A scoping review to map the evidence of physical activity interventions in post-treatment adolescent and young adult cancer survivors

Caru, Maxime; Levesque, Ariane; Rao, Pooja; Dandekar, Smita; Terry, Christopher; Brown, Valerie I.; McGregor, Lisa M.; Schmitz, Kathryn H.

doi:10.1016/j.critrevonc.2022.103620

Cited by 23 publications

(14 citation statements)

References 67 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…54 Furthermore, it was not surprising that physical activity and exercise were the most frequently used study elements as they have been widely researched within cancer rehabilitation, and several scoping reviews on physical activity among YACS already exist. 20,[55][56][57] The focus on physical activity and exercise can be considered rather one-dimensional although physical activity has shown to influence all biopsychosocial dimensions. 20 However, rehabilitation is rooted in a biopsychosocial model of health, 14,15 which requires multicomponent interventions addressing physical, psychological and social dimensions, including participation in everyday life.…”

Section: Discussionmentioning

confidence: 99%

“…20,[55][56][57] The focus on physical activity and exercise can be considered rather one-dimensional although physical activity has shown to influence all biopsychosocial dimensions. 20 However, rehabilitation is rooted in a biopsychosocial model of health, 14,15 which requires multicomponent interventions addressing physical, psychological and social dimensions, including participation in everyday life. 14,15 The biopsychosocial paradigm has been shown to increase participation in everyday life in adult cancer survivors and aligns with YACS' multifactorial, yet different, needs.…”

Section: Discussionmentioning

confidence: 99%

“…18,19 Despite this knowledge and the growing recognition of the need for age-specific rehabilitation for YACS, no review has so far provided a comprehensive overview of existing interventions addressing all factors of the biopsychosocial model of health, which is necessary to meet the multifactorial challenges that YACS face in everyday life. [20][21][22][23] Such knowledge could provide valuable evidence to inform future evidence-based rehabilitation for YACS. The objective of this review is thus to map existing research concerning rehabilitation interventions for YACS that address at least one of the dimensions of the biopsychosocial model of health.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Rehabilitation interventions for young adult cancer survivors: A scoping review

et al. 2023

View full text Add to dashboard Cite

Objective To map existing research concerning rehabilitation interventions for young adult cancer survivors (YACS) that address at least one factor from the biopsychosocial health model. Design Scoping review. Data sources Searches were performed in EMBASE, MEDLINE, PsycINFO, CINAHL and Cochrane in January 2022 and updated in March 2023, and grey literature between February and April 2022. Methods The review followed Joanna Briggs Institute's methodology for scoping reviews. Quantitative, qualitative and mixed methods studies evaluating interventions for YACS of any cancer who had completed primary treatment and were between 18 and 39 years old at diagnosis were included. Two authors independently screened studies for eligibility, and standardised forms were used for data extraction. Descriptive statistics, narrative summaries and thematic analysis were used to analyse the data. Results The search revealed 5706 records, of which 70 were full-text screened. The 20 included studies represented a heterogeneous group of 444 young adults with different cancer types, mean age above 25, and an overrepresentation of females. Most studies were feasibility and pilot studies. The 20 studies consisted of 14 unique interventions focusing primarily on one dimension of the biopsychosocial health model like biological or psychological factors. In the 14 interventions, the most frequent intervention element was peer-to-peer support ( n = 12). The interventions were often delivered online ( n = 9), lasting 3–12 months ( n = 8). A wide variety of theories, providers and outcome measures were used. Conclusion The results show that current research on multicomponent, biopsychosocial and age-specific rehabilitation for YACS remains at an early stage.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Rehabilitation interventions for young adult cancer survivors: A scoping review

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Engaging in regular aerobic exercise and strength training improves functional outcomes (ie, aerobic capacity and endurance, muscle strength, and muscle endurance) 34 and AYAs who achieve physical activity guidelines (150 minutes of moderate physical activity, 75 minutes of vigorous physical activity, or a combination of these each week) report better mental health, lower stress, and fewer depressive symptoms than those who are more sedentary. 35 Unfortunately, physical activity decreases after cancer diagnosis for many AYAs 36 and over one third of AYA survivors do not meet physical activity guidelines.…”

