Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 1N4, Canada.
Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, Canada.
Curr Oncol. 2022 Jul 9;29(7):4827-4841. doi: 10.3390/curroncol29070383.
Exercise is safe and effective for those living with and beyond breast cancer, with evidence supporting exercise guidelines, and position statements from international organizations. Despite the clearly recognized benefits of exercise for these individuals, many do not participate or maintain recommended exercise levels throughout the breast cancer continuum, highlighting the lack of translation from research into practice. In addition, discerning how exercise can be tailored to address breast cancer-related impairments, so that individuals are able to participate safely and effectively, has also not been studied extensively. Thus, we propose that implementing exercise screening, triage, and referral pathways across the breast cancer continuum may allow for increased accessibility and adoption among those living with and beyond breast cancer. This paper provides an overview of exercise prescription tailoring for common breast cancer and treatment-related impairments, proposes a simplified screening tool for identifying physical activity and movement-related impairments, and considers how best to channel evidence into practice via proposed implementation pathways that may better connect individuals living with and beyond breast cancer with exercise oncology resources through screening, triage, and referral.
运动对于患有乳腺癌及已康复的患者都是安全且有效的，有证据支持运动指南，并且得到了国际组织的立场声明。尽管运动对这些人有明显的益处，但许多人并没有参与或保持贯穿乳腺癌全程的推荐运动水平，这突显了研究向实践转化的不足。此外，如何调整运动以解决与乳腺癌相关的障碍，使个人能够安全有效地参与，也没有得到广泛研究。因此，我们建议在乳腺癌全程实施运动筛查、分诊和转介途径，可能会增加乳腺癌患者及康复者的可及性和接受度。本文概述了针对常见乳腺癌和治疗相关障碍的运动处方调整，提出了一种用于识别身体活动和运动相关障碍的简化筛查工具，并考虑如何通过提出的实施途径将证据更好地转化为实践，这些途径可以通过筛查、分诊和转介，将患有和已康复乳腺癌的个人与肿瘤运动学资源更好地联系起来。
