{"id":57410,"date":"2019-10-16T07:00:33","date_gmt":"2019-10-16T14:00:33","guid":{"rendered":"http:\/\/in.nau.edu\/news\/?p=57410"},"modified":"2019-10-15T09:35:41","modified_gmt":"2019-10-15T16:35:41","slug":"schwartz-oncology-guidelines","status":"publish","type":"post","link":"https:\/\/in.nau.edu\/news\/schwartz-oncology-guidelines\/","title":{"rendered":"Pioneering NAU oncology researcher leads publication of new exercise prescriptions for cancer prevention, survival"},"content":{"rendered":"\n<p>Oct. 16, 2019<\/p>\n\n\n\n<p>There are\nnow more than 16.9 million cancer survivors in the United States, and 40\nmillion worldwide\u2014a figure expected to double by 2040. Improved prognosis has\ncreated a growing need to address the unique health issues facing cancer\nsurvivors that result from the disease, its treatment and related conditions.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright\"><img loading=\"lazy\" decoding=\"async\" width=\"288\" height=\"432\" src=\"http:\/\/in.nau.edu\/news\/wordpresst\/uploads\/sites\/153\/wp-content\/uploads\/2019\/10\/Anna-Schwartz.jpg\" alt=\"Anna Schwartz on a bike\" class=\"wp-image-57411\" srcset=\"https:\/\/in.nau.edu\/wp-content\/uploads\/sites\/402\/2019\/10\/Anna-Schwartz.jpg 288w, https:\/\/in.nau.edu\/wp-content\/uploads\/sites\/402\/2019\/10\/Anna-Schwartz-200x300.jpg 200w, https:\/\/in.nau.edu\/wp-content\/uploads\/sites\/402\/2019\/10\/Anna-Schwartz-150x225.jpg 150w\" sizes=\"auto, (max-width: 288px) 100vw, 288px\" \/><figcaption><em>Anna Schwartz during the Tour of Hope, a 7-day transcontinental bike ride to raise awareness for cancer research. \u201cOncology exercise research mandates getting outside to move,\u201d Schwartz said.<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p>New guidance\npublished today from exercise oncology experts recommends the systematic use of\nan \u201cexercise prescription\u201d by health care workers and fitness professionals in\ndesigning and delivering exercise programs that aim to lower the risk of\ndeveloping certain cancers and best meet the needs, preferences and abilities\nof people with cancer.<\/p>\n\n\n\n<p><strong>Anna L. Schwartz<\/strong>, a Northern Arizona University professor and associate director of research for the <a href=\"https:\/\/nau.edu\/nursing\/\">School of Nursing<\/a>, has a leading role in the new guidelines. A pioneering researcher in exercise oncology whose work started the exercise oncology movement back in the early 1990s, Schwartz is also an oncology nurse practitioner and knows what a critical role nurses play in helping cancer survivors live full and meaningful lives. <\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Changing the\nparadigm<\/strong><\/h4>\n\n\n\n<p>The guidance, which appears in three\npublications, is a result of discussions by a roundtable of experts from 17\norganizations convened by the <a href=\"http:\/\/www.acsm.org\/\">American\nCollege of Sports Medicine<\/a> (ACSM)\u2014which included the American Cancer\nSociety and the National Cancer Institute\u2014to review the latest scientific\nevidence and offer recommendations about the\nbenefits of exercise for prevention, treatment, recovery and improved survival. Schwartz was an invited expert at the roundtable.<\/p>\n\n\n\n<p>\u201cExercise\nprovides enormous benefit for cancer survivors and is a critical component of\ncancer care that is underutilized and often overlooked,\u201d Schwartz said.\n\u201cExercise not only helps to reduce risks for many cancers, but it also helps to\nimprove survival and reduces many of the side effects of treatment. Our goal is\nto change the paradigm so that all cancer survivors are referred to an\nappropriate exercise program to improve their health and ability to live life\nto the fullest.\u201d <\/p>\n\n\n\n<p>The new evidence-based guidance includes the following recommendations:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>For all adults, exercise is important for\ncancer prevention and specifically lowers risk of seven common types of cancer:\ncolon, breast, endometrial, kidney, bladder, esophagus and stomach.<\/li><li>For cancer survivors, incorporate exercise to\nhelp improve survival after a diagnosis of breast, colon or prostate cancer.<\/li><li>Exercising during and after cancer treatment\nimproves fatigue, anxiety, depression, physical function and quality of life\nand does not exacerbate lymphedema. <\/li><li>Continue research\nthat will drive the integration of exercise into the standard of care for\ncancer.<\/li><li>Translate into\npractice the increasingly robust evidence base about the positive effects of exercise\nfor cancer patients.