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Article ; Online: Exercise interventions for frail older adults with cancer.

Sattar, Schroder / Haase, Kristen R / Lee, Kayoung / Campbell, Kristin L

Current opinion in supportive and palliative care

2024 Volume 18, Issue 1, Page(s) 22–26

Abstract: Purpose of review: Frailty is prevalent in older adults with cancer and can lead to complications during cancer treatment and poor health outcomes. Exercise has been shown to be a promising strategy to mitigate frailty and slow the accumulation of ... ...

Abstract	Purpose of review: Frailty is prevalent in older adults with cancer and can lead to complications during cancer treatment and poor health outcomes. Exercise has been shown to be a promising strategy to mitigate frailty and slow the accumulation of functional impairment in the general geriatric population. In this review, we present a discussion on the state of the science of exercise interventions for frail older adults with cancer. This review is timely and relevant given the aging of the population and corresponding increase in proportion of older adults living with cancer. Recent findings: Existing research related to exercise interventions for frail older adults with cancer appear to show some promise in feasibility and efficacy in both surgical and systemic treatment settings. Summary: More research on this topic and testing rigorously structured exercise interventions for older adults with cancer may help inform cancer-specific guidelines and create a foundation of evidence to enable implementation of exercise interventions. These interventions can support cancer care to attenuate frailty-related outcomes while extending its benefit to overall health of this population.
MeSH term(s)	Humans ; Aged ; Frail Elderly ; Frailty ; Exercise ; Exercise Therapy ; Aging ; Neoplasms/therapy
Language	English
Publishing date	2024-12-06
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	2633726-5
ISSN	1751-4266 ; 1751-4258
ISSN (online)	1751-4266
ISSN	1751-4258
DOI	10.1097/SPC.0000000000000685
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Zs.A 6946: Show issues

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Article ; Online: Virtually Supervised Exercise Programs for People With Cancer: A Scoping Review.

Smith, Gillian V H / Myers, Samantha A / Fujita, Rafael A / Yu, Christy / Campbell, Kristin L

Cancer nursing

2024

Abstract: Background: Exercise has been shown to improve physical function and quality of life for individuals with cancer. However, low rates of exercise adoption and commonly reported barriers to accessing exercise programming have demonstrated a need for ... ...

Abstract	Background: Exercise has been shown to improve physical function and quality of life for individuals with cancer. However, low rates of exercise adoption and commonly reported barriers to accessing exercise programming have demonstrated a need for virtual exercise programming in lieu of traditional in-person formats. Objective: The aim of this study was to summarize the existing research on supervised exercise interventions delivered virtually for individuals living with and beyond cancer. Methods: We conducted a scoping review of randomized controlled trials, pilot studies, or feasibility studies investigating virtually supervised exercise interventions for adults either during or after treatment of cancer. The search included EMBASE, MEDLINE, CINAHL, SPORTDiscus, Cochrane Library, and conference abstracts. Results: Fifteen studies were included. The interventions were delivered mostly over Zoom in a group format, with various combinations of aerobic and resistance exercises. Attendance ranged from 78% to 100%, attrition ranged from 0% to 29%, and satisfaction ranged from 94% to 100%. No major adverse events were reported, and only 3 studies reported minor adverse events. Significant improvements were seen in upper and lower body strength, endurance, pain, fatigue, and emotional well-being. Conclusion: Supervised exercise interventions delivered virtually are feasible and may improve physical function for individuals with cancer. The supervision included in these virtual programs promoted similar safety as seen with in-person programming. More randomized controlled trials with large cohorts are needed to validate these findings. Implications for practice: Individuals living with and beyond cancer can be encouraged to join virtually supervised exercise programs because they are safe, well enjoyed, and may improve physical function and quality of life.
Language	English
Publishing date	2024-04-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	391995-x
ISSN	1538-9804 ; 0162-220X
ISSN (online)	1538-9804
ISSN	0162-220X
DOI	10.1097/NCC.0000000000001353
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Zs.A 1538: Show issues

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Article ; Online: We All Seem to Agree: Exercise Is Medicine in Medical Oncology.

