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. Author manuscript; available in PMC: 2017 Jul 15.
Published in final edited form as: Cancer Res. 2016 Jul 5;76(14):4032–4050. doi: 10.1158/0008-5472.CAN-16-0887

Table 1.

Tumor Incidence Studies

METHODS RESULTS
Study Reference Rodent
Model
Tumor Type /
Induction model
Exercise Protocol Tumor Incidence Results
Exercise Modality Exercise Prescription
Freq/week | Dur | Intens | Length
Exercise Initiation
Andrianopoulos,
1987
25 5w old male
Sprague-
Dawley rats
Intestinal / DMH, i.p.
q1w for 6w
Voluntary wheel
running
Wheel running 1w prior to first injection -Tumors present in 18/20 SED rats and 6/11 EX rats
Reddy, 1988 33 Male F344
rats
Intestinal / Subcutaneous
AOM 15mg/kg BW,
q1wx2w at 7 wk of age.
Voluntary wheel
running
Wheel running for 38 weeks 4d post-AOM -EX ↓ incidence and multiplicity adenocarcinomas, and liver foci. of colon and
Sugie, 1992 35 5w old F-344
rats
Hepatocellular / 15
mg/kg AOM s.c. q1w for
2w
Voluntary wheel
running
38w 4d post-injection. -Liver tumors noted in 7% of AOM treated SED only.
Ikuyama, 1993 28 Jc1:Wistar
rats
Hepatoma / 0.0177
g/day/kg BW dietary 3'-
Me-DAB for 35 weeks.
Voluntary wheel
running
Wheel running for 62 weeks, using
food as a reward for achieving
specified distances
17w prior to dietary 3'-Me-
DAB
-65% reduction in tumor incidence.
Zhu, 2008 42 21d old
female
Sprague-
Dawley rats
Mammary / 25 or 50
mg/kg MNU, i.p.
Voluntary wheel
running
Voluntary wheel running for 8w 1w post-injection -84.5% incidence vs 98.1%, (SED vs. EX)
Esser, 2009 27 C3(1)Tag
mice
Prostate / Transgenic
mouse model
Voluntary wheel
running
Wheel running for 10 weeks
Data analyzed based on mice that
ran >5K or <5K a day
10w of age -18% (>5K) and 55% (<5K) of animals with high grade neoplasia at 20 weeks
-57% reduction in incidence of high grade neoplasia in >5K vs <5K mice
Alessio, 2009 24 3w old
female
Sprague-
Dawley rats
Spontaneous tumors Voluntary wheel
running or activity box
Wheel: every other day, 24h access
throughout animals’ life

Activity box (PA): 1h in large
activity box twice a week for life.
Spontaneous tumors, animals
followed for life.
-During weeks 60–120, 38% of EX rats were tumor-bearing animals (vs. 42% PA rats and 54% SED rata).
-At week 88, tumor multiplicity was 0.69 for EX animals, 0.75 for PA, and 0.96 for SED.
Colbert, 2009 26 Female
heterozygous
(p53+/−):
MMTV-Wnt-
1 transgenic
mice
Mammary / Transgenic Voluntary wheel
running and forced
treadmill running
Treadmill running:
TREX 1: 5×|45min|20m/min at 5%
grade|until completion
TREX 2: 5×|45min|24m/min at 5%
grade|until completion
Voluntary wheel running with 24
hour access.
11w of age -Tumor incidence ↑ in wheel running mice by 32%
Mann, 2010 31 21d old
female
Sprague-
Dawley rats
Mammary / 50 mg/kg
MNU i.p.
Voluntary non-
motorized and
motorized wheel
running
Voluntary non-motorized and
motorized (40m/min) wheel
running
1w post-injection -96%, 74% and 70% incidence in controls, non-motorized and motorized mice, respectively
Zhu, 2012 43 21d old
female
Sprague-
Dawley rats
Mammary / 50 mg/kg
MNU i.p.
Voluntary wheel
running at a fixed daily
distance
Three levels:
WR-High: maximum 3500m/d
WR-Low: maximum 1750m/d.
SED control.
1w post-injection -97% tumor incidence in controls, 80% tumor incidence in WR-High
-Cannot compare WR-High and WR-Low, because dietary energy restriction was applied to WR-Low only
Thorling, 1993 36 5w old male
Fischer rats
Intestinal / 15mg/kg
AOM s.c. on Days 1, 4
and 8.
Forced treadmill
running
5×|2km/day|7m/min|38w.

