Exercise and Cancer Survivorship


This course is approved for the following CECs/CEUs:

BCRPA 11.0 BOC Category A 6.25 CPTN 7.0
HFPA 11.0 ISSA 13.0 KIPS 1.3
NAFC 1.1 NASM 1.3 NETA 11.0
NFPT 1.0 NSCA 1.1 PTAG 12.0
SFA 1.1 WITS 11.0 YMCA 13.0

Virginia Board of Physical Therapy 6.25 (Type 1)–Please check with your state board for approval as most physical therapy boards will reciprocate approval for continuing education.

The American Academy of Health and Fitness (BOC AP#: P3645) is approved by the Board of Certification, Inc. to provide continuing education to Certified Athletic Trainers. This program is eligible for a maximum of 6.25 Category A hours/CEUs.


Pricing and Format Options For This Program:

Electronic Format with HK eBook : $159.00

Buy your own textbook: $119.00

Once you choose your format below, more information will be displayed about materials and access for that format. If you purchase a program, regardless of which format you purchase, you will receive emails with links to your workbook, test and  instructions. And, if your program includes an ebook, you will receive a separate email containing your keycode to access your ebook. In this case, the original email with access to your workbook and test will also include instructions for using your keycode to access your ebook. If you don’t see these emails after purchase, please check your spam folder for emails from the American Academy of Health and Fitness.



Evidence has shown that physical activity has numerous health benefits for cancer patients and survivors. More clinicians and oncologists are recommending exercise as a strategy for reducing the side effects of treatment, speeding recovery, and improving overall quality of life. In turn, cancer survivors are seeking health and fitness professionals with knowledge and experience to help them learn how to exercise safely within their capabilities.

The Exercise and Cancer Survivorship™ continuing education home study course presents the science behind the benefits of exercise for cancer survival and survivorship as well as the application of that science to the design or adaptation of exercise programs for cancer patients and survivors. The course offers the most current evidence-based information compiled by the American College of Sports Medicine (ACSM) for working with survivors of many types of cancers and is designed to assist health and fitness professionals in using exercise to help cancer survivors with recovery, rehabilitation and reducing the risk of recurrence.

This continuing education course offered to you in a distance-learning format places emphasis on practical application, including the incidence and prevalence of the most common cancers; common cancer treatments and side effects; the benefits of exercise after a diagnosis of cancer; exercise testing, prescription and programming; nutrition and weight management; counseling for health behavior change, and injury prevention. This course will increase health and fitness professionals’ knowledge of the benefits of exercise after a cancer diagnosis as well as the specifics of developing and adapting exercise programs to meet the unique needs of cancer survivors.

Certified health and fitness professionals holding more than one certification may obtain CECs/CEUS for all approved certification organizations (see list above) for which they need continuing education at no additional cost.

Course Objectives

1. Discuss the general epidemiology of cancer, common screening practices, treatment strategies, and warning signs for recurrence.
2. Identify side effects, signs, and symptoms associated with common cancers and treatment strategies.
3. Explain and distinguish between lifestyle and heredity factors that influence mechanisms of cancer etiology.
4. Discuss the physiologic and psychological attributes and benefits that may be improved by exercise training among cancer survivors.
5. Obtain basic and medical history from cancer survivors and recognize how cancer and its treatments may affect components of fitness and fitness testing results.
6. Describe the benefits and risks of safe exercise training in the cancer survivor, as well as possible exercise prescription/program modifications.
7. Discuss the effects of cancer treatments on the nutritional health and needs of cancer patients and survivors.
8. Identify and explain behavioral strategies that can enhance exercise and activity motivation and adherence for cancer patients and survivors.
9. Recognize and respond to cancer-specific safety issues and emergencies, as well as complete incident documentation related to cancer-specific adverse events.
10. Discuss essential operation, administration, and management roles and tasks within a cancer center, cancer treatment facility, and outpatient setting.

Course Materials

Electronic format — The Exercise and Cancer Survivorship™certificate package with online test includes the eBook version of the 208-page ACSM’s Guide to Exercise and Cancer Survivorship Editor Melinda L. Irwin, PhD, MPH and a 74-page workbook provided in PDF format. Instructions for completing the multiple-choice online test and obtaining CECs are also included in PDF format. Note: This course package is made available for immediate access and download after purchase. All materials for this electronic format course are available electronically. Nothing is mailed.

