Physical Health & Well Being
Why physical activity is important
For people affected by cancer, exercise can provide many benefits, including helping control fatigue, managing stress, improving endurance, strength, flexibility, mental health, sleep, and improved overall quality of life. Staying active is a great way to protect your body against a variety of illnesses such as diabetes, heart and vascular disease.
Physical activity can boost your immunity and decrease you risk of death from any reason by 15%.

Extended periods of inactivity – sitting at a computer, watching tv, etc. – may increase cancer risk. However, moderate to vigorous activity lowers the risk of many diseases, including cancer.
Physical activity can also lower the risk of cancer coming back after treatment and can improve overall survival among multiple cancer survivor groups, including breast, colon, prostate, and ovarian cancer. Data is still emerging in this field, but we do know that exercise is safe and beneficial for most people who have or have had cancer.
Before starting any exercise program, you should always check with your medical team.
The American College of Sports Medicine recommends 150 minutes of moderate aerobic exercise or 75 minutes of vigorous exercise per week, and that people affected by cancer avoid inactivity. Exercise that is moderate means that you are a little out of breath but can still carry a conversation. The total amount of time can be “accumulated” throughout the week in shorter bouts. For example, you might walk 10 minutes after breakfast, lunch and dinner, and that would count as 30 minutes for the day. Remember, avoiding inactivity is key, and doing something is always better than doing nothing.
Things to keep in mind before starting and throughout your fitness journey
Exercise in a way that is enjoyable for you. The more fun it is, the more likely you are to stay consistent.
When starting an exercise regimen, start slowly. You might find that exercise feels different during or after cancer treatment. Know your limitations and be patient with your progress. Starting slow can help avoid injury will be more sustainable and will produce long lasting results.
Getting started
Remember to think about your health as holistic pieces of a puzzle. Every body system works together. So, to maximize exercise benefits, and to see your health as holistic, in addition to exercising, it is also important to drink water, eat a wide variety of foods, manage stress, and get adequate sleep.
Some ideas for ways to start or end your day with a walk, incorporate move breaks during periods of sitting, ride a bike, walk or dance around your house, find a friend to exercise with, join a group exercise program, or try something totally new. Wherever you start, give yourself rest days and listen to your body (if you’re feeling tired, take a break!).
Resources at UNC
Physical Activity Programs
The Physical Activity Programs within the UNC Lineberger Comprehensive Cancer Support Program are designed to improve how cancer patients and survivors feel and function. They offer many ways for patients and survivors to include physical activity in their daily life.
These programs include but are not limited to:
- Get REAL & HEEL: A free 12-week small group exercise program for cancer survivors of all types that includes cardio, strength, flexibility, and balance training.
- Healing Yoga: A slow-paced, deeply relaxing class for people touched by cancer. The yoga program is appropriate for any level of yogi. Join online or in-person for a gentle, restorative practice led by a yoga therapist.
Visit Physical Activity Programs for more information about these programs.
Integrative Medicine
Looking for ways to improve your health and well-being following a cancer diagnosis? If so, integrative medicine may be a good way to start.
Integrative medicine combines conventional medical approaches with safe complementary therapies such as yoga, massage and acupuncture, and proper use of supplements.
Many people find that integrative medicine, once called complementary therapies, can relieve symptoms or side effects, ease pain, and and improve overall health and well-being during and after treatment, and several research studies show the positive effect of integrative medicine.
There are more and more studies researching the impacts of integrative medicine and health:
- Mindfulness is a practice that teaches you how to manage stress. Studies have shown that mindfulness can improve mood, cancer related cognitive impairment, distress, stress, and overall well being.
- Massage therapy can help reduce fatigue, nausea, psychological distress, mood disturbance, lymphedema and pain cause by cancer.
- Yoga is a a practice that involve meditation and movement with the goal to join the mind and body. Studies have shown an improvement in emotional health, sleep and quality of life in cancer survivors.
- Acupuncture is a traditional Chinese medicine therapy that involves the insertion of thin needles in several point of the body. Studies have shown that acupuncture helps the brain release hormones associated with pleasure and well as modulate areas in the brain that are also associated with pleasure. Acupuncture is also recommended by the North Carolina Cancer Network to help manage cancer pain symptoms.
Visit CCSP Integrative Medicine for information on yoga, mindfulness meditation, massage and other integrative medicine opportunities at UNC.
Additional resources
- LIVESTRONG at the YMCA is a free 12-week program for adult cancer survivors. Survivors participate in a health and fitness program with nine other survivors in a small group setting. Please contact your local YMCA for more information.
- National Institutes of Health: National Center for Complementary and Alternative Medicine (NCCAM): NCCAM is the Federal Government’s lead agency for scientific research on complementary and alternative medicine. This center explores complementary and alternative healing practices in the context of rigorous science, trains complementary and alternative medicine researchers, and provides CAM information to the public as well as professionals.
- National Institute of Health (NIH) Office of Dietary Supplements: The goal of the Office of Dietary Supplements is to strengthen knowledge and understanding of dietary supplements by evaluating scientific information, stimulating and supporting research, disseminating research results, and educating the public to foster an enhanced quality of life and health for the U.S. population.
- Cancer Support Community – Exercise for Wellness
- American Cancer Society – Guideline for Diet and Physical Activity for Cancer Prevention
- Maple Tree Cancer Alliance: Maple Tree is providers exercise oncology through our evidence-based, individualized exercise programs.