The Role of Exercise in Pediatric and Adolescent Cancers: A Review of Assessments and Suggestions for Clinical Implementation

Klika, Riggs J.; Tamburini, Angela; Galanti, Giorgio; Mascherini, Gabriele; Stefani, Laura

doi:10.3390/jfmk3010007

Cited by 14 publications

(20 citation statements)

References 73 publications

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“…Previous studies have also suggested that exercise should be initiated to increase their physical activity in hospital settings (Klika et al, 2018). In conclusion, the 8-week exercise programme was feasible and provided preliminary evidence for the benefits of exercise on HRQOL, post-traumatic growth and physical strength levels in childhood cancer survivors.…”

Section: Discussionmentioning

confidence: 70%

“…Previous studies have also suggested that exercise should be initiated to increase their physical activity in hospital settings (Klika et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…Most of these intervention programmes incorporate exercise including the survivor health and resilience education programme to improve bone health; adventure-based training and health education programme to improve physical activity level; yoga programme; and physical activity intervention (Braam et al, 2010;Chung, Li, Chiu, Ho, & Lopez, 2015;Hooke, Gilchrist, Foster, Langevin, & Lee, 2016;Le et al, 2017;Li, Chung, Ho, Chiu, & Lopez, 2013;Mays et al, 2011;Wurz, Chamorro-Vina, Guilcher, Schulte, & Culos-Reed, 2014). In particular, it has been suggested that exercise should be used as a treatment for childhood cancer survivors to optimise the quality of life and to reduce late side effects (Klika, Tamburini, Galanti, Mascherini, & Stefani, 2018). However, adaptation programmes for childhood cancer survivors in Korea have focused solely on psychosocial interventions, such as social competence enhancement (Cho, 2006).…”

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confidence: 99%

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Feasibility and benefits of a combined programme of exercise and play for paediatric cancer survivors: A pilot study

Kim

Park

2019

Eur J Cancer Care

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Objective This study aimed to determine the feasibility and benefits of a combined programme of exercise and play for childhood cancer survivors on health‐related quality of life (HRQOL), post‐traumatic growth and physical strength levels. Methods Six childhood cancer survivors participated in the 8‐week intervention consisting of supervised play and exercise sessions two times per week. The participants performed joint exercises, independently, at home, on the 5 days that they were unable to participate in group exercises. Participants completed measures assessing HRQOL, post‐traumatic growth and physical strength levels at baseline and post‐intervention. Results Recruitment, retention and attendance rates in the 8‐week combined programme were 87.5%, 85.7% and 89.6%, respectively, with no adverse reactions. Statistically significant improvement was observed in post‐traumatic growth (z = −2.20, p = 0.03), subscales of HRQOL school functioning (z = −2.06, p = 0.04) and total score (z = −2.0.3, p = 0.04). Moreover, physical strength measurements using the physical activity promotion system showed that, out of the five total categories, muscle strength (z = −2.02, p = 0.04) and total physical strength (z = −2.03, p = 0.04) scores were statistically significantly improved. Conclusion The 8‐week combined programme of exercise and play was feasible and provided preliminary evidence for the benefits of exercise on HRQOL, post‐traumatic growth and physical activity levels in childhood cancer survivors.

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Section: Discussionmentioning

confidence: 70%

“…Previous studies have also suggested that exercise should be initiated to increase their physical activity in hospital settings (Klika et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Feasibility and benefits of a combined programme of exercise and play for paediatric cancer survivors: A pilot study

Kim

Park

2019

Eur J Cancer Care

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“…Table 1 provides a summary of the physical function domains and the associated assessments used in this protocol. These assessments were chosen because they are validated and recommended by the Academy of Pediatric Physical Therapy for monitoring functional development and functional changes based on the ICF model [47,48]. Assessment was requested no more than 4 times per year.…”

Section: Physical Function Datamentioning

confidence: 99%

Feasibility and Acceptability Findings of an Energy Balance Data Repository of Children, Adolescents, and Young Adults with Cancer

Swartz

Teague

Wells

et al. 2020

JCM

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Cancer patients suffer changes in energy balance (EB), the combination of energy intake (nutrition) and energy expenditure (physical activity (PA)), which may influence cancer-related morbidity, mortality, and quality of life. Significant gaps remain in our understanding of the frequency and magnitude of these EB changes. Herein, we report on the feasibility and acceptability of a longitudinal repository of EB outcomes in children, adolescents and young adults (AYA) with cancer along the cancer continuum to fill these gaps. This EB repository includes PA, nutrition, and physical function (PF) parameters. PA data were gathered through activity trackers. Nutritional data were gathered through food diaries and micronutrient labs. PF was assessed with validated objective and patient-reported measures. Feasibility was achieved with >50% enrollment of eligible patients (n = 80, Mage = 18.1 ± 7.5); 26 were children with cancer and 54 were AYAs with cancer. An 88.75% retention rate indicated acceptability. Despite COVID-19 disruptions, >50% of participants provided completed data for PA and micronutrient labs as of April 2020. Food diaries and PF data collection experienced disruptions. Methodological adaptations are in progress to minimize future disruptions. Overall, our findings demonstrate that prospective EB assessments are feasible and acceptable among children and AYAs with cancer.

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“…Therefore, it is crucial to implement specialist rehabilitation and systematic physical activity that are very important to regain physical fitness lost due to cancer treatment. Properly selected physical exercises and sport help to avoid cancer-related complications at a later stage [25].…”

Section: Introductionmentioning

confidence: 99%

Physical Fitness of School-Age Children after Cancer Treatment

Malicka

Mrowiec

Sajkiewicz

et al. 2019

IJERPH

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The aim of the study was to assess physical fitness of school-age children after cancer treatment. The study was comprised of one hundred and fifty six children—children after cancer treatment (n = 71, mean age 11.22 ± 3.11 years) vs. healthy children previously untreated for cancer (n = 85, mean age 10.71 ± 1.22 years). Physical fitness was assessed indirectly based on a ball throw (assessment of strength, coordination, and upper limb speed), long jump (assessment of jumping ability, speed, and coordination), and a 60 m run (assessment of speed). The analysis was performed based on the Student’s t-test for independent samples and the analysis of variance and the post-hoc least significant difference test (LSD test). Children from the study group threw the ball closer and had shorter long jump performance compared to the control group, i.e., 12.93 [m] vs. 19.79 [m], respectively (p < 0.001) and 2.46 [m] vs. 2.70 [m], respectively (p = 0.02). However, their mean running time was longer, i.e., 13.33 [s] vs. 11.73 [s], respectively (p = 0.01). Division according to sex showed additionally significantly shorter ball throw distance in the study group in both girls (p = 0.001) and boys (p < 0.001), significantly shorter jump length in the group of girls (p = 0.01), and significantly longer running time in the group of boys (p = 0.04). Children treated for cancer are characterized by decreased physical fitness, and motor ability is sex-dependent. Both groups showed decreased strength, coordination, and upper limb speed. Additionally, worse jumping ability was found in girls whereas decreased speed was observed in boys.

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The Role of Exercise in Pediatric and Adolescent Cancers: A Review of Assessments and Suggestions for Clinical Implementation

Cited by 14 publications

References 73 publications

Feasibility and benefits of a combined programme of exercise and play for paediatric cancer survivors: A pilot study

Feasibility and benefits of a combined programme of exercise and play for paediatric cancer survivors: A pilot study

Feasibility and Acceptability Findings of an Energy Balance Data Repository of Children, Adolescents, and Young Adults with Cancer

Physical Fitness of School-Age Children after Cancer Treatment

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