Campbell, Kristin L / Winters-Stone, Kerri M / Schmitz, Kathryn H

Journal of clinical oncology : official journal of the American Society of Clinical Oncology

2022 Volume 41, Issue 1, Page(s) 147–148

MeSH term(s)	Humans ; Medical Oncology ; Exercise ; Neoplasms/therapy
Language	English
Publishing date	2022-09-08
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	604914-x
ISSN	1527-7755 ; 0732-183X
ISSN (online)	1527-7755
ISSN	0732-183X
DOI	10.1200/JCO.22.01448
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Zs.A 1847: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Preparing for colorectal surgery: a feasibility study of a novel web-based multimodal prehabilitation programme in Western Canada.

Ip, Nathanael / Zhang, Kexin / Karimuddin, Ahmer A / Brown, Carl J / Campbell, Kristin L / Puyat, Joseph H / Sutherland, Jason M / Conklin, Annalijn I

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

2024 Volume 26, Issue 3, Page(s) 534–544

Abstract: Aim: Prehabilitation for colorectal cancer has focused on exercise-based interventions that are typically designed by clinicians; however, no research has yet been patient-oriented. The aim of this feasibility study was to test a web-based multimodal ... ...

Abstract	Aim: Prehabilitation for colorectal cancer has focused on exercise-based interventions that are typically designed by clinicians; however, no research has yet been patient-oriented. The aim of this feasibility study was to test a web-based multimodal prehabilitation intervention (known as PREP prehab) consisting of four components (physical activity, diet, smoking cessation, psychological support) co-designed with five patient partners. Method: A longitudinal, two-armed (website without or with coaching support) feasibility study of 33 patients scheduled for colorectal surgery 2 weeks or more from consent (January-September 2021) in the province of British Columbia, Canada. Descriptive statistics analysed a health-related quality of life questionnaire (EQ5D-5L) at baseline (n = 25) and 3 months postsurgery (n = 21), and a follow-up patient satisfaction survey to determine the acceptability, practicality, demand for and potential efficacy in improving overall health. Results: Patients had a mean age of 52 years (SD 14 years), 52% were female and they had a mean body mass index of 25 kg m Conclusion: This web-based multimodal prehabilitation programme was acceptable, practical and well-received by all colorectal surgery patients who viewed the patient-oriented multimodal website. The feasibility of providing active health coaching support requires further investigation.
MeSH term(s)	Humans ; Female ; Middle Aged ; Male ; Colorectal Neoplasms/surgery ; Feasibility Studies ; Preoperative Exercise ; Quality of Life ; Colorectal Surgery ; Preoperative Care ; Canada ; Internet
Language	English
Publishing date	2024-01-16
Publishing country	England
Document type	Journal Article
ZDB-ID	1440017-0
ISSN	1463-1318 ; 1462-8910
ISSN (online)	1463-1318
ISSN	1462-8910
DOI	10.1111/codi.16851
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Zs.A 5799: Show issues

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Article ; Online: Exercise during chemotherapy: Friend or foe?

Potiaumpai, Melanie / Schleicher, Erica A / Wang, Ming / Campbell, Kristin L / Sturgeon, Kathleen / Schmitz, Kathryn H

Cancer medicine

2023 Volume 12, Issue 9, Page(s) 10715–10724

Abstract: Background: A higher chemotherapy completion rate is associated with better outcomes including treatment efficacy and overall survival. Exercise may have the potential to improve relative dose intensity (RDI) by reducing the frequency and severity of ... ...

