Physical Activity and Exercise in Lung Cancer Care: Will Promises Be Fulfilled?
Lung cancer remains the leading cause of cancer‐related death worldwide. Affected patients frequently experience debilitating disease‐related symptoms, including dyspnea, cough, fatigue, anxiety, depression, insomnia, and pain, despite the progresses achieved in term of treatment efficacy. Physical...
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| Published in | The oncologist (Dayton, Ohio) Vol. 25; no. 3; pp. e555 - e569 |
|---|---|
| Main Authors | , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Hoboken, USA
John Wiley & Sons, Inc
01.03.2020
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Lung cancer remains the leading cause of cancer‐related death worldwide. Affected patients frequently experience debilitating disease‐related symptoms, including dyspnea, cough, fatigue, anxiety, depression, insomnia, and pain, despite the progresses achieved in term of treatment efficacy.
Physical activity and exercise are nonpharmacological interventions that have been shown to improve fatigue, quality of life, cardiorespiratory fitness, pulmonary function, muscle mass and strength, and psychological status in patients with lung cancer. Moreover, physical fitness levels, especially cardiorespiratory endurance and muscular strength, are demonstrated to be independent predictors of survival. Nevertheless, patients with lung cancer frequently present insufficient levels of physical activity and exercise, and these may contribute to quality of life impairment, reduction in functional capacity with skeletal muscle atrophy or weakness, and worsening of symptoms, particularly dyspnea.
The molecular bases underlying the potential impact of exercise on the fitness and treatment outcome of patients with lung cancer are still elusive. Counteracting specific cancer cells’ acquired capabilities (hallmarks of cancer), together with preventing treatment‐induced adverse events, represent main candidate mechanisms.
To date, the potential impact of physical activity and exercise in lung cancer remains to be fully appreciated, and no specific exercise guidelines for patients with lung cancer are available. In this article, we perform an in‐depth review of the evidence supporting physical activity and exercise in lung cancer and suggest that integrating this kind of intervention within the framework of a global, multidimensional approach, taking into account also nutritional and psychological aspects, might be the most effective strategy.
Implications for Practice
Although growing evidence supports the safety and efficacy of exercise in lung cancer, both after surgery and during and after medical treatments, most patients are insufficiently active or sedentary. Engaging in exercise programs is particularly arduous for patients with lung cancer, mainly because of a series of physical and psychosocial disease‐related barriers (including the smoking stigma). A continuous collaboration among oncologists and cancer exercise specialists is urgently needed in order to develop tailored programs based on patients’ needs, preferences, and physical and psychological status. In this regard, benefit of exercise appears to be potentially enhanced when administered as a multidimensional, comprehensive approach to patients’ well‐being.
The potential effect of physical activity in lung cancer is not fully understood, and no specific exercise guidelines for lung cancer patients are available. This article reviews the evidence supporting physical activity and exercise in lung cancer and suggests that this type of intervention, along with considerations for the nutritional and psychological aspects of such an intervention, might be the most effective strategy. |
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| AbstractList | Lung cancer remains the leading cause of cancer‐related death worldwide. Affected patients frequently experience debilitating disease‐related symptoms, including dyspnea, cough, fatigue, anxiety, depression, insomnia, and pain, despite the progresses achieved in term of treatment efficacy.
Physical activity and exercise are nonpharmacological interventions that have been shown to improve fatigue, quality of life, cardiorespiratory fitness, pulmonary function, muscle mass and strength, and psychological status in patients with lung cancer. Moreover, physical fitness levels, especially cardiorespiratory endurance and muscular strength, are demonstrated to be independent predictors of survival. Nevertheless, patients with lung cancer frequently present insufficient levels of physical activity and exercise, and these may contribute to quality of life impairment, reduction in functional capacity with skeletal muscle atrophy or weakness, and worsening of symptoms, particularly dyspnea.
The molecular bases underlying the potential impact of exercise on the fitness and treatment outcome of patients with lung cancer are still elusive. Counteracting specific cancer cells’ acquired capabilities (hallmarks of cancer), together with preventing treatment‐induced adverse events, represent main candidate mechanisms.
To date, the potential impact of physical activity and exercise in lung cancer remains to be fully appreciated, and no specific exercise guidelines for patients with lung cancer are available. In this article, we perform an in‐depth review of the evidence supporting physical activity and exercise in lung cancer and suggest that integrating this kind of intervention within the framework of a global, multidimensional approach, taking into account also nutritional and psychological aspects, might be the most effective strategy.
