Physical Activity and Pediatric Cancer Survivorship

Juan, Alejandro F. San; Wolin, Kathleen Y.; Lucı́a, Alejandro

doi:10.1007/978-3-642-04231-7_14

Cited by 62 publications

(71 citation statements)

References 89 publications

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“…In addition, relevant child-specific outcomes and appropriate assessments must be determined to evaluate the holistic effects of therapeutic exercise specifically on childhood cancer patients. Consequently, as presented in other reviews, the current literature not only provides promising results but also reveals challenges to be faced in the future (3,12,13,15,16).…”

Section: Review Baumann Et Almentioning

confidence: 86%

“…A s a result of improved treatment regimes in pediatric oncology, the survival rates of children with cancer have risen to ~80% for 5-y survival (1)(2)(3)(4). Therefore, the population of childhood cancer survivors is constantly growing.…”

mentioning

confidence: 99%

“…In pediatric oncology, three reviews (3,15,16) provided an overview of current research with promising results, but to our knowledge, no systematic review on exercise interventions including evidence levels has yet been published. However, this information would be important to establish evidencebased exercise recommendations particularly for childhood cancer patients.…”

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confidence: 99%

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Clinical exercise interventions in pediatric oncology: a systematic review

2013

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Studies in pediatric oncology have shown a positive effect of physical activity on disease-and treatment-related side effects. Although several reviews have approved the benefits of therapeutic exercise for adult cancer patients, no systematic review exists summarizing the evidence of physical activity in pediatric oncology. We identified a total of 17 studies using the PubMed database and Cochrane library. To evaluate the evidence, we used the evaluation system of the Oxford Center for Evidence-Based Medicine 2001. The findings confirm that clinical exercise interventions are feasible and safe, especially with acute lymphoblastic leukemia (ALL) patients and during medical treatment. No adverse effects have been reported. Positive effects were found on fatigue, strength, and quality of life. Single studies present positive effects on the immune system, body composition, sleep, activity levels, and various aspects of physical functioning. Child-specific aspects such as cognitive abilities, growth, adolescence, and reintegration into peer-groups, school, and sports have barely been taken into consideration. The evidence for exercise interventions in pediatric oncology is rated level "3. " Although the results are very promising, future research of high methodological quality and focusing on child-specific aspects is needed to establish evidence-based exercise recommendations, particularly for childhood cancer patients.A s a result of improved treatment regimes in pediatric oncology, the survival rates of children with cancer have risen to ~80% for 5-y survival (1-4). Therefore, the population of childhood cancer survivors is constantly growing. Despite these positive developments, childhood cancer is associated with a wide spectrum of various disease-and treatment-related side effects that may develop into chronic diseases and therefore result in long-term consequences. A negative impact on social, psychological, and physiological levels can be observed. Inactivity (5-7), impaired cardiopulmonary and musculoskeletal function, as well as reduced motor performance levels (8,9) and cognitive abilities (10) have been detected. Current studies also examined a negative impact on psychological well-being, satisfaction, and social functioning (11). Taken together, an impaired quality of life can thus be determined (8,12).During the past few years, several studies have generated first hints describing holistic, positive effects of clinical exercise interventions in pediatric oncology. First results present an association between increased physical activity levels in childhood cancer patients and an improvement in quality of life (13). In particular, physical functioning is increased, anxiety is reduced, and social integration is encouraged (14). Considering the fact that physical activity plays a vital role in the physiological and psychosocial development of children, therapeutic exercise in pediatric oncology is particularly important. However, there is still a lack of comprehensive and evidence-based data in the field o...

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Section: Review Baumann Et Almentioning

confidence: 86%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Clinical exercise interventions in pediatric oncology: a systematic review

2013

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“…There is growing evidence for the positive effects of aerobic exercise training on physical fitness, fatigue and physical well-being of children during and after treatment for cancer [19,26,27,28].…”

Section: Discussionmentioning

confidence: 99%

Impact of Aerobic Exercise on Physical Fitness and Fatigue in Children with Acute Lymphoblastic Leukemia

Baky¹,

Elhakk²

2017

International Journal of Therapies and Rehabilitation Research

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“…A study done by Wolin et al [21] found significant improvements in muscle strength, functional mobility, aerobic fitness and QoL after implementation of an 8-week intervention combining aerobic and resistance exercises. To gauge similar benefits in the current study, we targeted these areas in weeks 3, 4, 5, and 7.…”

Section: Video Set-upmentioning

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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Physical Activity and Pediatric Cancer Survivorship

Cited by 62 publications

References 89 publications

Clinical exercise interventions in pediatric oncology: a systematic review

Clinical exercise interventions in pediatric oncology: a systematic review

Impact of Aerobic Exercise on Physical Fitness and Fatigue in Children with Acute Lymphoblastic Leukemia

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

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