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Despite evidence supporting exercise in adult cohorts, research specific to AYAs remains limited. This study examined physical and psychosocial outcomes associated with participation in a community-based, group exercise program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A pragmatic, single-arm, pre-post study design was used. AYAs aged 15\u201327\u00a0years within 2 years post-treatment completed a 12-week group exercise program in a community setting. Biweekly, individualized sessions incorporated aerobic, resistance, and flexibility training under an accredited exercise physiologist\u2019s supervision. The primary outcome was predicted VO\u2082peak, with secondary outcomes including one-repetition maximum (1RM) strength, physical function, body composition, and quality of life (EORTC QLQ-C30, SF-36). Pre\u2013post changes were analyzed using mixed-effects models adjusted for diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 127 participants (mean age 21.4\u2009\u00b1\u20093.0\u00a0years; 51% male), 93 (73%) completed the program and final assessments. A significant improvement was observed in predicted VO\u2082peak (3.1\u00a0mL\u00b7kg\u207b\n                      <jats:sup>1<\/jats:sup>\n                      \u00b7min\u207b\n                      <jats:sup>1<\/jats:sup>\n                      ,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), all 1RM strength measures (leg press\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; chest press\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; seated row\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), physical function (push ups\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; sit ups\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; 5-rep sit-to-stand\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; grip strength\n                      <jats:italic>p\u2009<\/jats:italic>\n                      =\u20090.028), lean mass (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and quality of life across physical, role, and social domains (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Fat mass percentage (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002) and fatigue (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) decreased. No adverse events occurred.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Community-based, group exercise was safe and was associated with improvements in fitness, strength, and quality of life among AYA cancer survivors. Findings are consistent with a beneficial association between scalable, real-world exercise models and long-term survivorship outcomes. This trial was retrospectively registered (ACTRN12620000664943) on 10th June 2020.\u00a0<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00520-026-10838-0","type":"journal-article","created":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T05:45:13Z","timestamp":1780724713000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exercise for survivorship: outcomes associated with a community-based group exercise program for adolescent and young adult cancer survivors"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0268-9377","authenticated-orcid":false,"given":"Claire","family":"Munsie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo","family":"Collins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5843-6243","authenticated-orcid":false,"given":"Jay","family":"Ebert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Plaster","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,6]]},"reference":[{"key":"10838_CR1","volume-title":"Cancer in adolescents and young adults in Australia 2023","author":"Australian Institute of Health Welfare","year":"2023","unstructured":"Health, A.I.o. and Welfare (2023) Cancer in adolescents and young adults in Australia 2023. 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