Implications for Practice
Although growing evidence supports the safety and efficacy of exercise in lung cancer, both after surgery and during and after medical treatments, most patients are insufficiently active or sedentary. Engaging in exercise programs is particularly arduous for patients with lung cancer, mainly because of a series of physical and psychosocial disease‐related barriers (including the smoking stigma). A continuous collaboration among oncologists and cancer exercise specialists is urgently needed in order to develop tailored programs based on patients’ needs, preferences, and physical and psychological status. In this regard, benefit of exercise appears to be potentially enhanced when administered as a multidimensional, comprehensive approach to patients’ well‐being.
The potential effect of physical activity in lung cancer is not fully understood, and no specific exercise guidelines for lung cancer patients are available. This article reviews the evidence supporting physical activity and exercise in lung cancer and suggests that this type of intervention, along with considerations for the nutritional and psychological aspects of such an intervention, might be the most effective strategy. Lung cancer remains the leading cause of cancer-related death worldwide. Affected patients frequently experience debilitating disease-related symptoms, including dyspnea, cough, fatigue, anxiety, depression, insomnia, and pain, despite the progresses achieved in term of treatment efficacy. Physical activity and exercise are nonpharmacological interventions that have been shown to improve fatigue, quality of life, cardiorespiratory fitness, pulmonary function, muscle mass and strength, and psychological status in patients with lung cancer. Moreover, physical fitness levels, especially cardiorespiratory endurance and muscular strength, are demonstrated to be independent predictors of survival. Nevertheless, patients with lung cancer frequently present insufficient levels of physical activity and exercise, and these may contribute to quality of life impairment, reduction in functional capacity with skeletal muscle atrophy or weakness, and worsening of symptoms, particularly dyspnea. The molecular bases underlying the potential impact of exercise on the fitness and treatment outcome of patients with lung cancer are still elusive. Counteracting specific cancer cells' acquired capabilities (hallmarks of cancer), together with preventing treatment-induced adverse events, represent main candidate mechanisms. To date, the potential impact of physical activity and exercise in lung cancer remains to be fully appreciated, and no specific exercise guidelines for patients with lung cancer are available. In this article, we perform an in-depth review of the evidence supporting physical activity and exercise in lung cancer and suggest that integrating this kind of intervention within the framework of a global, multidimensional approach, taking into account also nutritional and psychological aspects, might be the most effective strategy. IMPLICATIONS FOR PRACTICE: Although growing evidence supports the safety and efficacy of exercise in lung cancer, both after surgery and during and after medical treatments, most patients are insufficiently active or sedentary. Engaging in exercise programs is particularly arduous for patients with lung cancer, mainly because of a series of physical and psychosocial disease-related barriers (including the smoking stigma). A continuous collaboration among oncologists and cancer exercise specialists is urgently needed in order to develop tailored programs based on patients' needs, preferences, and physical and psychological status. In this regard, benefit of exercise appears to be potentially enhanced when administered as a multidimensional, comprehensive approach to patients' well-being. Abstract Lung cancer remains the leading cause of cancer-related death worldwide. Affected patients frequently experience debilitating disease-related symptoms, including dyspnea, cough, fatigue, anxiety, depression, insomnia, and pain, despite the progresses achieved in term of treatment efficacy. Physical activity and exercise are nonpharmacological interventions that have been shown to improve fatigue, quality of life, cardiorespiratory fitness, pulmonary function, muscle mass and strength, and psychological status in patients with lung cancer. Moreover, physical fitness levels, especially cardiorespiratory endurance and muscular strength, are demonstrated to be independent predictors of survival. Nevertheless, patients with lung cancer frequently present insufficient levels of physical activity and exercise, and these may contribute to quality of life impairment, reduction in functional capacity with skeletal muscle atrophy or weakness, and worsening of symptoms, particularly dyspnea. The molecular bases underlying the potential impact of exercise on the fitness and treatment outcome of patients with lung cancer are still elusive. Counteracting specific cancer cells’ acquired capabilities (hallmarks of cancer), together with preventing treatment-induced adverse events, represent main candidate mechanisms. To date, the potential impact of physical activity and exercise in lung cancer remains to be fully appreciated, and no specific exercise guidelines for patients