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Paradoxes and personalised medicine: from preseason to post-diagnosis
  1. Jane S Thornton
  1. Correspondence to Dr Jane S Thornton, The Western Centre for Public Health and Family Medicine, 1st floor, Schulich School of Medicine & Dentistry, Western University, 1465 Richmond St., London, Ontario, Canada N6G 2M1; jane.s.thornton{at}

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In this Canadian Academy of Sport and Exercise Medicine (CASEM)-led issue, we highlight the myriad benefits of physical activity. Evidence continues to emerge for the role of chronic workload in sport injury prevention, this time in rugby league players.195973 Just as an optimal training stimulus will enhance performance and decrease injury in elite sport, it appears similar principles may apply to patients with cancer or chronic disease.

Pushing the envelope in exercise medicine too

The emergence of paradoxes extends to both sports and exercise medicine. Higher chronic match and training workloads, once thought to cause injuries, are now being reconsidered as a protective ‘vaccine’.2 Where we used to treat cancer and chronic disease with kid gloves, now we are setting new guidelines for higher activity levels. In recent years, this counterintuitive thinking has led to studies regarding high-intensity interval training in disease …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.