Agenda for Translating Physical Activity, Nutrition, and Weight Management Interventions for Cancer Survivors into Clinical and Community Practice

Karen Basen-Engquist, Catherine M Alfano, Melissa Maitin-Shepard, Cynthia A Thomson, Kathryn H Schmitz, Bernardine M Pinto, Kevin Stein, David S Zucker, Karen L Syrjala, Elizabeth Fallon, Colleen Doyle, Wendy Demark-Wahnefried, Karen Basen-Engquist, Catherine M Alfano, Melissa Maitin-Shepard, Cynthia A Thomson, Kathryn H Schmitz, Bernardine M Pinto, Kevin Stein, David S Zucker, Karen L Syrjala, Elizabeth Fallon, Colleen Doyle, Wendy Demark-Wahnefried

Abstract

Evidence supporting physical activity, diet, and weight management for cancer survivors has grown, leading to the development of guidelines and interventions. The next step is to identify necessary practice and policy changes and to develop a research agenda to inform how interventions can be delivered to survivors most effectively and efficiently in health care settings and by community-based organizations. Here, an agenda is proposed for research, practice, and policy that incorporates recommendations for a range of programming options, a patient-centered, tailored screening and referral approach, and training needs for survivorship care providers and providers of exercise, nutrition, and weight management services. Research needs to focus on sustainability, dissemination, and implementation. Needed policy changes are presented, as well as opportunities to leverage current health care policies.

Conflict of interest statement

Disclosure: The authors have no conflicts of interest to disclose.

© 2017 The Obesity Society.

Figures

Figure 1
Figure 1
American Cancer Society Guidelines on Nutrition and Physical Activity for Cancer Survivors (25)
Figure 2
Figure 2
Patient-centered, tailored framework for identifying appropriate (a) physical activity/exercise and (b) weight management programming for cancer survivors. Framework takes into account both survivor health condition (risk level) and goals and preferences. Programming types identified represent a reasonably safe starting place for survivors, although it may be possible that more intensive services could be beneficial for the survivor.
Figure 2
Figure 2
Patient-centered, tailored framework for identifying appropriate (a) physical activity/exercise and (b) weight management programming for cancer survivors. Framework takes into account both survivor health condition (risk level) and goals and preferences. Programming types identified represent a reasonably safe starting place for survivors, although it may be possible that more intensive services could be beneficial for the survivor.
Figure 3
Figure 3
Summary of agenda for translating physical activity/exercise, diet, and weight management programs to cancer survivorship care.

Source: PubMed

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