NACES - American College of Sports Medicine
American College of Sports Medicine (ACSM) Roundtable on Exercise Guidelines for Cancer Survivors

  • Exercise is safe during and after cancer treatments and results in improvements in physical functioning, quality of life and cancer-related fatigue in several cancer survivor groups.
  • Cancer Survivors should follow the 2008 Physical activity Guidelines for Americans
    • With adaptations based on disease and treatment-related adverse effects.
    • Few if any survivors are able to exercise to the extent recommended by the 2008 Physical Activity Guidelines.



Walter Hernandez
During TX, no energy


Walter Hernandez
TX cycle



Walter Hernandez - Phys Act and diet


Walter Hernandez - Phys Act

  • Avoid inactivity



Donna Hollow Horn Bear


Donna Hollow Horn Bear



Wanda Quick Bear - Physical Activity


Wanda Quick Bear - Physical Activity



Scotty Crawford
Physical Activity during treatment


Scotty Crawford
Physical Activity



Scotty Crawford - Physical Activity Rec for Others

  • Weekly:
    • Aerobic: 150 minutes of moderate-intensity exercise or 75 minutes of vigorous-intensity exercise or equivalent
    • Strength-training: 2-3 weekly sessions that includes exercises for major muscle groups.
    • Flexibility: stretch major muscle groups and tendons on days that other exercises are performed
  • Need to understand:
    • Specifics of the diagnosis and treatments received
    • Fitness level prior to cancer diagnosis


    • Scotty Crawford - pre-cancer fitness

      Angie Stover pre-dx activity



      Kenneth Lone Elk
      Exercise prior to the cancer diagnosis


      Kenneth Lone Elk
      Wife made me get up



      Barb Lineham - Exercise prior to the cancer diagnosis

    • Pre-cancer dx conditions
    • Body systems affected by the cancer or the cancer treatment
  • Need to understand the most common toxicities associated with cancer treatments
    • Fractures and CVD events with hormonal therapies
    • Neuropathies related to certain types of chemotherapy
    • Angie Stover - Exercises to prevent lymphedema

    • Musculoskeletal morbidities secondary to treatment
    • Treatment-related cardio toxicity.
    • Those with metastatic disease to the bone will require modification (reduced impact, intensity, volume) due to bone fragility and fractures.
  • Most Exercise evidence is based on:
    • Breast
    • Prostate
    • Colon
    • Hematologic
    • Gynecologic cancers
  • Researchers think the results are relevant to other cancers, but it is not KNOWN yet.


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