Abstract	Background: A higher chemotherapy completion rate is associated with better outcomes including treatment efficacy and overall survival. Exercise may have the potential to improve relative dose intensity (RDI) by reducing the frequency and severity of chemotherapy-related toxicities. We examined the association between exercise adherence and RDI and possible clinical- and health-related fitness predictors of RDI. Methods: Chemotherapy records were extracted from the electronic medical record for patients enrolled in the ENACT trial (n = 105). Chemotherapy completion was assessed using average RDI. A threshold of 85% was established for "high" versus "low" RDI. Logistic regression analyses were used to estimate the associations between the clinical- and health-related fitness predictors of RDI. Results: Patients with breast cancer (BC) had a significantly higher average RDI (89.8% ± 17.6%) compared with gastrointestinal cancer (GI) (76.8% ± 20.9%, p = 0.004) and pancreatic cancer (PC) (65.2% ± 20.1%, p < 0.001). Only 25% of BC patents required a dose reduction compared to 56.3% of GI and 86.4% of PC patients. Cancer site was significantly associated with RDI. Compared with BC, patients with GI (β = -0.12, p = 0.03) and PC (β = -0.22, p = 0.006) achieved significantly lower RDI. Every 2.72 unit increase in overall exercise adherence led to a significant 7% decrease in RDI (p = 0.001) in GI patients. Metastatic GI patients had a 15% RDI increase for every 2.72 unit increase in exercise adherence (p = 0.04). Conclusion: Exercise is a supportive therapy that has potential to enhance chemotherapy tolerance and completion. The relationship between exercise adherence and RDI is influenced by factor such as cancer site and treatment type. Special attention must be paid to how exercise is prescribed to ensure that exercise adherence does not negatively affect RDI. Cancer site, exercise dosage, and multimodal interventions to address toxicities are key areas identified for future research.
MeSH term(s)	Humans ; Female ; Breast Neoplasms/pathology ; Treatment Outcome ; Antineoplastic Combined Chemotherapy Protocols/adverse effects ; Retrospective Studies ; Chemotherapy, Adjuvant
Language	English
Publishing date	2023-04-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	2659751-2
ISSN	2045-7634 ; 2045-7634
ISSN (online)	2045-7634
ISSN	2045-7634
DOI	10.1002/cam4.5831
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Article: Supervised exercise training in patients with cancer during anthracycline-based chemotherapy to mitigate cardiotoxicity: a randomized-controlled-trial.

Schneider, Caroline / Ryffel, Christoph / Stütz, Laura / Rabaglio, Manuela / Suter, Thomas M / Campbell, Kristin L / Eser, Prisca / Wilhelm, Matthias

Frontiers in cardiovascular medicine

2023 Volume 10, Page(s) 1283153

Abstract: Background: Exercise training (ET) has been shown to mitigate cardiotoxicity of anthracycline-based chemotherapies (AC) in animal models. Data from randomized controlled trials in patients with cancer are sparse.: Methods: Patients with breast cancer ...

Abstract	Background: Exercise training (ET) has been shown to mitigate cardiotoxicity of anthracycline-based chemotherapies (AC) in animal models. Data from randomized controlled trials in patients with cancer are sparse. Methods: Patients with breast cancer or lymphoma receiving AC were recruited from four cancer centres and randomly assigned to 3 months supervised ET. Primary outcome was change in left ventricular global longitudinal strain (GLS) from baseline (before AC) to post AC (AC-end) compared between the EXduringAC group, who participated in an exercise intervention during AC including the provision of an activity tracker, and the control group EXpostAC, who received an activity tracker only. Secondary outcome parameters were changes in high sensitivity Troponin T (hsTnT), NT-pro-brain natriuretic peptide (NT-proBNP), peak oxygen consumption (peak VO Results: Fifty-seven patients (median age 47 years; 95% women) were randomized to EXduringAC ( Conclusion: In this small scale RCT, supervised ET during AC was not superior to wearing a PA tracker to mitigate cardiotoxicity. The dose-response relationship between PA and cardioprotective effects during AC found in our and previous data supports the notion that PA should be recommended to patients undergoing AC. Clinical trial registration: ClinicalTrials.gov, identifier NCT03850171.
Language	English
Publishing date	2023-12-04
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2781496-8
ISSN	2297-055X
ISSN	2297-055X
DOI	10.3389/fcvm.2023.1283153
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Article ; Online: A pre-implementation examination of barriers and facilitators of an electronic prospective surveillance model for cancer rehabilitation: a qualitative study.

