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Development of a Risk-Screening Tool for Cancer Survivors to Participate in Unsupervised Moderate- to Vigorous-Intensity Exercise: Results from a Survey Study

Identifieur interne : 003568 ( Pmc/Curation ); précédent : 003567; suivant : 003569

Development of a Risk-Screening Tool for Cancer Survivors to Participate in Unsupervised Moderate- to Vigorous-Intensity Exercise: Results from a Survey Study

Auteurs : Justin C. Brown ; Emily M. Ko ; Kathryn H. Schmitz

Source :

RBID : PMC:4391374

Abstract

Background

The health-benefits of exercise increase in dose-response fashion among cancer survivors. However, it is unclear how to identify cancer survivors who may require a pre-exercise evaluation prior to progressing from the common recommendation of walking, to unsupervised moderate- to vigorous-intensity exercise.

Objective

To clarify how to identify cancer survivors who should undergo a pre-exercise evaluation prior to progressing from the common recommendation of walking, to unsupervised moderate- to vigorous-intensity exercise.

Design

Electronic survey.

Participants

Forty seven (n=47) experts in the field of exercise physiology, rehabilitation medicine, and cancer survivorship.

Setting

Not Applicable.

Methods

We synthesized peer-reviewed guidelines for exercise and cancer survivorship and identified 82 health-factors that may warrant a pre-exercise evaluation prior to engaging in unsupervised moderate- to vigorous-intensity exercise. The 82 health-factors were classified into three domains: 1) clinical health-factors; 2) comorbidity and device health-factors; and 3) medications. We surveyed a sample of experts asking them to identify which of the 82 health-factors among cancer survivors would indicate the need for a pre-exercise evaluation prior to engaging in moderate- to vigorous-intensity exercise.

Main Outcome Measurements

The response rate to our survey was 75% (n=47). Across the three domains of health-factors, acute symptoms, comorbidities, and medications related to cardiovascular disease were agreed to indicate a pre-exercise evaluation prior to engaging in unsupervised moderate- to vigorous-intensity exercise. Other health-factors in the survey included hematologic, musculoskeletal, systemic, gastrointestinal, pulmonary, and neurological symptoms and comorbidities. Eighteen experts (38%) said it was difficult to provide absolute answers since no two patients are alike, and their decisions are made on a case-by-case basis.

Conclusions

The results from this expert survey will help to identify which cancer survivors should undergo a pre-exercise evaluation prior to engaging in unsupervised moderate- to vigorous-intensity exercise.


