Diet and Exercise After Pancreatic Cancer

Inclusion Criteria: * adult 18 years of age or older with resectable foregut cancer for whom surgery is planned (includes "borderline resectable" if deemed appropriate by surgical investigators) or has occurred within the past 3 years * English speaking * Eastern Cooperative Technology Group (ECOG) performance status of 0,1 or 2. * able to ambulate without assistance * able to obtain medical clearance Exclusion Criteria: * foregut cancer recurrence * dementia or organic brain syndrome * severe emotional distress * medical, psychological or social characteristic that would interfere with the ability to fully participate in program activities and assessments * another diagnosis of cancer in the past 5 years (not including skin or cervical cancer in situ). * oncologist refuses to allow screening for possible study participation * current participation in another exercise trial