Coletta AM, Marquez G, Thomas P, et al. - Researchers examined patients referred for exercise consultation within a clinical cancer prevention setting for the extent to which they were meeting aerobic and resistance physical activity (PA) guidelines and for the factors associated with PA guidelines adherence. Between 2013 and 2015, an exercise physiologist interviewed 1,024 cancer prevention patients and cancer survivors within an Integrative Health Program at The University of Texas MD Anderson Cancer Prevention Center. At least 150-minutes of moderate-intensity or 75-minutes of vigorous-intensity PA per week, along with resistance training at least 2 days per week, defined PA adherence. Adherence to guideline-based PA was identified in 9% of patients. Guideline-based PA was not met in correlation to overweight or obesity in both cancer prevention patients and cancer survivors. They observed a robust association of combination treatment with surgery, radiation, and chemotherapy (multimodal therapy) with not meeting aerobic guidelines among breast cancer survivors. Findings emphasized the necessity for recognizing and uniting patients at highest risk of poor PA adherence with exercise programs to promote PA, a key modifiable cancer risk factor.