Exercise training for cardiovascular prevention in patients with cancer A scientific statement of the Heart Failure Association, the European Association of Preventive Cardiology of the ESC, and the ESC Council of Cardio-Oncology
European Heart Journal

Abstract
Patients with cancer usually report limitations of their functional capacity, which may range from subclinical impairment of cardiopulmonary exercise reserve to poor quality of life with physical, cognitive, or psychosocial consequences. Exercise training is a potent multi-targeted approach to control pre-existing and new risk factors. Preliminary evidence shows that it is associated with a lower risk of cancer therapy-related cardiotoxicity and increased self-reported well-being in patients with cancer. Current evidence demonstrates that supervised exercise therapy, including high-intensity interval training, is safe and well-tolerated and reduces risk in subjects with cancer in the pre-, active-, and post-treatment settings. The present consensus document will discuss the role of exercise training in cardio-oncology, focusing on patients with cardiovascular diseases induced by cancer treatment and on those who received cardiotoxic therapies.
Contributors

Alain Cohen-Solal
Author

Pietro Ameri
Author

Matthias Totzeck
Author

Beatrice Fervers
Author

Gilles de Keulenaer
Author

Marie McLaughlin
Author

Matthias Wilhelm
Author

Flavio D’Ascenzi
Author

Piergiuseppe Agostoni
Author

Martin Halle
Author

Jessica M Scott
Author

Lee W Jones
Author

Stephan Von Haehling
Author

Stamatis Adamopoulos
Author

Elena Marques Sule
Author

Najat Mouine
Author

Francesco Orso
Author

Geza Halasz
Author

Stefania Paolillo
Author

Giuseppe Vergaro
Author

Amam Chinyere Mbakwem
Author

Thomas Suter
Author

Alexander Lyon
Author

Brenda Moura
Author

Petar Seferovic
Author

Giuseppe Rosano
Author
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