Sami Mansfield, Founder of Cancer Wellness for Life, shared a post on LinkedIn:
“A new JAMA Oncology study (Cao, Schmitz, Ligibel, 2026) tracked a decade of national data on ~19 million U.S. survivors.
Two findings sit uncomfortably together.
- Fewer than half – 47% – were ever advised by a clinician to exercise. For diet and weight, closer to a third. Across ten years of ASCO, ACS, and ACSM guidelines, that number didn’t budge.
- When survivors did get the advice, they were about three times more likely to be active.
So the advice works. We’re just not giving it. And even advice is only the first inch of the ‘how’ – ‘move more’ isn’t a plan. The study names the barriers plainly: clinicians don’t have the lifestyle-medicine training, the time, or the resources to offer more than a sentence between scans.
That’s the gap I keep hitting. Not ‘does lifestyle matter’ – settled. It’s who walks a survivor from you should to here’s how, step by step, this week.
It’s a big part of why I built Shift – because a survivor deserves more than a recommendation they’re handed and left to execute alone.
The science is done arguing. The work now is delivery.
So here’s the delivery, in three questions to ask whoever’s sitting in front of you tomorrow:
- Which single habit – moving, eating, sleeping, connecting – are you most interested in starting?
- What’s the one thing most likely to get in your way?
- And is there a resource I can point you to, or someone I can connect you with, to help you follow through?
Let’s not be afraid to open the door and hear what our patients need.
Chao Cao, Kathryn Schmitz – thank you for bringing this paper to such a diverse audience!”

Other articles featuring Sami Mansfield on OncoDaily.