title: Practical clinical interventions for diet, physical activity, and weight control in cancer survivors.
abstract: Answer questions and earn CME/CNE The importance of expanding cancer treatment to include the promotion of overall long-term health is emphasized in the Institute of Medicine report on delivering quality oncology care. Weight management, physical activity, and a healthy diet are key components of tertiary prevention but may be areas in which the oncologist and/or the oncology care team may be less familiar. This article reviews current diet and physical activity guidelines, the evidence supporting those recommendations, and provides an overview of practical interventions that have resulted in favorable improvements in lifestyle behavior change in cancer survivors. It also describes current lifestyle practices among cancer survivors and the role of the oncologist in helping cancer patients and survivors embark upon changes in lifestyle behaviors, and it calls for the development of partnerships between oncology providers, primary care providers, and experts in nutrition, exercise science, and behavior change to help positively orient cancer patients toward longer and healthier lives.
authors: Professor of Nutrition Sciences, Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, Alabama.
authors: Wendy
authors: W
authors: Demark-Wahnefried
authors: Professor of Nutrition Sciences, Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, Alabama.
authors: Laura Q
authors: LQ
authors: Rogers
authors: Behavioral Research Program, National Cancer Institute, Bethesda, Maryland.
authors: Catherine M
authors: CM
authors: Alfano
authors: Professor of Health Promotion Sciences, Department of Health Promotion Sciences, University of Arizona, Tucson, Arizona.
authors: Cynthia A
authors: CA
authors: Thomson
authors: Professor, Faculty of Physical Education and Recreation, University of Alberta, Edmonton, Alberta, Canada.
authors: Kerry S
authors: KS
authors: Courneya
authors: Associate Professor, Dana-Farber Cancer Institute, Boston, Massachusetts.
authors: Jeffrey A
authors: JA
authors: Meyerhardt
authors: Department of Rehabilitation Medicine, National Institutes of Health, Bethesda, Maryland.
authors: Nicole L
authors: NL
authors: Stout
authors: Associate Professor of Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
authors: Elizabeth
authors: E
authors: Kvale
authors: MN Oncology, St. Paul, Minnesota.
authors: Heidi
authors: H
authors: Ganzer
authors: Assistant Professor, Dana-Farber Cancer Institute, Boston, Massachusetts.
authors: Jennifer A
authors: JA
authors: Ligibel
mesh_terms: D001835:Body Weight; D004032:Diet; D015444:Exercise; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D033183:Interdisciplinary Communication; D008019:Life Style; D008495:Medical Oncology; D009369:Neoplasms / Q000517:prevention & control*; D010819:Physician's Role; D017410:Practice Guidelines as Topic; D011320:Primary Health Care; D017741:Survivors; D055512:Tertiary Prevention / Q000379:methods*
keywords: cancer survivors; diet; exercise; neoplasms; oncology; physical activity; primary care; weight control