Objectives

To provide health and fitness professionals with screening, triage, prescription, and physical activity recommendations to better serve individuals living with advanced cancer. A call to action regarding next steps to improve research and knowledge translation is also outlined, ensuring the growing number of those with advanced cancers are supported in their efforts to adopt and adhere to active lifestyles.

Data Sources

Sources include published literature, physical activity guidelines, and expert opinion from physical medicine and rehabilitation physicians, exercise physiologists, and health and exercise psychology researchers.

Conclusion

Individuals with advanced cancer who engage in regular physical activity report improved function, fatigue management, and quality of life, while objective testing shows improvements in fitness and physical function. Although there are no clear activity guidelines or recommendations for this population, patients must avoid inactivity to gain health benefits and minimize deconditioning. For most patients with advanced cancer, physical activity prescriptions should focus on maintaining fitness and functional independence, and specific modifications based on common comorbidities must be considered.

Implications for Nursing Practice

Evidence supports the use of physical activity for the management of symptoms experienced by those with advanced cancers. Understanding the benefits of physical activity for patients with advanced cancer is important because health care providers play a key role in the adoption and adherence of physical activity among patients.

中文翻译：

---

晚期癌症患者的体育锻炼：证据和建议

目标

为健康和健身专业人士提供筛查、分类、处方和体育活动建议，以更好地为晚期癌症患者服务。还概述了关于改进研究和知识转化的下一步行动的呼吁，以确保支持越来越多的晚期癌症患者努力采用和坚持积极的生活方式。

数据源

来源包括已发表的文献、身体活动指南以及来自物理医学和康复医师、运动生理学家以及健康和运动心理学研究人员的专家意见。

结论

定期进行体育锻炼的晚期癌症患者报告说功能、疲劳管理和生活质量有所改善，而客观测试显示健康和身体功能有所改善。尽管没有针对该人群的明确活动指南或建议，但患者必须避免不活动以获得健康益处并尽量减少身体不适。对于大多数晚期癌症患者，体力活动处方应侧重于保持健康和功能独立，并且必须考虑基于常见合并症的特定修改。

对护理实践的影响

证据支持使用体育锻炼来控制晚期癌症患者的症状。了解体力活动对晚期癌症患者的益处很重要，因为医疗保健提供者在患者接受和坚持体力活动方面发挥着关键作用。