Table of Contents

ACSM Reviewers

Chapter 1. Diagnosis and Treatment of Cancer
Larissa A. Korde, MD, MPH
Cancer Incidence and Survival
Cancer Biology
Cancer Staging
Cancer Screening and Diagnosis
Cancer Recurrence Warning Signs

Chapter 2. Side Effects and Persistent Effects of Cancer Surgery and Treatment
Tara Sanft, MD, and Melinda L. Irwin, PhD, MPH
Side Effects of Cancer Surgery and Treatment
Recurrence, New Primaries, and Second Cancers

Chapter 3. Lifestyle Factors Associated With Cancer Incidence, Recurrence, and Survival
Heather K. Neilson, MSc, and Christine M. Friedenreich, PhD
Effect of Body Weight
Effect of Exercise
Effect of Diet

Chapter 4. Benefits of Physical Activity After a Cancer Diagnosis
Kristin L. Campbell, BSc PT, PhD
Physiological Effects of Exercise Training
Psychological Benefits of Exercise Training
Cancer-Specific Exercise Issues by Body System
Effects of Cancer Medications or Treatments on Designing an Exercise Program

Chapter 5. Cardiorespiratory Fitness Testing in Clients Diagnosed With Cancer
Lee W. Jones, PhD, and Claudio Battaglini, PhD
Administration of Cardiorespiratory Fitness Testing
Exercise Testing Safety

Chapter 6. Exercise Prescription and Programming Adaptations: Based on Surgery, Treatment, and Side Effects
Kathryn Schmitz, PhD, MPH
Health Promotion and Risk of Disease Reduction
Exercise Prescription Alterations to Address Individual Needs
Benefits and Risks of Exercise and Exercise Training
Exercise Prescription Individualization
Acute and Chronic Adverse Effects of Treatment
Setting Goals
Sample Exercise Prescriptions

Chapter 7. Nutrition and Weight Management
Stephanie Martch, MS, RD, LD, and Wendy Demark-Wahnefried, PhD, RD
Diet in Cancer Prevention, Control, and Overall Health
Weight Status and Body Composition
Weight and Height Assessment
Energy Consumption and Cancer
Diet Composition and Nutrition Status
Complementary Alternative Medicine and Functional Foods
Dietary Supplements

Chapter 8. Health Behavior Change Counseling
Karen Basen-Engquist, PhD, MPH; Heidi Perkins, PhD; and Daniel C. Hughes, PhD
Effect of Cancer on Readiness to Exercise
Theory-Based Methods and Exercise
Translating Theory Into Practice
Chapter 9. Safety, Injury Prevention, and Emergency Procedures
Anna L. Schwartz, PhD, FNP, FAAN
Cancer-Specific Safety Considerations
Emergency Procedures

Chapter 10. Program Administration
Carole M. Schneider, PhD
Designing a Cancer Rehabilitation Program
Cancer Rehabilitation Programs and Settings
Program Description and Operations
Policies and Procedures
Legal Issues and Documentation
Reimbursement Concerns
Community-Based Support

About the Editor

Return Policy

If you’re not completely satisfied with your prepaid purchase, contact AAHF at 800.957.7348 to discuss a return. The return must be within 30 days of the date of receipt of your shipment. Study materials and educational resources must be received in original condition. All return shipments must be sent via USPS Priority Mail for tracking purposes to 7205 Sampal Place, Springfield, Virginia 22152. Upon receipt of the returned materials, the American Academy of Health and Fitness (AAHF) will refund full credit, excluding shipping/handling. Credit will be applied to the appropriate credit card via PayPal. We do not accept returns on online products, e-books, videos, CD/DVD-ROMs, and DVDs.

The American Academy of Health and Fitness reserves the right to discontinue the sale and/or support of any of its continuing education courses. Notification of such will be given six months prior to discontinuance to allow for course completion and testing. No refund will be given for courses that are discontinued.

Additional Information

Different professional organizations offer continuing education credits, most commonly called CECs (continuing education credits) and CEUs (continuing education units). Most CECs/CEUs require one contact hour of professional activity for one credit. Example conversions are: ACE, NSCA and NASM: 0.1 = 1.0 contact hour; ACSM, BOC, ISSA, WITS and YMCA: 1.0 = 1.0 contact hour.


First NameEnter the certification organization(s) for which you are seeking credits: How would you rate this educational activity overall? The program met my expectations. The quality of materials and program design met my expectations.The information received was useful and beneficial.What did you like the most about this program?General Comments:
It was interesting to learn something I was not too familiar with, gave good insights
The contraindications outlined for cancer patients  
Strongly Agree
Strongly Agree
Strongly Agree
great content and information

Evaluations prior to new system.