Url:
DOI: 10.1016/j.pmrj.2014.09.003
PubMed: 25217819
PubMed Central: 4391374

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PMC:4391374

Le document en format XML

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<title>Background</title>
<p id="P1">The health-benefits of exercise increase in dose-response fashion among cancer survivors. However, it is unclear how to identify cancer survivors who may require a pre-exercise evaluation prior to progressing from the common recommendation of walking, to unsupervised moderate- to vigorous-intensity exercise.</p>
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<sec id="S2">
<title>Objective</title>
<p id="P2">To clarify how to identify cancer survivors who should undergo a pre-exercise evaluation prior to progressing from the common recommendation of walking, to unsupervised moderate- to vigorous-intensity exercise.</p>
</sec>
<sec id="S3">
<title>Design</title>
<p id="P3">Electronic survey.</p>
</sec>
<sec id="S4">
<title>Participants</title>
<p id="P4">Forty seven (n=47) experts in the field of exercise physiology, rehabilitation medicine, and cancer survivorship.</p>
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<sec id="S5">
<title>Setting</title>
<p id="P5">Not Applicable.</p>
</sec>
<sec id="S6">
<title>Methods</title>
<p id="P6">We synthesized peer-reviewed guidelines for exercise and cancer survivorship and identified 82 health-factors that may warrant a pre-exercise evaluation prior to engaging in unsupervised moderate- to vigorous-intensity exercise. The 82 health-factors were classified into three domains: 1) clinical health-factors; 2) comorbidity and device health-factors; and 3) medications. We surveyed a sample of experts asking them to identify which of the 82 health-factors among cancer survivors would indicate the need for a pre-exercise evaluation prior to engaging in moderate- to vigorous-intensity exercise.</p>
</sec>
<sec id="S7">
<title>Main Outcome Measurements</title>
<p id="P7">The response rate to our survey was 75% (n=47). Across the three domains of health-factors, acute symptoms, comorbidities, and medications related to cardiovascular disease were agreed to indicate a pre-exercise evaluation prior to engaging in unsupervised moderate- to vigorous-intensity exercise. Other health-factors in the survey included hematologic, musculoskeletal, systemic, gastrointestinal, pulmonary, and neurological symptoms and comorbidities. Eighteen experts (38%) said it was difficult to provide absolute answers since no two patients are alike, and their decisions are made on a case-by-case basis.</p>
</sec>
<sec id="S8">
<title>Conclusions</title>
<p id="P8">The results from this expert survey will help to identify which cancer survivors should undergo a pre-exercise evaluation prior to engaging in unsupervised moderate- to vigorous-intensity exercise.</p>
</sec>
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<corresp id="cor1">Corresponding Author: Kathryn H. Schmitz, University of Pennsylvania School of Medicine, 423 Guardian Drive, 8th Floor, Blockley Hall, Philadelphia, PA 19104, Phone: 215–898–6604, Fax: 251–573–5311,
<email>schmitz@mail.med.upenn.edu</email>
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<abstract>
<sec id="S1">
<title>Background</title>
<p id="P1">The health-benefits of exercise increase in dose-response fashion among cancer survivors. However, it is unclear how to identify cancer survivors who may require a pre-exercise evaluation prior to progressing from the common recommendation of walking, to unsupervised moderate- to vigorous-intensity exercise.</p>
</sec>
<sec id="S2">
<title>Objective</title>
<p id="P2">To clarify how to identify cancer survivors who should undergo a pre-exercise evaluation prior to progressing from the common recommendation of walking, to unsupervised moderate- to vigorous-intensity exercise.</p>
</sec>
<sec id="S3">
<title>Design</title>
<p id="P3">Electronic survey.</p>
</sec>
<sec id="S4">
<title>Participants</title>
<p id="P4">Forty seven (n=47) experts in the field of exercise physiology, rehabilitation medicine, and cancer survivorship.</p>
</sec>
<sec id="S5">
<title>Setting</title>
<p id="P5">Not Applicable.</p>
</sec>
<sec id="S6">
<title>Methods</title>
<p id="P6">We synthesized peer-reviewed guidelines for exercise and cancer survivorship and identified 82 health-factors that may warrant a pre-exercise evaluation prior to engaging in unsupervised moderate- to vigorous-intensity exercise. The 82 health-factors were classified into three domains: 1) clinical health-factors; 2) comorbidity and device health-factors; and 3) medications. We surveyed a sample of experts asking them to identify which of the 82 health-factors among cancer survivors would indicate the need for a pre-exercise evaluation prior to engaging in moderate- to vigorous-intensity exercise.</p>
</sec>
<sec id="S7">
<title>Main Outcome Measurements</title>
<p id="P7">The response rate to our survey was 75% (n=47). Across the three domains of health-factors, acute symptoms, comorbidities, and medications related to cardiovascular disease were agreed to indicate a pre-exercise evaluation prior to engaging in unsupervised moderate- to vigorous-intensity exercise. Other health-factors in the survey included hematologic, musculoskeletal, systemic, gastrointestinal, pulmonary, and neurological symptoms and comorbidities. Eighteen experts (38%) said it was difficult to provide absolute answers since no two patients are alike, and their decisions are made on a case-by-case basis.</p>
</sec>
<sec id="S8">
<title>Conclusions</title>
<p id="P8">The results from this expert survey will help to identify which cancer survivors should undergo a pre-exercise evaluation prior to engaging in unsupervised moderate- to vigorous-intensity exercise.</p>
</sec>
</abstract>
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