A major international review shows that exercise can significantly lessen the side-effects of cancer treatments. The findings, reported this week, come from the largest study of its kind and underscore physical activity as a core part of cancer care. For Thailand, where cancer cases are rising and survivorship care is increasingly prioritized, the update is especially timely.
Cancer therapies such as chemotherapy, radiotherapy, and targeted drugs save lives but often cause fatigue, reduced physical function, anxiety, and mood changes. Thai and global oncologists have long recognized these challenges, yet effective, validated solutions were scarce. The new review draws on numerous clinical trials and provides strong evidence that structured, supervised exercise during treatment can ease these adverse effects. Research by leading institutions shows improvements in strength, endurance, and mental wellbeing tied to regular movement.
The analysis pooled data from dozens of randomized trials involving diverse cancer types. Participants who followed guided exercise programs reported less fatigue and better overall quality of life. In some studies, exercise also correlated with reduced depression risk and healthier maintenance of physical function. A co-author emphasized that the evidence supports exercise as a standard component of cancer care, not merely an optional add-on.
For Thailand, the findings align with national efforts to support holistic recovery for cancer survivors. Oncologists at major Bangkok hospitals have advocated for integrating physical rehabilitation and movement therapies into everyday care. A senior clinician noted that many Thai patients still favor rest during treatment, but carefully supervised exercise can accelerate recovery and lift mood. Public health campaigns led by Thailand’s Ministry of Public Health reinforce this shift, promoting activity as part of strategies to prevent and manage chronic diseases.
Translating Western guidelines to the Thai setting requires attention to culture and access. Family dynamics, space limitations in many homes, hesitancy about strenuous activity during illness, and uneven access to rehabilitation services can influence uptake. Community-based programs are being tested in temples and local centers, with group routines that resonate culturally. Activities such as gentle dance-inspired moves and mindful walking show promise for encouraging adherence among older adults.
Historically, Thai public hospitals have prioritized curative care, with less emphasis on post-treatment support. Yet rising survival rates—such as breast cancer five-year survival in urban centers approaching or exceeding 70%—increase the need for survivorship planning. The review argues that investing in rehabilitation could reduce hospital readmissions, improve quality of life, and lower long-term costs. A Thai rehabilitation specialist welcomed the validation of expanding exercise within cancer care, calling for stronger collaboration among teams.
Looking ahead, Thailand faces challenges in sustaining survivorship programs. Workforce shortages in physio-oncology, insurance gaps for post-treatment services, and lingering stigma in rural areas must be addressed. Experts stress ongoing education for healthcare providers and patients, and more research to identify safe, effective exercise modalities tailored to age, comorbidities, and treatment stages.
The take-away for Thai readers and families is clear: under professional supervision, exercise is safe and highly beneficial before, during, and after cancer treatment. Patients should discuss personalized movement plans with their medical teams and seek rehabilitation services where available. Everyday activities—gentle walking, stretching, and culturally familiar movement—can support long-term recovery.
For further information, consult Thailand’s National Cancer Institute or ask your local hospital’s physiotherapy unit. The findings also highlight the importance of expanding access to rehabilitative care as part of Thailand’s broader cancer control strategy.