First week was acclimatization.
3d after last injection -EX ↓ colon neoplasia incidence, 53% vs 78% in
Woods, 1994 40 6w old male
C3H/HeN
mice
Mammary / 2.5 ×105
mammary SCA-1 cells
s.c. in the back.
Forced treadmill
running
Treadmill running: Moderate:
7×|30min|18m/min at 5% grade|1w.
Exhaustive: 7×|varied|18m/min for
30min, then 3m/min↑ every 30min
until exhausted|1w
3d prior to injection. -Increase in tumor incidence at Day 7 in both EX groups, but no differences in any subsequent time points.
Whittal, 1996 38 21d old
female
Sprague-
Dawley Rats
Mammary / 50 mg/kg
NMU i.p. at 50d of age
Forced treadmill
running
Progressive training to
5×|60min|18 m/min at 15%
grade|4w
21d of age (29d prior to
injection)
-Incidence/multiplicity at 24w post-NMU: 58 tumors in SED rats, 33 tumors in EX rats
-No significant difference in latency or incidence
Whittal-Strange,
1998
39 21d old
female
Sprague-
Dawley rats
Mammary / 37.5mg/kg
NMU i.p. at 50d of age,
(1 day after last bout of
EX)
Forced treadmill
running
Progressive training to
5×|60min|18 m/min at 15%
grade|4w
21d of age (29d prior to
injection)
-Incidences of carcinomas, high grade and low grade tumors were 29.2%, 10.4%, and 25% in SED, and 38%,
14.3% and 21.4% in EX
Westerlind,
2003
37 21d old
female
Sprague-
Dawley rats
Mammary / 25 or 50
mg/kg MNU, i.p.
Forced treadmill
running
Week 1: 5×|10–15min|30m/min|1w.
Week 2–9: 5×|30min|23–
25m/min|8w
1w post-injection -↑ Latency in EX (35.8d vs. 33.1d).
-No difference in median tumor-free survival time was observed in the EX versus sham-EX (SHAM), nor
were there any differences in multiplicity at either a high or moderate dose of MNU
Zielinski, 2004 44 6–8w old
female
BALB/c mice
Neoplastic Lymphoid
cells / 2×107 EL-4 cells
s.c. in the back behind
the neck
Forced treadmill
running
7×|3h or until volitional
fatigue|gradually increasing speed,
20–40m/min, 5% grade|5–14d
First session immediately
before injection.
-EX ↓ tumor appearance
Zhu, 2009 41 21d old
female
Sprague-
Dawley rats
Mammary / 50 mg/kg
MNU, i.p.
Forced wheel running Motorized running wheel; details
not provided
1w post-injection -66.7% and 92.6% incidence in EX and SED
Kato, 2011 29 5w old male
Fischer 344
rats
Renal / 5mg/kg BW Fe-
NTA i.p. once a day for
7 days, then 10mg/kg
Fe-NTA 3×/wk for 11w.
Forced treadmill
running
Short-term: 15m|8m/min, 0%|12w.

Long-term: 15m|8m/min, 0%|12w;
then 5×|30m|8m/min, 0%|12w for a
total of 24w training Exercise
continued until 40 weeks, but at
lower intensity to account for the
decline in rat health.
Training done 15m before each
injection
-No differences in number of rats with nodules, nodules/rat or mean area of nodules.
-Short-term EX ↑ rats with microcarcinomas,
- Long-term EX ↓ rats cinomas, karyomegalic cells and degenerative tubules compared to with microcar
short-term.
Malicka, 2015 45 4w old
female
Sprague
Dawley rats
Mammary / 180 mg/kg
MNU i.p.
Forced treadmill
running
Low intensity (LIT): 5×|10–
35min|0.48–1.34 km/h|12w

Moderate intensity (MIT): 5×|10–
35min|0.6–1.68 km/h|12w

High intensity (HIT): 5×|10–
35min|0.72–2.0 km/h|12w
Immediately after MNU
injection
-Incidence 64%, 67%, 40% and 43% in SED, LIT, MIT and HIT groups, respectively (Not significant)
-Multiplicity: Rats with tumors had an average of 2.4, 1.6, 1 and 1 tumors in SED, LIT, MIT and HIT
groups, respectively (Statistics not performed.)
Piguet, 2015 46 7–9w old
male
AlbCrePten
flox/flox
mice
Hepatocellular
carcinoma / Transgenic
Forced treadmill
running
5w acclimation period followed by:
5×|60m|12.5m/min|27w
7–9w of age -Tumor incidence 100% in SED vs. 71% in EX
Lunz, 2008 30 11w old male
Wistar Rats
Intestinal / 4 s.c.
injections DMH 3 days
apart.
Forced
swimming with 0%,
2% or 4% BW load
Week 1–2: 5×|5–20min|- load|2w
Week 3–5: 5×|5–20min|+ load|3w
Week 6– 35: 5×|20min|+load|30w
24h post first injection -No difference in tumor incidence
-Aerobic swimming training with 2% body weight of load protected against the DMH-induced preneoplastic
colon lesions, but not against tumor development in the rat
Paceli, 2012 32 Adult male
Balb/c mice
Lung / 1.5mg/kg BW
urethane i.p. twice, 2
days apart
Forced swimming Aerobic:
4×|20m|--|19w
Week 1: 10m/d to 50m in 5 days
Anaerobic:
3×|20m (2m swimming/2m
resting)|progressive loading of 5–
20%BW|20w
Within a week after injection -No significant effects of aerobic training on lung cancer incidence.
-Aerobic training resulted in 8 lung nodules per animal vs 52 in the control. Not significant.
-Median control nodules was 2.0, median aerobic control nodules was 0.0. Not significant.
Abdalla, 2013 23 8w old
female Balb/c
mice
Mammary / 1mg/ml
DMBA p.o. once weekly
for 6 weeks
Forced swimming 5×|45m|--|8 weeks
Water temperature 30+/−4°C
Same as tumor initiation -EX ↓ tumor incidence
Sáez Mdel,
2007
34 50d old
female
Sprague-
Dawley rats
Mammary / 5mg/w
DMBA gastric
intubation for 4w
Forced swimming 30m/d, 5d/w for 38–65d. 1d after appearance of first
tumor
-No difference in survival time or tumor multiplicity

EX = exercise or activity groups; SED = Sedentary controls; NMU = nitrosomethylurea; MNU= 1-methyl-1-nitrosourea; AOM= azoxymethane; DMBA= 7,12-dimethylbenz(a)anthracene; DMH= 1,2-dimethylhydrazine; 3’-Me-DAB= 3’-methyl-4-dimethylaminoazobenzene; Fe-NTA= ferric nitrilotriacetate; s.c.= sub-cutaneous; i.v.= intravenous