Roles and molecular mechanisms of physical exercise in cancer prevention and treatment

J Sport Health Sci. 2021 Mar;10(2):201-210. doi: 10.1016/j.jshs.2020.07.008. Epub 2020 Jul 30.

Abstract

Exercise can enhance motivation to change lifestyle behaviors, improve aerobic fitness, improve physical function, control fatigue, and enhance quality of life. Studies have demonstrated the benefits to be gained from physical exercise, highlighting the importance of popularizing the concept of physical exercise for individuals and making professional exercise-treatment programs available to patients with cancer. However, the correlation between physical exercise and carcinogenesis is easily overlooked, and exercise interventions are not routinely provided to patients with cancer, especially those with advanced cancer. In this article, we present a literature review of the effects of exercise on cancer development and progression and give recent evidence for the type of exercise best suited for different types of cancer and in different disease stages. Moreover, the molecular mechanisms about regulating metabolism and systemic immune function in cancer are summarized and discussed. In conclusion, physical exercise should be considered as an important intervention for preventing and treating cancer and its complications.

Keywords: Cancer development; Cancer treatment; Molecular mechanisms; Physical exercise.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / adverse effects
  • Apoptosis / physiology
  • Cell Proliferation / physiology
  • Exercise / physiology*
  • Exercise / psychology
  • Fatigue / chemically induced
  • Fatigue / prevention & control
  • Female
  • Humans
  • Life Style
  • Male
  • Molecular Targeted Therapy / adverse effects
  • Neoplasms / immunology
  • Neoplasms / metabolism
  • Neoplasms / prevention & control
  • Neoplasms / therapy*
  • Prognosis
  • Risk Factors

Substances

  • Antineoplastic Agents