Weight management and physical activity throughout the cancer care continuum,CA: A Cancer Journal for Clinicians

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Weight management and physical activity throughout the cancer care continuum
CA: A Cancer Journal for Clinicians ( IF 503.1 ) Pub Date : 2017-11-22 , DOI: 10.3322/caac.21441
Wendy Demark-Wahnefried ₁ , Kathryn H Schmitz ₂ , Catherine M Alfano ₃ , Jennifer R Bail ₄ , Pamela J Goodwin ₅ , Cynthia A Thomson ₆ , Don W Bradley ₇ , Kerry S Courneya ₈ , Christie A Befort ₉ , Crystal S Denlinger ₁₀ , Jennifer A Ligibel ₁₁ , William H Dietz ₁₂ , Melinda R Stolley ₁₃ , Melinda L Irwin ₁₄ , Marcas M Bamman ₁₅ , Caroline M Apovian ₁₆ , Bernardine M Pinto ₁₇ , Kathleen Y Wolin ₁₈ , Rachel M Ballard ₁₉ , Andrew J Dannenberg ₂₀ , Elizabeth G Eakin ₂₁ , Matt M Longjohn ₂₂ , Susan D Raffa ₂₃ , Lucile L Adams-Campbell ₂₄ , Joanne S Buzaglo ₂₅ , Sharyl J Nass ₂₆ , Greta M Massetti ₂₇ , Erin P Balogh ₂₈ , Elizabeth S Kraft ₂₉ , Anand K Parekh ₃₀ , Darshak M Sanghavi ₃₁ , G Stephen Morris ₃₂ , Karen Basen-Engquist ₃₃

Affiliation

Professor of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL.
Professor of Public Health Sciences, Penn State College of Medicine, Hershey, PA.
Vice President, Survivorship, American Cancer Society, Inc., Washington, DC.
Post-Doctoral Fellow, Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL.
Professor of Medicine, Mount Sinai Hospital, Lunenfeld-Tanenbaum Research Institute at the University of Toronto, Toronto, Ontario, Canada.
Professor of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ.
Associate Consulting Professor, Community and Family Medicine, Duke School of Medicine, Durham, NC.
Professor of Physical Education and Recreation, University of Alberta, Edmonton, Alberta, Canada.
Associate Professor of Preventive Medicine, University of Kansas Medical Center, Kansas City, KS.
Associate Professor of Hematology/Oncology, Fox Chase Cancer Center, Philadelphia, PA.
Associate Professor of Medicine, Harvard Medical School, Boston, MA.
Chair, Redstone Global Center for Prevention and Wellness, George Washington University, Washington, DC.
Professor of Medicine, Medical College of Wisconsin, Milwaukee, WI.
Professor of Epidemiology, Yale School of Public Health, New Haven, CT.
Professor of Cell Developmental and Integrative Biology, University of Alabama at Birmingham, Birmingham, AL.
Professor of Medicine, Boston University School of Medicine, Boston, MA.
Professor of Nursing, University of South Carolina, Columbia, SC.
CEO, Coeus Health, Chicago, IL.
Director, Prevention Research Coordination, Office of Disease Prevention, Office of the Director, National Institutes of Health, Bethesda, MD.
Professor of Medicine, Weill Cornell Medicine, New York, NY.
Professor and Director, Cancer Prevention Research Centre, School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
Vice President and National Health Officer, YMCA of the USA, Chicago, IL.
National Program Director for Weight Management, Veterans Health Administration, Durham, NC.
Professor of Oncology, Georgetown Lombardi Comprehensive Cancer Center, Washington, DC.
Senior Vice President, Research and Training Institute, Cancer Support Community, Philadelphia, PA.
Director, National Cancer Policy Forum and Board on Health Care Services, Health and Medicine Division, National Academies of Science, Engineering, and Medicine, Washington, DC.
Associate Director for Science, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA.
Senior Program Officer, National Cancer Policy Forum, Health and Medicine Division, National Academies of Science, Engineering, and Medicine, Washington, DC.
Senior Clinical Officer, Anthem Blue Cross Colorado, Denver, CO.
Chief Medical Advisor, Bipartisan Policy Center, Washington, DC.
Chief Medical Officer, Senior Vice President, Translation, Optum Labs, Cambridge, MA.
Professor of Physical Therapy, Wingate University, Wingate, NC.
Professor of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX.

Mounting evidence suggests that weight management and physical activity (PA) improve overall health and well being, and reduce the risk of morbidity and mortality among cancer survivors. Although many opportunities exist to include weight management and PA in routine cancer care, several barriers remain. This review summarizes key topics addressed in a recent National Academies of Science, Engineering, and Medicine workshop entitled, “Incorporating Weight Management and Physical Activity Throughout the Cancer Care Continuum.” Discussions related to body weight and PA among cancer survivors included: 1) current knowledge and gaps related to health outcomes; 2) effective intervention approaches; 3) addressing the needs of diverse populations of cancer survivors; 4) opportunities and challenges of workforce, care coordination, and technologies for program implementation; 5) models of care; and 6) program coverage. While more discoveries are still needed for the provision of optimal weight‐management and PA programs for cancer survivors, obesity and inactivity currently jeopardize their overall health and quality of life. Actionable future directions are presented for research; practice and policy changes required to assure the availability of effective, affordable, and feasible weight management; and PA services for all cancer survivors as a part of their routine cancer care. CA Cancer J Clin 2018;68:64‐89. © 2017 American Cancer Society.

中文翻译：

整个癌症护理过程中的体重管理和身体活动

越来越多的证据表明，体重管理和身体活动 (PA) 可以改善整体健康状况，并降低癌症幸存者的发病率和死亡率。尽管存在许多将体重管理和 PA 纳入常规癌症护理的机会，但仍然存在一些障碍。这篇综述总结了最近在美国国家科学院、工程院和医学院举办的题为“在整个癌症护理过程中结合体重管理和身体活动”的研讨会上讨论的关键主题。癌症幸存者中与体重和 PA 相关的讨论包括：1）当前与健康结果相关的知识和差距；2) 有效的干预方法；3) 满足不同癌症幸存者群体的需求；4) 劳动力、护理协调的机遇和挑战，和计划实施的技术；5) 护理模式；6) 节目覆盖率。虽然为癌症幸存者提供最佳体重管理和 PA 计划仍需要更多发现，但肥胖和不活动目前危及他们的整体健康和生活质量。提出可操作的未来方向以供研究；确保有效、负担得起和可行的体重管理所需的实践和政策变化；为所有癌症幸存者提供的 PA 服务，作为他们日常癌症护理的一部分。CA Cancer J Clin 2018；68:64-89。© 2017 美国癌症协会。肥胖和缺乏活动目前危及他们的整体健康和生活质量。提出可操作的未来方向以供研究；确保有效、负担得起和可行的体重管理所需的实践和政策变化；为所有癌症幸存者提供的 PA 服务，作为他们日常癌症护理的一部分。CA Cancer J Clin 2018；68:64-89。© 2017 美国癌症协会。肥胖和缺乏活动目前危及他们的整体健康和生活质量。提出可操作的未来方向以供研究；确保有效、负担得起和可行的体重管理所需的实践和政策变化；为所有癌症幸存者提供的 PA 服务，作为他们日常癌症护理的一部分。CA Cancer J Clin 2018；68:64-89。© 2017 美国癌症协会。

更新日期：2017-11-22

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