Lopez, Christian J / Jones, Jennifer M / Campbell, Kristin L / Bender, Jackie L / Strudwick, Gillian / Langelier, David M / Reiman, Tony / Greenland, Jonathan / Neil-Sztramko, Sarah E

BMC health services research

2024 Volume 24, Issue 1, Page(s) 17

Abstract: Background: An electronic Prospective Surveillance Model (ePSM) uses patient-reported outcomes to monitor symptoms along the cancer pathway for timely identification and treatment. Randomized controlled trials show that ePSMs can effectively manage ... ...

Abstract	Background: An electronic Prospective Surveillance Model (ePSM) uses patient-reported outcomes to monitor symptoms along the cancer pathway for timely identification and treatment. Randomized controlled trials show that ePSMs can effectively manage treatment-related adverse effects. However, an understanding of optimal approaches for implementing these systems into routine cancer care is limited. This study aimed to identify barriers and facilitators prior to the implementation of an ePSM to inform the selection of implementation strategies. Methods: A qualitative study using virtual focus groups and individual interviews was conducted with cancer survivors, oncology healthcare providers, and clinic leadership across four cancer centres in Canada. The Consolidated Framework for Implementation Research (CFIR) guided the interviews and analysis of barriers and facilitators based on five domains (intervention characteristics, individual characteristics, inner setting, outer setting, and process). Results: We conducted 13 focus groups and nine individual interviews with 13 patient participants and 56 clinic staff. Of the 39 CFIR constructs, 18 were identified as relevant determinants to the implementation. The adaptability, relative advantage, and complexity of an ePSM emerged as key intervention-level factors that could influence implementation. Knowledge of the system was important at the individual level. Within the inner setting, major determinants were the potential fit of an ePSM with clinical workflows (compatibility) and the resources that could be dedicated to the implementation effort (readiness for implementation). In the outer setting, meeting the needs of patients and the availability of rehabilitation supports were key determinants. Engaging various stakeholders was critical at the process level. Conclusions: Improving the implementation of ePSMs in routine cancer care has the potential to facilitate early identification and management of treatment-related adverse effects, thereby improving quality of life. This study provides insight into important factors that may influence the implementation of an ePSM, which can be used to select appropriate implementation strategies to address these factors.
MeSH term(s)	Humans ; Primary Health Care ; Prospective Studies ; Quality of Life ; Qualitative Research ; Electronics ; Neoplasms
Language	English
Publishing date	2024-01-04
Publishing country	England
Document type	Journal Article
ZDB-ID	2050434-2
ISSN	1472-6963 ; 1472-6963
ISSN (online)	1472-6963
ISSN	1472-6963
DOI	10.1186/s12913-023-10445-3
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Article ; Online: Body Composition, Relative Dose Intensity, and Adverse Events among Patients with Colon Cancer.

Cheng, En / Caan, Bette J / Cawthon, Peggy M / Evans, William J / Hellerstein, Marc K / Shankaran, Mahalakshmi / Nyangau, Edna / Campbell, Kristin L / Lee, Catherine / Binder, Alexandra M / Meyerhardt, Jeffrey A / Schmitz, Kathryn H / Cespedes Feliciano, Elizabeth M

Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology

2024 Volume 32, Issue 10, Page(s) 1373–1381

Abstract: Background: Despite evidence that low muscle increases the risk of chemotoxicity, most chemotherapies are dosed on body surface area without considering body composition. Among 178 patients with colon cancer, we assessed muscle and adipose tissue with ... ...

