Clinical Oncology Society of Australia position statement on exercise in cancer care
Clinical Oncology Society of Australia position statement on exercise in cancer care
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DOI：
10.5694/mja18.00199
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发表时间：
2018-08-20
影响因子：
11.4
通讯作者：
Adams, Diana
中科院分区：
文献类型：
--
作者：
Cormie, Prue;Atkinson, Morgan;Adams, Diana
临床研究已经确定运动是一种安全有效的干预措施，可以抵消癌症及其治疗对身体和心理的不良影响。本文总结了澳大利亚临床肿瘤学会（COSA）关于运动在癌症治疗中的作用的立场，考虑到证据基础的优势和局限性。它为所有参与癌症患者护理的卫生专业人员提供了将锻炼纳入常规癌症护理的指导。主要建议：COSA呼吁：将运动作为癌症治疗标准实践的一部分，并将其视为一种辅助疗法，有助于抵消癌症及其治疗的不良影响；多学科癌症小组的所有成员都提倡体育活动并建议癌症患者坚持锻炼指南；最佳实践癌症护理包括转诊给有癌症护理经验的经认证的运动生理学家或物理治疗师。指南带来的管理变化：COSA鼓励所有参与癌症患者护理的卫生专业人员：讨论运动在癌症康复中的作用；建议患者坚持运动指南（避免不活动，每周至少进行150分钟中等强度有氧运动和两到三次中等强度阻力运动）；并将他们的病人转介给专门从事运动处方和交付的健康专业人士（即具有癌症护理经验的经认证的运动生理学家或物理治疗师）。
Introduction: Clinical research has established exercise as a safe and effective intervention to counteract the adverse physical and psychological effects of cancer and its treatment. This article summarises the position of the Clinical Oncology Society of Australia (COSA) on the role of exercise in cancer care, taking into account the strengths and [imitations of the evidence base. It provides guidance for all health professionals involved in the care of people with cancer about integrating exercise into routine cancer care.Main recommendations: COSA calls for:exercise to be embedded as part of standard practice in cancer care and to be viewed as an adjunct therapy that helps counteract the adverse effects of cancer and its treatment;all members of the multidisciplinary cancer team to promote physical activity and recommend that people with cancer adhere to exercise guidelines; andbest practice cancer care to include referral to an accredited exercise physiologist or physiotherapist with experience in cancer care.Changes in management as a result of the guideline: COSA encourages all health professionals involved in the care of people with cancer to:discuss the role of exercise in cancer recovery;recommend their patients adhere to exercise guidelines (avoid inactivity and progress towards at [east 150 minutes of moderate intensity aerobic exercise and two to three moderate intensity resistance exercise sessions each week); andrefer their patients to a health professional who specialises in the prescription and delivery of exercise (ie, accredited exercise physiologist or physiotherapist with experience in cancer care).