with lung cancer are available. In this article, we perform an in-depth review of the evidence supporting physical activity and exercise in lung cancer and suggest that integrating this kind of intervention within the framework of a global, multidimensional approach, taking into account also nutritional and psychological aspects, might be the most effective strategy. The potential effect of physical activity in lung cancer is not fully understood, and no specific exercise guidelines for lung cancer patients are available. This article reviews the evidence supporting physical activity and exercise in lung cancer and suggests that this type of intervention, along with considerations for the nutritional and psychological aspects of such an intervention, might be the most effective strategy. |
| Author | Bria, Emilio Pilotto, Sara Milella, Michele Gkountakos, Anastasios Jones, Lee W. Avancini, Alice Trestini, Ilaria Casali, Miriam Sartori, Giulia Tregnago, Daniela Lanza, Massimo |
| AuthorAffiliation | 8 Weill Cornell Medical College New York New York USA 3 Azienda Ospedaliera Universitaria Integrata Verona Italy 5 Fondazione Policlinico Universitario A. Gemelli Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Rome Italy 7 Department of Medicine, Memorial Sloan Kettering Cancer Center New York New York USA 2 Section of Medical Oncology, Department of Medicine, University of Verona Italy 6 Università Cattolica Del Sacro Cuore Rome Italy 4 Department of Diagnostics and Public Health, University and Hospital Trust of Verona Verona Italy 9 Department of Neurosciences, Biomedicine, and Movement Sciences, University of Verona Italy 1 Section of Clinical and Experimental Biomedical Science, Department of Medicine, University of Verona Italy |
| AuthorAffiliation_xml | – name: 5 Fondazione Policlinico Universitario A. Gemelli Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Rome Italy – name: 1 Section of Clinical and Experimental Biomedical Science, Department of Medicine, University of Verona Italy – name: 6 Università Cattolica Del Sacro Cuore Rome Italy – name: 7 Department of Medicine, Memorial Sloan Kettering Cancer Center New York New York USA – name: 9 Department of Neurosciences, Biomedicine, and Movement Sciences, University of Verona Italy – name: 2 Section of Medical Oncology, Department of Medicine, University of Verona Italy – name: 3 Azienda Ospedaliera Universitaria Integrata Verona Italy – name: 4 Department of Diagnostics and Public Health, University and Hospital Trust of Verona Verona Italy – name: 8 Weill Cornell Medical College New York New York USA |
| Author_xml | – sequence: 1 givenname: Alice surname: Avancini fullname: Avancini, Alice organization: Section of Clinical and Experimental Biomedical Science, Department of Medicine, University of Verona – sequence: 2 givenname: Giulia surname: Sartori fullname: Sartori, Giulia organization: Azienda Ospedaliera Universitaria Integrata – sequence: 3 givenname: Anastasios surname: Gkountakos fullname: Gkountakos, Anastasios organization: Department of Diagnostics and Public Health, University and Hospital Trust of Verona – sequence: 4 givenname: Miriam surname: Casali fullname: Casali, Miriam organization: Azienda Ospedaliera Universitaria Integrata – sequence: 5 givenname: Ilaria surname: Trestini fullname: Trestini, Ilaria organization: Azienda Ospedaliera Universitaria Integrata – sequence: 6 givenname: Daniela surname: Tregnago fullname: Tregnago, Daniela organization: Azienda Ospedaliera Universitaria Integrata – sequence: 7 givenname: Emilio surname: Bria fullname: Bria, Emilio organization: Università Cattolica Del Sacro Cuore – sequence: 8 givenname: Lee W. surname: Jones fullname: Jones, Lee W. organization: Weill Cornell Medical College – sequence: 9 givenname: Michele surname: Milella fullname: Milella, Michele organization: Azienda Ospedaliera Universitaria Integrata – sequence: 10 givenname: Massimo surname: Lanza fullname: Lanza, Massimo organization: Department of Neurosciences, Biomedicine, and Movement Sciences, University of Verona – sequence: 11 givenname: Sara orcidid: 0000-0003-2229-4874 surname: Pilotto fullname: Pilotto, Sara email: sara.pilotto@univr.it organization: Azienda Ospedaliera Universitaria Integrata |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32162811$$D View this record in MEDLINE/PubMed |
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| Publisher | John Wiley & Sons, Inc |
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| Snippet | Lung cancer remains the leading cause of cancer‐related death worldwide. Affected patients frequently experience debilitating disease‐related symptoms,... Lung cancer remains the leading cause of cancer-related death worldwide. Affected patients frequently experience debilitating disease-related symptoms,... Abstract Lung cancer remains the leading cause of cancer-related death worldwide. Affected patients frequently experience debilitating disease-related... The potential effect of physical activity in lung cancer is not fully understood, and no specific exercise guidelines for lung cancer patients are available.... |
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| Title | Physical Activity and Exercise in Lung Cancer Care: Will Promises Be Fulfilled? |
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