Physical activity and lung cancer screening (PALS): feasibility randomised controlled trial of exercise and physical activity in lung cancer screening

Abstract Background There is increasing evidence that screening provides a catalyst for behavioural change. Low physical activity (PA) levels are a potentially modifiable risk factor for developing lung cancer. This study aims to assess the feasibility and safety of a semi-supervised 8-week multi-mo...

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Main Authors: Asha Bonney, Catherine L. Granger, Daniel Steinfort, Cameron Patrick, Henry M. Marshall, Kwun M. Fong, Renee Manser
Format: Article
Language:English
Published: BMC 2025-03-01
Series:Respiratory Research
Subjects:
Online Access:https://doi.org/10.1186/s12931-025-03158-0
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author Asha Bonney
Catherine L. Granger
Daniel Steinfort
Cameron Patrick
Henry M. Marshall
Kwun M. Fong
Renee Manser
author_facet Asha Bonney
Catherine L. Granger
Daniel Steinfort
Cameron Patrick
Henry M. Marshall
Kwun M. Fong
Renee Manser
author_sort Asha Bonney
collection DOAJ
description Abstract Background There is increasing evidence that screening provides a catalyst for behavioural change. Low physical activity (PA) levels are a potentially modifiable risk factor for developing lung cancer. This study aims to assess the feasibility and safety of a semi-supervised 8-week multi-modal exercise program to improve health-related quality of life and PA levels of participants of lung cancer screening. Methods Participants without lung cancer from a single Australian International Lung Screen Trial (ILST; NCT02871856) site were invited to this feasibility randomised controlled trial. Enrolled participants were randomised to usual care, written material, or a home-based exercise program (in addition to written material). Assessments occurred at baseline, 9 weeks, and 6 months. Results 75 participants were enrolled over a 3-month period in 2022 (consent rate of 67%). 43% of participants were female, median age 66 years old (IQR 62, 73). Of the 25 participants randomised to the home-based exercise program, 22 participants (88%) attended > 70% of weekly sessions. 99% (74/75) of study participants attended their 9-week and 6-month follow-up assessments. Conclusions This study confirms the feasibility and high compliance of delivering a semi-supervised 8-week multi-modal exercise program to participants of a lung cancer screening program. It was safe, with no adverse events. Clinical trial registration Australian Clinical Trials Register https://www.australianclinicaltrials.gov.au ACTRN12622001001785.
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spelling doaj-art-9ab9807fb131479b8ce10176f4355bfe2025-08-20T03:05:45ZengBMCRespiratory Research1465-993X2025-03-012611910.1186/s12931-025-03158-0Physical activity and lung cancer screening (PALS): feasibility randomised controlled trial of exercise and physical activity in lung cancer screeningAsha Bonney0Catherine L. Granger1Daniel Steinfort2Cameron Patrick3Henry M. Marshall4Kwun M. Fong5Renee Manser6Department of Medicine, University of MelbourneDepartment of Physiotherapy, The Royal Melbourne HospitalDepartment of Medicine, University of MelbourneStatistical Consulting Centre, School of Mathematics and Statistics, The University of MelbourneThoracic Research Centre, The University of QueenslandThoracic Research Centre, The University of QueenslandDepartment of Medicine, University of MelbourneAbstract Background There is increasing evidence that screening provides a catalyst for behavioural change. Low physical activity (PA) levels are a potentially modifiable risk factor for developing lung cancer. This study aims to assess the feasibility and safety of a semi-supervised 8-week multi-modal exercise program to improve health-related quality of life and PA levels of participants of lung cancer screening. Methods Participants without lung cancer from a single Australian International Lung Screen Trial (ILST; NCT02871856) site were invited to this feasibility randomised controlled trial. Enrolled participants were randomised to usual care, written material, or a home-based exercise program (in addition to written material). Assessments occurred at baseline, 9 weeks, and 6 months. Results 75 participants were enrolled over a 3-month period in 2022 (consent rate of 67%). 43% of participants were female, median age 66 years old (IQR 62, 73). Of the 25 participants randomised to the home-based exercise program, 22 participants (88%) attended > 70% of weekly sessions. 99% (74/75) of study participants attended their 9-week and 6-month follow-up assessments. Conclusions This study confirms the feasibility and high compliance of delivering a semi-supervised 8-week multi-modal exercise program to participants of a lung cancer screening program. It was safe, with no adverse events. Clinical trial registration Australian Clinical Trials Register https://www.australianclinicaltrials.gov.au ACTRN12622001001785.https://doi.org/10.1186/s12931-025-03158-0ExerciseLung cancerPreventionScreening
spellingShingle Asha Bonney
Catherine L. Granger
Daniel Steinfort
Cameron Patrick
Henry M. Marshall
Kwun M. Fong
Renee Manser
Physical activity and lung cancer screening (PALS): feasibility randomised controlled trial of exercise and physical activity in lung cancer screening
Respiratory Research
Exercise
Lung cancer
Prevention
Screening
title Physical activity and lung cancer screening (PALS): feasibility randomised controlled trial of exercise and physical activity in lung cancer screening
title_full Physical activity and lung cancer screening (PALS): feasibility randomised controlled trial of exercise and physical activity in lung cancer screening
title_fullStr Physical activity and lung cancer screening (PALS): feasibility randomised controlled trial of exercise and physical activity in lung cancer screening
title_full_unstemmed Physical activity and lung cancer screening (PALS): feasibility randomised controlled trial of exercise and physical activity in lung cancer screening
title_short Physical activity and lung cancer screening (PALS): feasibility randomised controlled trial of exercise and physical activity in lung cancer screening
title_sort physical activity and lung cancer screening pals feasibility randomised controlled trial of exercise and physical activity in lung cancer screening
topic Exercise
Lung cancer
Prevention
Screening
url https://doi.org/10.1186/s12931-025-03158-0
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