This prospective observational cohort study evaluates a community-based supervised exercise oncology program delivered in real-world settings in Madrid, Spain. The program is designed for adults with a cancer diagnosis across the cancer continuum, including survivors, patients undergoing active treatment, individuals receiving hormonotherapy, and patients with metastatic disease. Participants take part in a structured multimodal exercise program combining aerobic, resistance, and functional training, delivered in supervised group-based sessions either in person or through synchronous online formats. The primary aims of the study are to assess program adherence, health-related quality of life, fatigue, and cost-effectiveness, expressed as quality-adjusted life years (QALYs). Secondary outcomes include cardiorespiratory fitness, muscular strength, functional capacity, physical activity levels, body composition, and psychological well-being. Assessments are conducted at baseline and every four months over a 12-month follow-up period. This study provides real-world evidence on the feasibility, clinical impact, and economic value of community-based exercise oncology programs across different stages of the cancer trajectory.
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Adherence
Timeframe: Baseline, 4 months, 8 months, and 12 months.
Health-related quality of life (FACT-G)
Timeframe: Baseline, 4 months, 8 months, and 12 months.
Fatigue (FACT-F)
Timeframe: Baseline, 4 months, 8 months, and 12 months.
Quality-adjusted life years (QALYs)
Timeframe: Baseline, 4 months, 8 months, and 12 months.
Barriers to participation
Timeframe: Baseline, 4 months, 8 months, and 12 months.