Multiple organizations around the world have issued evidence‐based exercise guidance for patients with cancer and cancer survivors. Recently, the American College of Sports Medicine has updated its exercise guidance for cancer prevention as well as for the prevention and treatment of a variety of cancer health‐related outcomes (eg, fatigue, anxiety, depression, function, and quality of life). Despite these guidelines, the majority of people living with and beyond cancer are not regularly physically active. Among the reasons for this is a lack of clarity on the part of those who work in oncology clinical settings of their role in assessing, advising, and referring patients to exercise. The authors propose using the American College of Sports Medicine's Exercise Is Medicine initiative to address this practice gap. The simple proposal is for clinicians to assess, advise, and refer patients to either home‐based or community‐based exercise or for further evaluation and intervention in outpatient rehabilitation. To do this will require care coordination with appropriate professionals as well as change in the behaviors of clinicians, patients, and those who deliver the rehabilitation and exercise programming. Behavior change is one of many challenges to enacting the proposed practice changes. Other implementation challenges include capacity for triage and referral, the need for a program registry, costs and compensation, and workforce development. In conclusion, there is a call to action for key stakeholders to create the infrastructure and cultural adaptations needed so that all people living with and beyond cancer can be as active as is possible for them.

中文翻译：

---

运动是肿瘤学的良药：让临床医生参与帮助患者度过癌症

世界各地的多个组织已经发布了针对癌症患者和癌症幸存者的循证锻炼指南。最近，美国运动医学会更新了其预防癌症以及预防和治疗各种癌症健康相关结果（例如疲劳、焦虑、抑郁、功能和生活质量）的运动指南。尽管有这些指导方针，但大多数患有癌症和癌症后的人并没有定期进行身体活动。造成这种情况的原因之一是，在肿瘤临床环境中工作的人员对他们在评估、建议和推荐患者进行锻炼方面的作用缺乏明确性。作者建议使用美国运动医学学院的“运动就是医学”倡议来解决这一实践差距。简单的建议是让临床医生评估、建议和转介患者进行基于家庭或社区的锻炼，或者对门诊康复进行进一步评估和干预。为此，需要与适当的专业人员进行护理协调，并改变临床医生、患者以及提供康复和锻炼计划的人员的行为。行为改变是实施提议的实践改变的众多挑战之一。其他实施挑战包括分类和转诊的能力、对计划登记的需求、成本和补偿以及劳动力发展。总之，呼吁关键利益相关者采取行动，创建所需的基础设施和文化适应，以便所有癌症患者和癌症以外的人都尽可能地活跃起来。