com/docview/2894725133
Volume 31
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