tailieunhanh - American College of Sports Medicine Roundtable on Exercise Guidelines for Cancer Survivors

Another CAM and TM modality that has considerable accept- ance is pain management clinics, hospitals, and academic centers in the West now provide acupuncture services, and some insurance companies reimburse for acupuncture services. Rigorous clinical trials have demonstra- tive positive efficacy in two areas: (a) management of postop- erative nausea and emesis (Shen and others 2000) and (b) ame- lioration of the pain of chronic osteoarthritis (Ezzo and others 2001; Soeken 2004; Tukmachi and others 2004). Studies pro- viding rational explanations of the mechanisms whereby acupuncture might be achieving its effects complement the evi- dence about its efficacy; for example, one mechanism of action appears to involve opioid-dependent brain pathways. This. | SPECIAL COMMUNICATIONS Roundtable Consensus Statement American College of Sports Medicine Roundtable on Exercise Guidelines for Cancer Survivors EXPERT PANEL Kathryn H. Schmitz PhD MPH FACSM Kerry S. Courneya PhD Charles Matthews PhD FACSM Wendy Demark-Wahnefried PhD Daniel A. Galvao PhD Bernardine M. Pinto PhD Melinda L. Irwin PhD FACSM Kathleen Y. Wolin ScD FACSM Roanne J. Segal MD FRCP Alejandro Lucia MD PhD Carole M. Schneider PhD FACSM Vivian E. von Gruenigen MD Anna L. Schwartz PhD FAAN Early detection and improved treatments for cancer have resulted in roughly 12 million survivors alive in the United States today. This growing population faces unique challenges from their disease and treatments including risk for recurrent cancer other chronic diseases and persistent adverse effects on physical functioning and quality of life. Historically clinicians advised cancer patients to rest and to avoid activity however emerging research on exercise has challenged this recommendation. To this end a roundtable was convened by American College of Sports Medicine to distill the literature on the safety and efficacy of exercise training during and after adjuvant cancer therapy and to provide guidelines. The roundtable concluded that exercise training is safe during and after cancer treatments and results in improvements in physical functioning quality of life and cancer-related fatigue in several cancer survivor groups. Implications for disease outcomes and survival are still unknown. Nevertheless the benefits 0195-9131 10 4207-1409 0 MEDICINE SCIENCE IN SPORTS EXERCISE Copyright 2010 by the American College of Sports Medicine. DOI to physical functioning and quality of life are sufficient for the recommendation that cancer survivors follow the 2008 Physical Activity Guidelines for Americans with specific exercise programming adaptations based on disease and treatment-related adverse effects. The advice to avoid inactivity even in cancer .