RT journal article T1 Exploring the health benefits of outdoor exercise for cancer survivors: a systematic review of more than 700 individuals A1 Ortega Gómez, Sonia A1 Di Bartolo, Luca A1 Velissari, Joanna A1 Gomes, Beatriz A1 Pusa, Susanna A1 Thaller, Joshua A1 Papakonstantinou, Sofia A1 Kirkar, Musa A1 Iannitto, Ennio A1 Moura, Nádia A1 Nogueira, Carmen A1 Ponce González, Jesús Gustavo A1 Baxter, Rebecca A1 Tavares, Paula A1 Vantarakis, Apostolos A1 Bianco, Antonino A1 Carbonell Baeza, Ana A1 Jiménez Pavón, David A2 Didáctica de la Educación FísicaPlástica y Musical K1 Exercise therapy K1 Mental health K1 Quality of life K1 Survivorship AB Cancer’s rising incidence and growing survivor population underscore the need for strategies to enhance health and quality of life. Outdoor physical activity (PA) settings may provide unique benefits, yet evidence in this context is scarce. This systematic review aims to evaluate the impact of outdoor PA and exercise interventions on the health and well-being of cancer survivors. Methods: A systematic search was conducted in PubMed, Web of Science, and PsycINFO databases from their inception until April 23, 2024. Studies included randomized controlled trials (RCTs) and non-RCTs involving outdoor PA or exercise interventions for cancer survivors. The search strategy adhered to PRISMA guidelines, and the quality of studies was assessed using the PEDro scale. Results: Twelve studies involving 712 cancer survivors were included, comprising 7 RCTs and 5 non-RCTs. Four studies compared outdoor exercise to indoor exercise instead of a usual care control group, and one used a crossover design. The interventions varied in frequency, intensity, time, and type, with Nordic walking and walking being the most common. Key findings indicated significant improvements in mental health, PA levels, muscular fitness, body composition, and exercise motivation. However, the impact on vital signs and sleep quality was inconclusive due to the limited number of studies and variability in interventions. Conclusions: Outdoor PA, including structured exercise interventions, substantially benefits cancer survivors, particularly in enhancing mental health and physical fitness. Despite the promising findings, further research is needed to explore long-term effects, the benefits for different cancer types and age groups, and the underlying mechanisms of these interventions. Health practitioners should consider incorporating outdoor activities into cancer rehabilitation programs. PB BioMed Central Ltd SN 2046-4053 YR 2025 FD 2025 LK http://hdl.handle.net/10498/38640 UL http://hdl.handle.net/10498/38640 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 21-sep-2026