随着我国恶性肿瘤发病率及死亡率的逐年增加,行之有效的肿瘤整合治疗策略正在日益彰显其重要性。 作为肿瘤 整合疗法的组成之一,运动疗法已被多项研究及数据证实了其在肿瘤预防和治疗中的重要作用。 运动不但能够影响和改变 肿瘤微环境,抑制或逆转肿瘤中的一些代谢途径,还能通过减少和改善肿瘤发生的危险因素来预防其发生。 运动抗癌的作用 体现在多个层面,包括降低肿瘤的生长速度和转移风险;降低肿瘤的复发风险以及改善肿瘤患者的预后;提高抗肿瘤治疗的 疗效;改善肿瘤相关症状和抗肿瘤治疗相关不良反应并可以提高患者的生活质量。 运动治疗实施前需进行风险评估及运动 测试,筛查出可进行运动测试的恶性肿瘤患者。 特别要注意的是,需根据不同癌种、不同分期的功能障碍异质性的不同患者, 结合特定状况,按照运动频率(frequency)、强度(intensity)、时间(time)、类型(type),即 FITT 为要素进行个体化运动处方的制订,并进行动态监测和处方调整。 适合我国肿瘤患者体力活动的实践方案仍需进一步的探索,以使其满足不同的患者需求并 使患者获益最大化。

The morbidity and mortality of malignant tumor are increasing in China the integrative oncology treatment strategy has become more and more important. As a part of integrative oncology treatment strategies exercise therapy has been confirmed its crucial role in the prevention and treatment of malignant tumor. Exercise can not only affect the tumor microenvironment inhibit or reverse some metabolic pathways but also prevent cancer occurrence by reducing the risk factors of tumorigenesis. The anti-cancer effect of exercise is reflected in many outcomes. It can reduce the risk of tumor metastasis and recurrence and improve the prognosis of tumor patients. Exercise can also improve the efficacy of anti-cancer therapy and reduce related side effects relieve tumor-related symptoms and improve the quality of life of patients. Risk assessment and exercise test are required before the implementation of exercise therapy to screen patients who can be subjected to exercise therapy. In particular based on four elements of FITT frequency intensity time and type the formulation of individual exercise prescription should also consider heterogeneous patients with different types and stages of malignant tumors and perform dynamic monitoring and adjustment in follow-up treatment. At present the practical scheme suitable for physical activity of tumor patients in China still needs to be further explored to make it suitable and maximumly beneficial for malignant tumor patients.