<\/li><\/ul>\n\n\n\n<p>The\ncomprehensive review and recommendations are outlined in several academic\npapers published today in scientific journals, two of them co-authored by\nSchwartz. \u201cExercise Guidelines for Cancer Survivors: Consensus Statement from\nInternational Multidisciplinary Roundtable\u201d was published in <em>Medicine &amp;\nScience in Sports &amp; Exercise<\/em>, ACSM\u2019s flagship research journal. \u201cExercise Is Medicine in Oncology: Engaging\nClinicians to Help Patients Move Through Cancer,\u201d appeared in <em>CA: A Cancer Journal\nfor Clinicians<\/em>, a flagship journal of the American Cancer Society.<\/p>\n\n\n\n<p>\u201cWe\nhave a growing need to address the unique health issues facing people living\nwith and beyond cancer and better understand how exercise may help prevent and\ncontrol cancer,\u201d said ACSM\nImmediate Past President Katie Schmitz, who co-chaired the roundtable. <\/p>\n\n\n\n<p>\u201cThis esteemed, multidisciplinary group of\nleaders on the forefront of <a>exercise oncology<\/a> aimed\nto translate the latest scientific evidence into practical recommendations for\nclinicians and the public and to create global impact through a unified voice.\u201d <\/p>\n\n\n\n<p>To implement the recommendation for\ntranslating evidence into practice, ACSM also introduced a new program, <a href=\"https:\/\/www.exerciseismedicine.org\/support_page.php\/moving-through-cancer\/\">Moving\nThrough Cancer<\/a>, implemented by a task force of six experts that includes\nSchwartz.<\/p>\n\n\n\n<p>\u201cThe goal of the\nMoving Through Cancer initiative is to make exercise assessment, advice,\nreferral and engagement standard practice for all people living with and beyond\ncancer by 2029,\u201d Schwartz said. \u201cThis includes workforce development (training\ncurrent professionals and changing education, undergrad through grad), changing\npractice, infrastructure, programming policy, funding and sustainability.\u201d<\/p>\n\n\n\n<p>The clinician-focused program aims to ensure that all people living with and beyond cancer are assessed, advised, referred to and engaged in appropriate exercise and rehabilitation programming as a standard of care. Resources are available for oncology clinicians and patients, including a global, searchable <a href=\"http:\/\/www.exerciseismedicine.org\/movingthroughcancer\">registry<\/a> of exercise programs.<\/p>\n\n\n\n<div class=\"wp-block-media-text alignwide\" style=\"grid-template-columns:20% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"905\" height=\"643\" src=\"http:\/\/in.nau.edu\/news\/wordpresst\/uploads\/sites\/153\/wp-content\/uploads\/2018\/10\/NAU_primary-281_3514.png\" alt=\"NAU logo\" class=\"wp-image-52788\" srcset=\"https:\/\/in.nau.edu\/wp-content\/uploads\/sites\/402\/2018\/10\/NAU_primary-281_3514.png 905w, https:\/\/in.nau.edu\/wp-content\/uploads\/sites\/402\/2018\/10\/NAU_primary-281_3514-300x213.png 300w, https:\/\/in.nau.edu\/wp-content\/uploads\/sites\/402\/2018\/10\/NAU_primary-281_3514-768x546.png 768w, https:\/\/in.nau.edu\/wp-content\/uploads\/sites\/402\/2018\/10\/NAU_primary-281_3514-600x426.png 600w\" sizes=\"auto, (max-width: 905px) 100vw, 905px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p>Kerry Bennett<br>Office of the Vice President for Research<\/p>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p><a class=\"search-results-excerpt-link\" href=\"https:\/\/in.nau.edu\/news\/schwartz-oncology-guidelines\/\">Oct. 16, 2019 There are now more than 16.9 million cancer survivors in the United States, and 40 million worldwide\u2014a figure expected to double by 2040. Improved prognosis has created a growing need to address the unique health issues facing cancer survivors that result from the disease, its treatment and related conditions. New guidance published&hellip;<\/a><\/p>\n","protected":false},"author":59,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"tags":[],"class_list":["post-57410","post","type-post","status-publish","format-standard","hentry","category-research-academics"],"acf":[],"_links":{"self":[{"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/posts\/57410","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/users\/59"}],"replies":[{"embeddable":true,"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/comments?post=57410"}],"version-history":[{"count":0,"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/posts\/57410\/revisions"}],"wp:attachment":[{"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/media?parent=57410"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/categories?post=57410"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/tags?post=57410"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}