Abstract	Background: Despite evidence that low muscle increases the risk of chemotoxicity, most chemotherapies are dosed on body surface area without considering body composition. Among 178 patients with colon cancer, we assessed muscle and adipose tissue with multiple techniques and examined their associations with relative dose intensity (RDI) and adverse events. Methods: We estimated (i) cross-sectional skeletal muscle area (SMA) and total adipose tissue (TAT) area at L3 from computed tomography (CT); (ii) appendicular lean mass (ALM) and total body fat (TBF) mass from dual-energy X-ray absorptiometry (DXA); and (iii) total body skeletal muscle mass using D3-creatine (D3Cr) dilution. We standardized each measurement by its sex-specific standard deviation (SD). The primary outcome was reduced RDI (RDI <85%). The secondary outcome was the number of moderate and severe adverse events during each cycle of chemotherapy. We estimated the associations of muscle and adipose tissue measurements (per SD increase) with reduced RDI using logistic regression and adverse events using generalized estimating equations for repeated measures. Results: Higher CT SMA and DXA ALM were significantly associated with a lower risk of reduced RDI [odds ratios: 0.56 (0.38-0.81) for CT SMA; 0.56 (0.37-0.84) for DXA ALM]. No measurements of muscle or adipose tissue were associated with adverse events. Conclusions: More muscle was associated with improved chemotherapy completion among patients with colon cancer, whereas muscle and adipose tissue were not associated with adverse events. Impact: Considering body composition may help personalize dosing for colon cancer chemotherapy by identifying patients at risk for poor chemotherapy outcomes.
MeSH term(s)	Male ; Female ; Humans ; Cross-Sectional Studies ; Body Composition/physiology ; Adipose Tissue/diagnostic imaging ; Colonic Neoplasms/drug therapy ; Muscle, Skeletal/diagnostic imaging
Language	English
Publishing date	2024-01-08
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	1153420-5
ISSN	1538-7755 ; 1055-9965
ISSN (online)	1538-7755
ISSN	1055-9965
DOI	10.1158/1055-9965.EPI-23-0227
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Zs.A 3693: Show issues

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Article ; Online: Factors associated with exercise preferences, barriers and facilitators of prostate cancer survivors.

Weller, Sarah / Oliffe, John L / Campbell, Kristin L

European journal of cancer care

2019 Volume 28, Issue 5, Page(s) e13135

Abstract: Objective: The purpose of this study was to understand the exercise levels, preferences and interests of prostate cancer survivors in Canada.: Methods: An electronic survey was administered via a prostate cancer-specific website and assessed self- ... ...

Abstract	Objective: The purpose of this study was to understand the exercise levels, preferences and interests of prostate cancer survivors in Canada. Methods: An electronic survey was administered via a prostate cancer-specific website and assessed self-reported exercise levels, exercise preferences and interests, exercise barriers and facilitators to exercise. Results: Based on 103 participants, the majority (75.7%) of prostate cancer survivors did not meet both aerobic and resistance exercise guidelines, despite an interest in exercise. Strongest exercise preferences were shown for resistance exercise, walking, flexibility and bicycling and for performing exercise from a community-based gym or from home. Significant differences in exercise interests and facilitators were found between individuals who were meeting exercise guidelines compared to those who were not. Conclusion: The majority of Canadian prostate cancer survivors are insufficiently active. Exercise preferences and facilitators appear to be influenced by current exercise levels. Resistance and aerobic exercise should be considered when programming exercise for prostate cancer survivors.
MeSH term(s)	Aged ; Attitude to Health ; Bicycling ; Canada ; Cancer Survivors ; Exercise ; Humans ; Male ; Middle Aged ; Muscle Stretching Exercises ; Patient Preference ; Prostatic Neoplasms ; Resistance Training ; Sports ; Surveys and Questionnaires ; Walking
Language	English
Publishing date	2019-07-22
Publishing country	England
Document type	Journal Article
ZDB-ID	1303114-4
ISSN	1365-2354 ; 0961-5423 ; 1360-5801
ISSN (online)	1365-2354
ISSN	0961-5423 ; 1360-5801
DOI	10.1111/ecc.13135
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Article ; Online: Exploring tensions within young breast cancer survivors' physical activity, nutrition and weight management beliefs and practices.

Milosevic, Elizabeth / Brunet, Jennifer / Campbell, Kristin L

Disability and rehabilitation

2019 Volume 42, Issue 5, Page(s) 685–691

Abstract: ... ...

Abstract	Purpose
MeSH term(s)	Adult ; Body Weight Maintenance ; Breast Neoplasms ; Cancer Survivors ; Diet, Healthy ; Exercise ; Female ; Health Behavior ; Humans ; Life Style
Language	English
Publishing date	2019-01-07
Publishing country	England
Document type	Journal Article
ZDB-ID	1104775-6
ISSN	1464-5165 ; 0963-8288
ISSN (online)	1464-5165
ISSN	0963-8288
DOI	10.1080/09638288.2018.1506512
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