Physical activity recommendations for cancer prevention and control: a Brazilian consortium

Objective: This article describes the development process and summarizes the results of the Brazilian physical activity recommendations for cancer prevention and control, which was prepared to support health-care professionals. Material and Methods: These recomm...

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Main Authors: Rafael Deminice, Leandro F M Rezende, Daniela Dornelles Rosa, Renata Cangussu, Leandro Martin Totaro Garcia, Rachel Riera, Fabio Fotunato Brasil Carvalho, Ronaldo Côrrea Ferreira Silva, Patrícia Chakur Brum
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2022-10-01
Series:Brazilian Journal of Oncology
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Online Access:https://www.brazilianjournalofoncology.com.br/details/182/en-US/physical-activity-recommendations-for-cancer-prevention-and-control--a-brazilian-consortium
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author Rafael Deminice
Leandro F M Rezende
Daniela Dornelles Rosa
Renata Cangussu
Leandro Martin Totaro Garcia
Rachel Riera
Fabio Fotunato Brasil Carvalho
Ronaldo Côrrea Ferreira Silva
Patrícia Chakur Brum
author_facet Rafael Deminice
Leandro F M Rezende
Daniela Dornelles Rosa
Renata Cangussu
Leandro Martin Totaro Garcia
Rachel Riera
Fabio Fotunato Brasil Carvalho
Ronaldo Côrrea Ferreira Silva
Patrícia Chakur Brum
author_sort Rafael Deminice
collection DOAJ
description Objective: This article describes the development process and summarizes the results of the Brazilian physical activity recommendations for cancer prevention and control, which was prepared to support health-care professionals. Material and Methods: These recommendations were elaborated considering: (i) the effect of physical activity on cancer prevention in the general healthy population; and (ii) on all-cause and cancer-specific mortality in cancer survivors. The process of preparing the recommendations was systematized, transparent and reproducible, following the recommendations of the appraisal of guidelines for research and evaluation (AGREE-II). We appraised the certainty of evidence for breast, prostate, colorectal and lung cancers, which are among the most frequent in Brazil, using the grading of recommendations, assessment, development and evaluations (GRADE) approach. Results: Regarding the risk of cancer, we found high certainty of evidence supporting the association between moderate-to-vigorous physical activity and lower risk of breast and colon cancer, moderate certainty of evidence for lung cancer and low certainty of evidence for prostate and rectal cancer. We found moderate certainty of evidence supporting the association between moderate-to-vigorous physical activity and reduction of all-cause and cancer-specific mortality from breast, colon and rectal cancer, and cancer-specific mortality from prostate cancer, when physical activity was performed after the disease diagnosis. We found low certainty of evidence for the association between physical activity and lung cancer mortality. Based on our findings, physical activity recommendations were proposed, including a step-by-step guide to support health-care professionals when recommending physical activity for all adults (including elderly people), with or without a diagnosis of cancer. Conclusion: Our recommentations may be useful to support health-care professionals counselling for physical activity, which contribute to reductions in physical inactivity in the general population and in the growing population of cancer survivors.
