Physical activity may reduce the risk of many types of cancer, while inactivity appears to increase the risk, including colon cancer. However, the time of day people exercise can also influence that risk. A study suggests that engaging in physical activity in the early morning and evening may offer greater benefits than overall activity in reducing the risk of colorectal cancer. The researchers suggest their findings could help shape cancer prevention.
The CHALLENGE trial, led by the National Cancer Institute of Canada Clinical Trials Group, is a randomized controlled study investigating whether a structured physical activity (PA) program improves outcomes in survivors of high-risk stage II or III colon cancer. Following adjuvant therapy, 962 participants will be assigned to either a supervised PA intervention with behavioral support or general health education. The trial’s primary endpoint is disease-free survival, with secondary outcomes including patient-reported measures, physical functioning, biological markers, and cost-effectiveness. This trial aims to provide causal evidence on the benefits of PA in colon cancer survivorship and inform future healthcare policy. The Colon Health and Life-Long Exercise Change trial: a randomized trial of the National Cancer Institute of Canada Clinical Trials Group - PubMed
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