Obesity and Cancer Rehabilitation for Functional Recovery and Quality of Life in Breast Cancer Survivors: A Comprehensive Review.
Lorenzo LippiAlessandro de SireArianna FolliAlessio TurcoStefano MoalliMarco MarcascianoAntonio AmmendoliaMarco InvernizziPublished in: Cancers (2024)
Obesity is a global health challenge with increasing prevalence, and its intricate relationship with cancer has become a critical concern in cancer care. As a result, understanding the multifactorial connections between obesity and breast cancer is imperative for risk stratification, tailored screening, and rehabilitation treatment planning to address long-term survivorship issues. The review follows the SANRA quality criteria and includes an extensive literature search conducted in PubMed/Medline, Web of Science, and Scopus. The biological basis linking obesity and cancer involves complex interactions in adipose tissue and the tumor microenvironment. Various mechanisms, such as hormonal alterations, chronic inflammation, immune system modulation, and mitochondrial dysfunction, contribute to cancer development. The review underlines the importance of comprehensive oncologic rehabilitation, including physical, psychological, and nutritional aspects. Cancer rehabilitation plays a crucial role in managing obesity-related symptoms, offering interventions for physical impairments, pain management, and lymphatic disorders, and improving both physical and psychological well-being. Personalized and technology-driven approaches hold promise for optimizing rehabilitation effectiveness and improving long-term outcomes for obese cancer patients. The comprehensive insights provided in this review contribute to the evolving landscape of cancer care, emphasizing the importance of tailored rehabilitation in optimizing the well-being of obese cancer patients.
Keyphrases
- weight loss
- metabolic syndrome
- insulin resistance
- papillary thyroid
- adipose tissue
- type diabetes
- pain management
- squamous cell
- public health
- high fat diet induced
- weight gain
- global health
- randomized controlled trial
- mental health
- bariatric surgery
- childhood cancer
- systematic review
- skeletal muscle
- prostate cancer
- body mass index
- polycystic ovary syndrome
- squamous cell carcinoma
- artificial intelligence
- sleep quality
- quality improvement
- robot assisted
- minimally invasive