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Clinical Oncology Society of Australia position statement on exercise in cancer care

COSA Exercise and Cancer Group Executive Committee
Med J Aust 2019; 210 (1): . || doi: 10.5694/mja2.12039
Published online: 14 January 2019

In reply: The Clinical Oncology Society of Australia (COSA) position statement endorses evidenced‐based guidelines and promotes best practice care.1,2,3,4 The statement identifies that recommendations should be tailored to individuals’ abilities, noting that specific exercise adaptations might be needed based on disease and treatment‐related adverse effects, anticipated disease trajectory and health status.1 Patient‐driven goals and preferences are also important considerations. Clearly one size does not fit all, and the mode, intensity, volume, frequency, level of supervision and delivery style of exercise should be tailored to meet the needs of each patient with cancer in the context of the sometimes limited high level evidence available.

  • COSA Exercise and Cancer Group Executive Committee

  • Clinical Oncology Society of Australia Exercise and Cancer Group, Australian Catholic University, Sydney, NSW.


Correspondence: cosa@cancer.org.au

Competing interests:

No relevant disclosures.

  • 1. Cormie P, Atkinson M, Bucci L, et al. Clinical Oncology Society of Australia position statement on exercise in cancer care. Med J Aust 2018; 209: 184–187. https://www.mja.com.au/journal/2018/209/4/clinical-oncology-society-australia-position-statement-exercise-cancer-care
  • 2. Rock CL, Doyle C, Demark‐Wahnefried W, et al. Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin 2012; 62: 243–274.
  • 3. Schmitz KH, Courneya KS, Matthews C, et al. American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc 2010; 42: 1409–1426.
  • 4. Hayes SC, Spence RR, Galvão DA, Newton RU. Australian Association for Exercise and Sport Science position stand: optimising cancer outcomes through exercise. J Sci Med Sport 2009; 12: 428–434.
  • 5. Santa Mina D, Langelier D, Adams SC, et al. Exercise as part of routine cancer care. Lancet Oncol 2018; 19: e433–e436.

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