Enabling exercise prescription for survivors of cancer

Abstract Although exercise is widely recommended for survivors of cancer, readily implementable approaches for evaluating exercise tolerance enabling exercise prescriptions at appropriate levels of cardiovascular exertion are not always available. We evaluated the utility of modified Harvard Step te...

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Autores principales:	Katherine R. White, Jana Lu, Zara Ibrahim, Priscilla A. Furth
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3860f1421a514de3b9853458832a7fc0
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spelling	oai:doaj.org-article:3860f1421a514de3b9853458832a7fc02021-12-02T14:49:43ZEnabling exercise prescription for survivors of cancer10.1038/s41598-021-89021-w2045-2322https://doaj.org/article/3860f1421a514de3b9853458832a7fc02021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89021-whttps://doaj.org/toc/2045-2322Abstract Although exercise is widely recommended for survivors of cancer, readily implementable approaches for evaluating exercise tolerance enabling exercise prescriptions at appropriate levels of cardiovascular exertion are not always available. We evaluated the utility of modified Harvard Step tests within the context of a standard physical examination for fitness evaluation and exercise prescription for survivors of cancer across a range of age, BMI and exercise history. While 52% of presenting individuals with a past cancer diagnosis were able to complete a 3-min test at pace with a reduced 9-in. step, adoption of self-determined pacing, test duration and completion on a flat surface enabled relative fitness rating and appropriate exercise prescription for the remaining survivors. Younger age and more vigorous exercise histories correlated with completion of the standard 3-min test at pace, but all 9-in. formats led to exercise prescriptions more vigorous than current activity. The physical examination setting expedited inclusion of core and specific muscle group strength testing. The approach is adaptable to a range of health care settings, providers, and patients, providing a shared opportunity for providers and patients to evaluate exercise tolerance. It can be used to further expand incorporation of exercise testing and prescription into routine care.Katherine R. WhiteJana LuZara IbrahimPriscilla A. FurthNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Katherine R. White Jana Lu Zara Ibrahim Priscilla A. Furth Enabling exercise prescription for survivors of cancer
description	Abstract Although exercise is widely recommended for survivors of cancer, readily implementable approaches for evaluating exercise tolerance enabling exercise prescriptions at appropriate levels of cardiovascular exertion are not always available. We evaluated the utility of modified Harvard Step tests within the context of a standard physical examination for fitness evaluation and exercise prescription for survivors of cancer across a range of age, BMI and exercise history. While 52% of presenting individuals with a past cancer diagnosis were able to complete a 3-min test at pace with a reduced 9-in. step, adoption of self-determined pacing, test duration and completion on a flat surface enabled relative fitness rating and appropriate exercise prescription for the remaining survivors. Younger age and more vigorous exercise histories correlated with completion of the standard 3-min test at pace, but all 9-in. formats led to exercise prescriptions more vigorous than current activity. The physical examination setting expedited inclusion of core and specific muscle group strength testing. The approach is adaptable to a range of health care settings, providers, and patients, providing a shared opportunity for providers and patients to evaluate exercise tolerance. It can be used to further expand incorporation of exercise testing and prescription into routine care.
format	article
author	Katherine R. White Jana Lu Zara Ibrahim Priscilla A. Furth
author_facet	Katherine R. White Jana Lu Zara Ibrahim Priscilla A. Furth
author_sort	Katherine R. White
title	Enabling exercise prescription for survivors of cancer
title_short	Enabling exercise prescription for survivors of cancer
title_full	Enabling exercise prescription for survivors of cancer
title_fullStr	Enabling exercise prescription for survivors of cancer
title_full_unstemmed	Enabling exercise prescription for survivors of cancer
title_sort	enabling exercise prescription for survivors of cancer
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/3860f1421a514de3b9853458832a7fc0
work_keys_str_mv	AT katherinerwhite enablingexerciseprescriptionforsurvivorsofcancer AT janalu enablingexerciseprescriptionforsurvivorsofcancer AT zaraibrahim enablingexerciseprescriptionforsurvivorsofcancer AT priscillaafurth enablingexerciseprescriptionforsurvivorsofcancer
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Enabling exercise prescription for survivors of cancer

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