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CA Cancer J Clin 2003; 53:268
doi: 10.3322/canjclin.53.5.268
© 2003 American Cancer Society
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Nutrition and Physical Activity During and After Cancer Treatment
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Nutrition and Physical Activity During and After Cancer Treatment: An American Cancer Society Guide for Informed Choices

Jean K. Brown, PhD, RN, Tim Byers, MD, MPH, Colleen Doyle, MS, RD, Kerry S. Courneya, PhD, Wendy Demark-Wahnefried, PhD, RD, LDN, Lawrence H. Kushi, ScD, Anne McTiernan, MD, PhD, Cheryl L. Rock, PhD, RD, Noreen Aziz, MD, PhD, MPH, Abby S. Bloch, PhD, RD, Barbara Eldridge, MS, RD, Kathryn Hamilton, MA, RD, CDN, Carolyn Katzin, MSPH, CNS, Amy Koonce, Julie Main, Connie Mobley, PhD, RD, Marion E. Morra, MA, ScD, Margaret S. Pierce, RN, MPH, MSN and Kimberly Andrews Sawyer


Dr. Brown is Associate Professor, Nursing and Nutrition and Associate Dean, Academic Affairs, University at Buffalo School of Nursing, The State University of New York, Buffalo, NY.
Dr. Byers is Professor, Preventive Medicine, University of Colorado Health Science Center, Denver, CO.
Ms. Doyle is Director, Nutrition and Physical Activity, American Cancer Society, Atlanta, GA.
Dr. Courneya is Professor and CIHR Investigator, Faculty of Physical Education, University of Alberta, Edmonton, Alberta, Canada.
Dr. Demark-Wahnefried is Associate Professor of Surgery, Duke University Medical Center, Durham, NC.
Dr. Kushi is Associate Director for Etiology and Prevention Research, Division of Research, Kaiser Permanente, Oakland, CA.
Dr. McTiernan is Member, Fred Hutchinson Cancer Research Center, Cancer Prevention Research Program, Seattle, WA.
Dr. Rock is Professor, Department of Family and Preventive Medicine, University of California, San Diego, Cancer Prevention and Control Program, La Jolla, CA.
Dr. Aziz is Program Director, Office of Cancer Survivorship, National Cancer Institute, Bethesda, MD.
Ms. Bloch is Nutrition Consultant, New York, NY.
Ms. Eldridge is Clinical Research Associate, Saint Alphonsus Cancer Treatment Center, Boise, ID.
Ms. Hamilton is Clinical Oncology Dietitian, Carol G. Simon Cancer Center, Morristown, NJ.
Ms. Katzin is Nutritionist, Center for Health Enhancement at St. John's Health Center, Santa Monica, CA.
Ms. Koonce is Public Health Advisor, Program Services Branch, Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
Ms. Main is General Manager, Santa Barbara Athletic Club, Board Member, International Health Racquet and Sports Club Association, and Founder, WellFit Program, Santa Barbara, CA.
Dr. Mobley is Associate Professor-Nutrition, University of Texas Health Science Center at San Antonio, San Antonio, TX.
Dr. Morra is President, Morra Communications, Milford, CT.
Ms. Pierce is Assistant Professor, University of Tennessee College of Nursing, Knoxville, TN.
Ms. Sawyer is Cancer Control Researcher, American Cancer Society, Atlanta, GA.

Cancer survivors are often highly motivated to seek information about food choices, physical activity, dietary supplement use, and complementary nutritional therapies to improve their treatment outcomes, quality of life, and survival. To address these concerns, the American Cancer Society (ACS) convened a group of experts in nutrition, physical activity, and cancer to evaluate the scientific evidence and best clinical practices related to optimal nutrition and physical activity after the diagnosis of cancer. This report summarizes their findings and is intended to present health care providers with the best possible information on which to help cancer survivors and their families make informed choices related to nutrition and physical activity. The report discusses nutrition and physical activity issues during the phases of cancer treatment and recovery, living after recovery from treatment, and living with advanced cancer; selected nutritional and physical activity issues such as body weight, food choices, and complementary and alternative nutritional options; and selected issues related to breast, colorectal, lung, prostate, head and neck, and upper gastrointestinal cancers. In addition, handouts containing commonly asked questions and answers and a resource list are provided for survivors and families. Tables that grade the scientific evidence for benefit versus harm related to nutrition and physical activity for breast, colorectal, lung, and prostate cancers are also included for this growing body of knowledge to provide guidance for informed decision making and to identify areas for future research.




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