Exercise Integrated into Cancer Treatment

International clinical evidence indicates that exercise is becoming a primary component of cancer treatment. A Christchurch-based research group, Cancer Prehabilitation and Rehabilitation Aotearoa (CPRA), is advancing efforts to integrate structured, supervised exercise programs into mainstream cancer care across New Zealand.

CPRA's Mission and Origins

CPRA, established by Associate Professor Marg Currie of the University of Otago’s Mackenzie Cancer Research Group, aims to integrate "exercise oncology" into both pre-treatment preparation and post-treatment recovery. Associate Professor Currie highlighted the strong global clinical research supporting exercise as an important addition to cancer treatment.

Feasibility Study Findings

In 2021, clinical exercise physiologist Dr. Jess Allan led a feasibility study on a 12-week structured exercise program for patients undergoing chemotherapy for early-stage breast and colon cancers. The study reported high patient recruitment, completion, and adherence rates.

Participants demonstrated improvements in flexibility, energy, physical function, and overall wellbeing.

Qualitative feedback indicated participants experienced an increased sense of control, purpose, and achievement.

Program Development and Partnerships

CPRA is now planning a pilot program in collaboration with Te Papa Hauora and Christchurch City Council. This initiative will be based at the new Parakiore Recreation and Sport Centre, chosen for its professional facilities, qualified staff, and accessible location.

Multidisciplinary Team and Funding

CPRA’s Steering Group comprises experts from various fields, including exercise physiology, oncology, physiotherapy, and nursing research. An Advisory Committee and a wider multidisciplinary team support their work. Funding has been provided by the Cancer Society Southern and Health New Zealand | Te Whatu Ora, with additional sources currently being sought.

Personalization and Future Research

A key research focus is to personalize exercise programs for individuals with different cancer types and stages. Further trials are in development, including a prehabilitation program for wāhine Māori with symptomatic breast cancer in Auckland and Waikato, and a prostate cancer trial awaiting approval. Student education pathways, clinical placements, and postgraduate research projects are also planned.

Vision for a Centre of Excellence

CPRA's long-term goal is to develop into a Centre of Excellence, offering personalized exercise prescriptions, specialist physiotherapy, nutritional advice, psychological support, and health navigators.

This model suggests an expanding role for community sport and recreation facilities and their professionals in supporting health outcomes.