Submission DateFirst NameLast NameEnter the certification organization(s) for which you are seeking credits:Promotional materials were accurate and complete.Administrative instructions were complete and understandable.The course content met my expectations.How will you apply the content of this course to your work?What recommendations and/or general comments do you have?How did you hear about this course?Would you recommend this course to a friend?
2018-01-27 08:08:45MichelMeijersNSCAAgreeAgreeStrongly AgreeIn the description of the course it says that there will be a 40-question exam. In the end it turned out to be a 60-question exam. Not a problem but you might want to adjust the description.Yes
2018-01-11 19:14:35PeterRonaiNASM, ACSM, NSCAStrongly AgreeStrongly AgreeStrongly AgreeI will apply it with clients and with my students in my clinical exercise courses.I cannot think of anything now. I am very happy with each of the courses I have taken.I am very familiar with your courses as I have taken them before. I also refer to this textbook.Yes
2017-12-29 13:14:24BarbaraGutierrezNSCAAgreeAgreeAgreeYes
2017-12-26 13:44:28RileyPhelpsNSCAStrongly AgreeStrongly AgreeStrongly AgreeYes
2017-10-27 15:39:19NSCAStrongly AgreeStrongly AgreeStrongly AgreeYes
2017-10-20 10:00:00W.I.T.S. Personal Trainer and Older Adult Fitness Specialist, State of WI DSPS for PTA licensingStrongly AgreeStrongly AgreeStrongly AgreeI will utilize the course work both in my therapy and fitness trainer jobs.Thoroughly review and memorize ACSM/AHA/ACS/DHHS data before taking quiz due to limited time frame for completion.Self internet search regarding personal fitness training certification renewal processes from various entities, i.e. ACSM, NASM,NSCM, etcYes
2017-09-29 01:39:59NASMStrongly AgreeStrongly AgreeStrongly AgreeI am a Certified Personal Trainer and LMT. I plan on focusing on healing and helping Cancer Survirors.NoneI found it online.Yes
2017-08-23 17:33:51ISSAAgreeAgreeAgreeI have one specific client who is a survivor. She has balance issues due to surgery to remove the tumor from her brain. This was helpful in understanding some of her issues.The first time I took the test I got 60 minutes, as it said I would. I ran out of time. The 2nd time, it only gave me 40 minutes. I was so nervous I wouldn't have time but thought since I had just taken it the day before I would be ok. I ran out of time. The 3rd time, I again only was given 40 minutes. There is some type of glitch but fortunately I passed that time.ISSA websiteYes
2017-07-16 15:34:57NAFCStrongly AgreeStrongly AgreeStrongly AgreeYes
2017-04-22 08:51:10NSCAStrongly AgreeAgreeStrongly Agreeimmediately in the PT clinicgreat course, videos would be a welcome benefitnscaYes
2017-04-10 06:01:49NASMStrongly AgreeStrongly AgreeStrongly AgreeAbsolutely.NASM course list for ceu'sYes
2017-02-26 00:25:51NSCAAgreeAgreeAgreePatient educationnoneNSCAYes
2017-02-25 15:02:34NASMStrongly AgreeStrongly AgreeStrongly AgreeI am a personal trainer and it will allow be confidently work with cancer survivors.The course material had some mis-prints and typo's. It was unfortunate that some of the correct information was only found in the study guide, and not corrected in the PDF material.PTontheNet.com emailYes
2017-02-15 16:10:40International Sports Sciences AssociationAgreeAgreeStrongly AgreeI will use this as a registered dietitian when speaking about exercise as it relates to cancer survivors.None at this time.I looked on-line to see which courses were related to cancer survivorship and exercise.Yes
2016-12-02 15:46:41NASMStrongly AgreeStrongly AgreeStrongly AgreeIn training breast cancer survivorsGreat course!onlineYes
2016-07-19 19:31:14textbox_sample8Strongly AgreeStrongly AgreeStrongly AgreeLorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean mollis ultricies interdum. Nullam pharetra vitae lectus eget volutpat. Integer in sodales ligula. Vestibulum pellentesque arcu in est aliquam rhoncus. Curabitur et dui quis arcu scelerisque congue. Pellentesque libero ligula, sagittis a tempus quis, finibus eget erat. Nunc sed tempor nunc. Mauris tempor odio id lorem commodo dapibus. Nulla viverra mi in magna imperdiet volutpat.Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean mollis ultricies interdum. Nullam pharetra vitae lectus eget volutpat. Integer in sodales ligula. Vestibulum pellentesque arcu in est aliquam rhoncus. Curabitur et dui quis arcu scelerisque congue. Pellentesque libero ligula, sagittis a tempus quis, finibus eget erat. Nunc sed tempor nunc. Mauris tempor odio id lorem commodo dapibus. Nulla viverra mi in magna imperdiet volutpat.Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean mollis ultricies interdum. Nullam pharetra vitae lectus eget volutpat. Integer in sodales ligula. Vestibulum pellentesque arcu in est aliquam rhoncus. Curabitur et dui quis arcu scelerisque congue. Pellentesque libero ligula, sagittis a tempus quis, finibus eget erat. Nunc sed tempor nunc. Mauris tempor odio id lorem commodo dapibus. Nulla viverra mi in magna imperdiet volutpat.Yes