The benefits of exercise in cancer patients and the criteria for exercise prescription in cardio-oncology.

Abstract:

:Cancer and cardiovascular diseases are the leading causes of death in high-income countries. Cardiovascular complications can be found in cancer patients, being the result of so-called 'cardio-toxicity'. Therefore, it becomes essential to thoroughly investigate the origin of cardiac damage and the strategy to prevent it or to reverse the negative remodelling associated with cardiotoxicity. In this review the beneficial effects of physical exercise in cancer patients were analysed, particularly to prevent cardio-toxicity before its clinical manifestation. According to the relevance of exercise, we suggest strategies for exercise prescription with a tailored approach in these patients. In conclusion, physical exercise seems to be a promising and effective treatment for cancer patients during and after therapy and seems to counteract the negative effects induced by drugs on the cardiovascular system. Exercise prescription should be tailored according to patient's individual characteristics, to the drugs administered, to the personal history, and to his/her response to exercise, taking into account that different types of training can be prescribed according also to the patient's choice. A cardiological evaluation including exercise testing is essential for an appropriate prescription of exercise in these patients.

journal_name

Eur J Prev Cardiol

authors

D'Ascenzi F,Anselmi F,Fiorentini C,Mannucci R,Bonifazi M,Mondillo S

doi

10.1177/2047487319874900

subject

Has Abstract

pub_date

2019-10-06 00:00:00

pages

2047487319874900

eissn

2047-4873

issn

2047-4881

pub_type

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