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. 2024 Aug 8;117(1):9–19. doi: 10.1093/jnci/djae177

Table 1.

Exercise and Nutrition to Improve Treatment-Related Outcomes hypothesized mechanisms by which exercise (and nutrition) may influence relative dose intensity

Primary hypothesized mechanism Secondary hypothesized mechanism Harmonized mechanistic data
Adaptive Randomization of Aerobic Exercise during Chemotherapy in Colon Cancer Exercise-induced reductions in fat mass and preservation of lean mass improve the pharmacokinetic properties of chemotherapy Exercise-induced changes in neutrophil counts, phenotypes, and functions will decrease the probability of developing neutropenia Anthropometric circumferences, patient-reported symptoms, and nutrition status assessment
Tele-exercise during chemotherapy Trial Reduce systemic reactive oxygen species, improve hematopoietic stem and progenitor cell differentiation and neutrophil apoptosis, and improve hematological profile (eg, neutrophil count, hemoglobin) N/A Body composition, patient-reported symptoms
Trial of Exercise And Lifestyle Patient-reported chemotoxicities (neuropathy, arthralgia, cognition, depression, gastrointestinal symptoms), muscle mass, and nutritional status Inflammation, fatigue, sleep, physical function, improved white cell function N/A
TeleHealth Resistance exercise Intervention to preserve dose intensity and Vitality in Elder Breast Cancer Patients Preservation of muscle mass, patient reported symptoms nutritional status (protein) Modifiable elements of the Geriatric Assessment (eg, functional status, depressive symptoms, symptoms of distress) Patient-reported symptoms