Section: Health Behaviorsmentioning

confidence: 99%

Psychological Outcomes in Adolescent and Young Adult Cancer Survivors

McGrady,

Willard,

Williams

et al. 2024

JCO

View full text Add to dashboard Cite

The diagnosis of cancer during adolescent and young adulthood (AYA) may alter the development and psychological trajectory of survivors across their lifespan. The current review focuses broadly on emotional health, social functioning, health behaviors, and cancer-related cognitive impairment (CRCI) among AYA survivors. Overall, AYA survivors appear to be at elevated risk of emotional distress symptoms, mood and anxiety disorders, suicide, and mental health care service utilization compared with individuals without a cancer history. Difficulties with social relationships and reduced achievement of expected social outcomes including educational attainment and employment have been reported. Despite risk for health-related morbidities, including subsequent neoplasms, many AYA survivors do not engage in health behaviors at the recommended levels for physical activity, diet, or tobacco and alcohol use. Although CRCI has not been comprehensively characterized in this population, subgroups of AYA survivors appear to be at risk for experiencing CRCI, including survivors of central nervous system tumors, Hodgkin lymphoma, testicular, and breast cancer. Across each considered domain of psychological functioning, intervention efforts have largely focused on acceptability and feasibility with an increasing focus on e/mHealth approaches. Future research should include multiphase studies, including randomized controlled trials designed to evaluate intervention efficacy and effectiveness. It is imperative that psychological interventions consider the unique needs of AYA survivors by developmental stage and across multiple levels of influence (patient, support system, institution, and health care system).

show abstract

“…Physical activity is beneficial for outcomes in both healthy and disease-burdened populations ( 14 ). Previous reviews have summarized the research literature on exercise training for mixed pediatric cancer diagnoses ( 15 – 18 ), the combination of adolescent and young adult cancer groups ( 19 , 20 ), and exercise interventions during the treatment phase ( 21 – 23 ). The results indicate that therapeutic exercise training of sufficient frequency, intensity, and duration can improve cardiorespiratory fitness, muscular strength, fatigue and cognitive functioning ( 15 – 17 ).…”

Section: Introductionmentioning

confidence: 99%

Therapeutic exercise interventions in pediatric survivors of brain cancer and other solid tumors: A scoping review

et al. 2022

View full text Add to dashboard Cite

BackgroundImproved survival rates for children with solid tumors presents an ongoing challenge of how to maximize quality of survivorship and effectively manage the short- and long-term complications of disease and treatment. To gain an understanding of the extent and nature of research pertaining to therapeutic exercise interventions and identify knowledge gaps, we conducted a scoping review of exercise training studies conducted in pediatric survivors of brain cancer and other solid tumors.MethodA systematic literature search was performed across four electronic databases. Papers were selected for full-text review if they included participants treated for brain cancer or other solid tumors, with at least 50% of participants aged ≤ 21 years, evaluated an exercise intervention ≥2-weeks in duration, and were published in an English, peer-reviewed journal. We included the following quantitative study designs; randomized controlled trials, non-randomized trials, and single-arm pre-test-post-test.ResultsOf the 7,482 citations identified, 17 papers met the inclusion criteria (presenting findings from eleven studies). Two studies were randomized controlled trials, five studies were non-randomized controlled trials, and four studies were a single-arm pre-test post-test design. Average age of participants ranged from 7.3–15.5 years, and time since diagnosis ranged from 3 to 70 months. Five studies included participants with brain tumors exclusively, three studies included other solid tumors, and three studies included a mixed sample (brain and other solid tumors). A wide range of exercise modalities were employed, including cycle ergometry, resistance training, sport, yoga, and active gaming. The length of the exercise program ranged from 3–40 weeks and frequency from 3–11 sessions per week. Exercise session duration ranged from 15–180 min, with most studies reporting 30–90-min sessions. Adherence ranged from 77 to 100%, with none of the studies reporting adverse events. Studies reported improvements in cardiorespiratory fitness, functional strength, physical activity, and quality of life.ConclusionsA small number of mostly low methodological quality studies have examined the effects of therapeutic exercise in pediatric survivors of solid tumors. Although limited, the extant literature supports the feasibility and safety of therapeutic exercise interventions for pediatric survivors of brain cancer and other solid tumors.

show abstract

A scoping review to map the evidence of physical activity interventions in post-treatment adolescent and young adult cancer survivors

Cited by 23 publications

References 67 publications

Rehabilitation interventions for young adult cancer survivors: A scoping review

Rehabilitation interventions for young adult cancer survivors: A scoping review

Psychological Outcomes in Adolescent and Young Adult Cancer Survivors

Therapeutic exercise interventions in pediatric survivors of brain cancer and other solid tumors: A scoping review

Contact Info

Product

Resources

About