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spelling doaj-art-8d4adc6ddd1a4f53a2e4faa6f485ecc42025-08-20T02:09:35ZengThieme Revinter Publicações Ltda.Brazilian Journal of Oncology2526-87322022-10-01180010.5935/2526-8732.20220311Physical activity recommendations for cancer prevention and control: a Brazilian consortiumRafael Deminice0https://orcid.org/0000-0002-9246-1079Leandro F M Rezende1Daniela Dornelles Rosa2Renata Cangussu3Leandro Martin Totaro Garcia4Rachel Riera5Fabio Fotunato Brasil Carvalho6Ronaldo Côrrea Ferreira Silva7Patrícia Chakur Brum8Universidade Estadual de Londrina, Departamento de Educação Física - Londrina - Paraná - BrasilUniversidade Federal de São Paulo, Departamento de Medicina Preventiva - São Paulo - São Paulo - BrasilSociedade Brasileira de Oncologia Clínica, Pesquisa Clínica - São Paulo - São Paulo - BrasilSociedade Brasileira de Oncologia Clínica, Pesquisa Clínica - São Paulo - São Paulo - BrasilQueen’s University Belfast, Centre for Public Health - Belfast - Belfast - United KingdomUniversidade Federal de São Paulo, Discipline of Evidence-based Medicine e Hospital Sírio-libanês - Sao Paulo - Sao Paulo - BrasilInstituto Nacional do Câncer, Pesquisa Clínica - Rio de Janeiro - Rio de Janeiro - BrasilInstituto Nacional do Câncer, Pesquisa Clínica - Rio de Janeiro - Rio de Janeiro - BrasilUniversidade de São Paulo, Escola de Educação Física e Esporte - São Paulo - São Paulo - BrasilObjective: This article describes the development process and summarizes the results of the Brazilian physical activity recommendations for cancer prevention and control, which was prepared to support health-care professionals. Material and Methods: These recommendations were elaborated considering: (i) the effect of physical activity on cancer prevention in the general healthy population; and (ii) on all-cause and cancer-specific mortality in cancer survivors. The process of preparing the recommendations was systematized, transparent and reproducible, following the recommendations of the appraisal of guidelines for research and evaluation (AGREE-II). We appraised the certainty of evidence for breast, prostate, colorectal and lung cancers, which are among the most frequent in Brazil, using the grading of recommendations, assessment, development and evaluations (GRADE) approach. Results: Regarding the risk of cancer, we found high certainty of evidence supporting the association between moderate-to-vigorous physical activity and lower risk of breast and colon cancer, moderate certainty of evidence for lung cancer and low certainty of evidence for prostate and rectal cancer. We found moderate certainty of evidence supporting the association between moderate-to-vigorous physical activity and reduction of all-cause and cancer-specific mortality from breast, colon and rectal cancer, and cancer-specific mortality from prostate cancer, when physical activity was performed after the disease diagnosis. We found low certainty of evidence for the association between physical activity and lung cancer mortality. Based on our findings, physical activity recommendations were proposed, including a step-by-step guide to support health-care professionals when recommending physical activity for all adults (including elderly people), with or without a diagnosis of cancer. Conclusion: Our recommentations may be useful to support health-care professionals counselling for physical activity, which contribute to reductions in physical inactivity in the general population and in the growing population of cancer survivors.https://www.brazilianjournalofoncology.com.br/details/182/en-US/physical-activity-recommendations-for-cancer-prevention-and-control--a-brazilian-consortiumprevention and controlexercisemortalitypractice guidelineconsensus
spellingShingle Rafael Deminice
Leandro F M Rezende
Daniela Dornelles Rosa
Renata Cangussu
Leandro Martin Totaro Garcia
Rachel Riera
Fabio Fotunato Brasil Carvalho
Ronaldo Côrrea Ferreira Silva
Patrícia Chakur Brum
Physical activity recommendations for cancer prevention and control: a Brazilian consortium
Brazilian Journal of Oncology
prevention and control
exercise
mortality
practice guideline
consensus
title Physical activity recommendations for cancer prevention and control: a Brazilian consortium
title_full Physical activity recommendations for cancer prevention and control: a Brazilian consortium
title_fullStr Physical activity recommendations for cancer prevention and control: a Brazilian consortium
title_full_unstemmed Physical activity recommendations for cancer prevention and control: a Brazilian consortium
title_short Physical activity recommendations for cancer prevention and control: a Brazilian consortium
title_sort physical activity recommendations for cancer prevention and control a brazilian consortium
topic prevention and control
exercise
mortality
practice guideline
consensus
url https://www.brazilianjournalofoncology.com.br/details/182/en-US/physical-activity-recommendations-for-cancer-prevention-and-control--a-brazilian-consortium
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