Adolescents and young adult cancer survivors: exercise habits, quality of life and physical activity preferences

Murnane, Andrew; Gough, Karla; Thompson, Kate; Holland, Lucy; Conyers, Rachel

doi:10.1007/s00520-014-2446-2

Cited by 101 publications

(102 citation statements)

References 41 publications

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“…Existing evidence shows that AYAs with cancer have insufficient sleep and physical activity [33][34][35]. Self-management related to promoting sleep and physical activity is an important area for intervention development.…”

Section: Discussionmentioning

confidence: 99%

Symptom self-management strategies reported by adolescents and young adults with cancer receiving chemotherapy

Linder

Erickson

Stegenga

et al. 2017

Support Care Cancer

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Purpose Adolescents and young adults (AYAs) with cancer experience multiple symptoms related to their cancer and its treatment which can negatively impact their development and quality of life. An understanding of the strategies AYAs use to self-manage their symptoms is limited. This study described symptom self-management strategies reported by AYAs with cancer using an iPad-based symptom heuristics tool, the Computerized Symptom Capture Tool. Methods The study used a cross-sectional, descriptive design. AYAs' free text responses relating their symptom selfmanagement strategies were explored using qualitative content analysis procedures. Strategies were examined overall and by individual symptoms. Results Seventy-two AYAs 13-29 years of age (mean 18.4 years) reported a total of 772 symptom selfmanagement codes for 585 individual symptoms. These codes were organized into 119 distinct categories. These categories were further organized into 16 subthemes and 3 overarching themes: BThings I Take … or Not^(n = 209 codes), BPhysical Care Things I Do^(n = 367 codes), and BPsychosocial Care Things I Do^(n = 132 codes). AYAs frequently reported strategies from all three of the symptom self-management themes to manage individual symptoms; however, Bmedications^was the most frequently reported strategy. Conclusion AYAs receiving chemotherapy use multiple common, yet uniquely individual symptom self-management strategies. AYAs' reported strategies range from those that involve shared management with a healthcare provider to those that AYAs implement independently. The study provides a foundation for future research to empower AYAs to engage in symptom self-management and to guide healthcare providers as they discuss developmentally relevant and evidence-based symptom self-management strategies.

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Section: Discussionmentioning

confidence: 99%

Symptom self-management strategies reported by adolescents and young adults with cancer receiving chemotherapy

Linder

Erickson

Stegenga

et al. 2017

Support Care Cancer

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“…19 Even though there was an increase in survivors who reported adequate exercise after treatment compared to during treatment, the total time spent exercising remained significantly lower than pre-diagnosis activity. 19 While rates of inactivity are similar to those seen in healthy AYAs, the lack of adequate exercise in the AYA survivor population has significant clinical importance and may contribute to survivors' already heightened risk for increased morbidity and mortality. 20 Substantial evidence in animals and humans highlights the detrimental effects of physical inactivity across systems emanating from poor musculoskeletal development in "healthy" states that would undoubtedly be augmented in the proinflammatory environment of cancer treatment.…”

mentioning

confidence: 90%

“…9,[15][16][17] It is estimated that 48%-65% of AYA survivors are currently not meeting these recommendations, regardless of cancer diagnosis. 14,18,19 The only study identified to document patterns of exercise engagement in AYA survivors across the cancer experience found that while 70% of AYAs in the sample met CDC recommendations prior to treatment, only 10% reported meeting guidelines during treatment, and less than 49% reported meeting exercise guidelines as survivors. 19 Even though there was an increase in survivors who reported adequate exercise after treatment compared to during treatment, the total time spent exercising remained significantly lower than pre-diagnosis activity.…”

mentioning

confidence: 99%

“…14,18,19 The only study identified to document patterns of exercise engagement in AYA survivors across the cancer experience found that while 70% of AYAs in the sample met CDC recommendations prior to treatment, only 10% reported meeting guidelines during treatment, and less than 49% reported meeting exercise guidelines as survivors. 19 Even though there was an increase in survivors who reported adequate exercise after treatment compared to during treatment, the total time spent exercising remained significantly lower than pre-diagnosis activity. 19 While rates of inactivity are similar to those seen in healthy AYAs, the lack of adequate exercise in the AYA survivor population has significant clinical importance and may contribute to survivors' already heightened risk for increased morbidity and mortality.…”

mentioning

confidence: 99%

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Strategies to promote regular exercise in adolescent and young adult cancer survivors

Barnes

Casazza²,

Austin³

2015

COAYA

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Adolescents and young adults (AYAs) diagnosed with cancer are at increased risk for current and future health problems and premature death. Given the known risks for increased mortality and morbidity, fostering the development of exercise behaviors that may target the specific late effects experienced by AYA cancer survivors is crucial for healthy aging. Exercise is particularly important in the mitigation of late effects as it alters metabolic pathways that ultimately influence the development of chronic diseases associated with cancer treatment in AYAs. Despite the importance of exercise, a large proportion of AYA survivors do not meet recommended guidelines for exercise. The current review summarizes the beneficial effects of exercise in AYA survivors, evaluates strategies utilized in interventions that have been developed to address exercise engagement, and provides recommendations for psychosocial strategies on how to improve these behaviors in this population. A total of nine empirical articles examining exercise interventions in AYAs with a history of cancer were included for review. While several exercise strategies appear promising, more research is needed to evaluate long-term influence of strategies on exercise engagement, as well as the interactions these strategies have on AYA exercise maintenance and health outcomes as they continue into adulthood. Future interventions should evaluate key psychosocial strategies to increase both short-and long-term exercise adherence as well as overall health benefits.

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“…The combined impairments can all negatively affect and diminish a cancer survivors' health related quality of life (HRQOL). Research in this area has shown that exercise can aide in the management of these impairments and improve a cancer survivor's quality of life in the adult population [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

The Development and Feasibility of an At-Home, Internet-Based Exercise and Nutrition Education Program in Child Cancer Survivors

Wonders¹

2016

MOJCR

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This development and feasibility study aimed to determine if an online exercise and nutrition education program provided a more feasible mode of accessing health information in child cancer survivors. Exercise and proper nutrition has been shown to aid in the management of cancer-related impairments and natural linear growth. Ten families of childhood cancer survivors agreed to participate in the 8-week study. Families and survivors were required to watch a 10-15 minute video each week containing education on proper exercise and nutrition techniques. Child survivors were sent exercise diaries to self-track daily activity and food consumption. Feasibility feedback and considerations from families were the primary measures of the study and were gauged through email and phone conversations. Quality of Life (QoL) was measured through the RAND 36-Item Health Survey and served as our secondary measure. Subjects performed an average of 5 hours a week of activity demonstrated in the online videos. Families found online avenues to be less cost and time consuming as well as more convenient way to access this information.

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Adolescents and young adult cancer survivors: exercise habits, quality of life and physical activity preferences

Cited by 101 publications

References 41 publications

Symptom self-management strategies reported by adolescents and young adults with cancer receiving chemotherapy

Symptom self-management strategies reported by adolescents and young adults with cancer receiving chemotherapy

Strategies to promote regular exercise in adolescent and young adult cancer survivors

The Development and Feasibility of an At-Home, Internet-Based Exercise and Nutrition Education Program in Child Cancer Survivors

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