Physical activity interventions in pediatric, adolescent, and young adult cancer survivors: a systematic review

Crowder, Sylvia L.; Buro, Acadia W.; Stern, Marilyn

doi:10.1007/s00520-022-06854-5

Cited by 18 publications

(11 citation statements)

References 39 publications

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“…Compared to other cancer survivors, AYA cancer survivors have an increased risk of anxiety, cancer-related worry, post-traumatic stress symptoms [ 55 ], and mood disturbances [ 8 ]. Although lifestyle interventions show promise for changing health behaviors among pediatric and AYA cancer survivors [ 56 , 57 ], existing interventions do not address the burden of psychosocial stress, which may impact these behaviors. Research is warranted to adequately tailor interventions for younger populations that have unique psychosocial and developmental needs.…”

Section: Discussionmentioning

confidence: 99%

Lifestyle Interventions with Mind-Body or Stress-Management Practices for Cancer Survivors: A Rapid Review

Buro

Crowder

Rozen

et al. 2023

IJERPH

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This rapid review examined current evidence on lifestyle interventions with stress-management or mind-body practices that assessed dietary and/or physical activity outcomes among cancer survivors. Searches were conducted in PubMed, Embase, and PsycINFO based on Cochrane Rapid Reviews Methods Group rapid review recommendations using the keywords “diet,” “physical activity,” “mind-body,” “stress,” and “intervention.” Of the 3624 articles identified from the initial search, 100 full-text articles were screened, and 33 articles met the inclusion criteria. Most studies focused on post-treatment cancer survivors and were conducted in-person. Theoretical frameworks were reported for five studies. Only one study was tailored for adolescent and young adult (AYA) cancer survivors, and none included pediatric survivors. Nine studies reported race and/or ethnicity; six reported that ≥90% participants were White. Many reported significant findings for diet and/or physical activity-related outcomes, but few used complete, validated dietary intake methods (e.g., 24-h recall; n = 5) or direct measures of physical activity (e.g., accelerometry; n = 4). This review indicated recent progress on evaluating lifestyle interventions with stress-management or mind-body practices for cancer survivors. Larger controlled trials investigating innovative, theory-based, personalized interventions that address stress and health behaviors in cancer survivors—particularly racial/ethnic minority and pediatric and AYA populations—are needed.

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Section: Discussionmentioning

confidence: 99%

Lifestyle Interventions with Mind-Body or Stress-Management Practices for Cancer Survivors: A Rapid Review

Buro

Crowder

Rozen

et al. 2023

IJERPH

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“…6,39 We recommend identifying survivors at risk for cardiovascular disease early and offering support with targeted interventions. 40,41 Physical activity has been shown as beneficial and safe during and after treatment, 42,43 yet currently well below recommended levels. [44][45][46][47] Some children need special support because of musculoskeletal or medical impairments.…”

Section: Discussionmentioning

confidence: 99%

“…It is established obesity potentiates the risk for cardiovascular disease, 5 which is deleterious for childhood ALL survivors with already high burdens of cardiovascular disease and related mortality from cancer and treatment with cardiotoxic anthracycline chemotherapy 6,39 . We recommend identifying survivors at risk for cardiovascular disease early and offering support with targeted interventions 40,41 . Physical activity has been shown as beneficial and safe during and after treatment, 42,43 yet currently well below recommended levels 44–47 .…”

Section: Discussionmentioning

confidence: 99%

Risk factors for overweight and obesity after childhood acute lymphoblastic leukemia in North America and Switzerland: A comparison of two cohort studies

Belle,

Schindera,

Ansari

et al. 2023

Cancer Medicine

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BackgroundAfter childhood acute lymphoblastic leukemia (ALL), sequelae include overweight and obesity, yet with conflicting evidence. We compared the prevalence of overweight and obesity between ≥5‐year ALL survivors from the North American Childhood Cancer Survivor Study (CCSS) and the Swiss Childhood Cancer Survivor Study (SCCSS) and described risk factors.MethodsWe included adult childhood ALL survivors diagnosed between 1976 and 1999. We matched CCSS participants (3:1) to SCCSS participants by sex and attained age. We calculated body mass index (BMI) from self‐reported height and weight for 1287 CCSS and 429 SCCSS participants; we then compared those with siblings (2034) in North America and Switzerland (678) siblings. We assessed risk factors for overweight (BMI 25–29.9 kg/m2) and obesity (≥30 kg/m2) using multinomial regression.ResultsWe found overweight and obesity significantly more common among survivors in North America when compared with survivors in Switzerland [overweight: 30%, 95% confidence interval (CI): 27–32 vs. 24%, 21–29; obesity: 29%, 27–32 vs. 7%, 5–10] and siblings (overweight: 30%, 27–32 vs. 25%, 22–29; obesity: 24%, 22–26 vs. 6%, 4–8). Survivors in North America [odds ratio (OR) = 1.24, 1.01–1.53] and Switzerland (1.27, 0.74–2.21) were slightly more often obese than siblings. Among survivors, risk factors for obesity included residency in North America (5.8, 3.7–9.0); male (1.7, 1.3–2.3); attained age (≥45 years: 5.1, 2.4–10.8); Non‐Hispanic Black (3.4, 1.6–7.0); low household income (2.3, 1.4–3.5); young age at diagnosis (1.6, 1.1–2.2). Cranial radiotherapy ≥18 Gray was only a risk factor for overweight (1.4, 1.0–1.8); steroids were not associated with overweight or obesity. Interaction tests found no evidence of difference in risk factors between cohorts.ConclusionsAlthough treatment‐related risk for overweight and obesity were similar between regions, higher prevalence among survivors in North America identifies important sociodemographic drivers for informing health policy and targeted intervention trials.

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“…years, there is a critical gap in effective and scalable physical activity interventions for childhood cancer survivors. 2,3 Cheung and colleagues 4 report on the results of a randomized clinical trial evaluating a brief parent motivational interviewing session with 6 months of ongoing motivational interviewing via instant messaging compared with a brief health educational session to promote physical activity among childhood cancer survivors aged 9 to 16 years. They found significant improvement in physical activity compared with the control group at 6 months and 12 months.…”

mentioning

confidence: 99%

“…Regular participation in physical activity and improved physical fitness are associated with many health benefits for survivors, including improved cardiovascular health, decreased risk of cardiovascular disease, improved quality of life, reduced fatigue, and decreased risk of mortality . Although the number of intervention studies has increased in recent years, there is a critical gap in effective and scalable physical activity interventions for childhood cancer survivors …”

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confidence: 99%

Improving Physical Activity in Pediatric Cancer Survivors—Engaging Parents

Devine

Kwok

2022

JAMA Netw Open

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Physical activity promotion interventions are important to address low levels of physical activity among childhood cancer survivors. Regular participation in physical activity and improved physical fitness are associated with many health benefits for survivors, including improved cardiovascular health, decreased risk of cardiovascular disease, improved quality of life, reduced fatigue, and decreased risk of mortality. 1 Although the number of intervention studies has increased in recent Open Access. This is an open access article distributed under the terms of the CC-BY License.

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Physical activity interventions in pediatric, adolescent, and young adult cancer survivors: a systematic review

Cited by 18 publications

References 39 publications

Lifestyle Interventions with Mind-Body or Stress-Management Practices for Cancer Survivors: A Rapid Review

Lifestyle Interventions with Mind-Body or Stress-Management Practices for Cancer Survivors: A Rapid Review

Risk factors for overweight and obesity after childhood acute lymphoblastic leukemia in North America and Switzerland: A comparison of two cohort studies

Improving Physical Activity in Pediatric Cancer Survivors—Engaging Parents

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