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Healthy lifestyle interventions for childhood and adolescent cancer survivors: a systematic review and meta-analysis

강경아|Suk Jung Han|Jiyoung Chun|Hyun-Yong Kim|Yerin Oh|Heejin Yoon
한국아동간호학회 (Korean Academy of Child Health Nursing)|2023.04|Child Health Nursing Research|제29권 제2호|pp. 111-127

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키워드

Systematic reviewCancer survivorsMeta-analysisHealthy lifestyle
주제분류간호학

초록

Purpose: This study investigated the effects of healthy lifestyle interventions (HLSIs) on health-related quality of life (HR-QoL) in childhood and adolescent cancer survivors (CACS). Methods: Major databases were searched for English-language original articles published between January 1, 2000 and May 2, 2021. Randomized controlled trials (RCTs) and non-RCTs were included. Quality was assessed using the revised Cochrane risk-of-bias tool, and a meta-analysis was conducted using RevMan 5.3 software. Results: Nineteen studies were included. Significant effects on HR-QoL were found for interventions using a multi-modal approach (exercise and education) (d=-0.46; 95% confidence interval [CI]=-0.84 to -0.07, p=.02), lasting not less than 6 months (d=-0.72; 95% CI=-1.15 to -0.29, p=.0010), and using a group approach (d=-0.46; 95% CI=-0.85 to -0.06, p=.02). Self-efficacy showed significant effects when HLSIs provided health education only (d=-0.55; 95% CI=-0.92 to -0.18; p=.003), lasted for less than 6 months (d=-0.40; 95% CI=-0.69 to -0.11, p=.006), and were conducted individually (d=-0.55; 95% CI=-0.92 to -0.18, p=.003). The physical outcomes (physical activity, fatigue, exercise capacity-VO2, exercise capacity-upper body, body mass index) revealed no statistical significance. Conclusion: Areas of HLSIs for CACS requiring further study were identified, and needs and directions of research for holistic health management were suggested.

Abstract

Purpose: This study investigated the effects of healthy lifestyle interventions (HLSIs) on health-related quality of life (HR-QoL) in childhood and adolescent cancer survivors (CACS). Methods: Major databases were searched for English-language original articles published between January 1, 2000 and May 2, 2021. Randomized controlled trials (RCTs) and non-RCTs were included. Quality was assessed using the revised Cochrane risk-of-bias tool, and a meta-analysis was conducted using RevMan 5.3 software. Results: Nineteen studies were included. Significant effects on HR-QoL were found for interventions using a multi-modal approach (exercise and education) (d=-0.46; 95% confidence interval [CI]=-0.84 to -0.07, p=.02), lasting not less than 6 months (d=-0.72; 95% CI=-1.15 to -0.29, p=.0010), and using a group approach (d=-0.46; 95% CI=-0.85 to -0.06, p=.02). Self-efficacy showed significant effects when HLSIs provided health education only (d=-0.55; 95% CI=-0.92 to -0.18; p=.003), lasted for less than 6 months (d=-0.40; 95% CI=-0.69 to -0.11, p=.006), and were conducted individually (d=-0.55; 95% CI=-0.92 to -0.18, p=.003). The physical outcomes (physical activity, fatigue, exercise capacity-VO2, exercise capacity-upper body, body mass index) revealed no statistical significance. Conclusion: Areas of HLSIs for CACS requiring further study were identified, and needs and directions of research for holistic health management were suggested.

참고문헌 (50)

  1. Steliarova-Foucher E, "IICC-3 Contributors. International incidence of childhood cancer, 2001-10: a population-based registry study", The Lancet Oncology, 18(6), pp.719~731 (2017), Elsevier BV[DOI]
  2. Claudia Allemani, "Global surveillance of trends in cancer survival 2000–14 (CONCORD-3): analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries", The Lancet, 391(10125), pp.1023~1075 (2018), Elsevier BV[DOI]
  3. I-Chan Huang, "Association Between the Prevalence of Symptoms and Health-Related Quality of Life in Adult Survivors of Childhood Cancer: A Report From the St Jude Lifetime Cohort Study", Journal of Clinical Oncology, 31(33), pp.4242~4251 (2013), American Society of Clinical Oncology (ASCO)[DOI]
  4. Veda Zabih, "Interventions to improve adherence to surveillance guidelines in survivors of childhood cancer: a systematic review", Journal of Cancer Survivorship, 13(5), pp.713~729 (2019), Springer Science and Business Media LLC[DOI]
  5. Meghan B. Skiba, "Dietary Interventions for Adult Survivors of Adolescent and Young Adult Cancers: A Systematic Review and Narrative Synthesis", Journal of Adolescent and Young Adult Oncology, 9(3), pp.315~327 (2020), Mary Ann Liebert Inc[DOI]
  6. Sheena Tjon-A-Joe, "Adherence to Diet and Body Weight Recommendations among Cancer Survivors after Completion of Initial Cancer Treatment: A Systematic Review of the Literature", Nutrition and Cancer, 71(3), pp.367~374 (2018), Informa UK Limited[DOI]
  7. Javier S. Morales, "Is health status impaired in childhood cancer survivors? A systematic review and meta-analysis", Critical Reviews in Oncology, 2019, pp.142, 94~118[DOI]
  8. Gemma Pugh, "Health Behavior Change Interventions for Teenage and Young Adult Cancer Survivors: A Systematic Review", Journal of Adolescent and Young Adult Oncology, 5(2), pp.91~105 (2016), Mary Ann Liebert Inc[DOI]
  9. David Mizrahi, "Distance-delivered physical activity interventions for childhood cancer survivors: A systematic review and meta-analysis", Critical Reviews in Oncology, 2017, pp.118, 27~41[DOI]
  10. Godfred O. Antwi, "Physical activity and fitness among pediatric cancer survivors: a meta-analysis of observational studies", Supportive Care in Cancer, 27(9), pp.3183~3194 (2019), Springer Science and Business Media LLC[DOI]
  11. Xiaoxu Zhi, "Effects of Exercise Intervention on Quality of Life in Adolescent and Young Adult Cancer Patients and Survivors: A Meta-Analysis", Integrative Cancer Therapies, 18, pp.153473541989559~ (2019), SAGE Publications[DOI]
  12. Christina M. Sharkey, "Psychological adjustment outcomes among pediatric brain tumor survivors: A meta‐analysis", Pediatric Blood & Cancer, 67(10) (2020), Wiley[DOI]
  13. Giancarlo Di Giuseppe, "Anxiety, depression, and mental health-related quality of life in survivors of pediatric allogeneic hematopoietic stem cell transplantation: a systematic review", Bone Marrow Transplantation, 55(7), pp.1240~1254 (2020), Springer Science and Business Media LLC[DOI]
  14. Jorge Gaete, "Adolescent Lifestyle Profile-Revised 2: validity and reliability among adolescents in Chile", Jornal de Pediatria, 97(1), pp.52~60 (2021), Elsevier BV[DOI]
  15. "Healthy people 2020: adolescent health" (2020)[URL]
  16. Fang Fang Zhang, "Lifestyle factors and health‐related quality of life in adult survivors of childhood cancer: A report from the St. Jude Lifetime Cohort Study", Cancer, 124(19), pp.3918~3923 (2018), Wiley[DOI]
  17. Echo L. Warner, "Health behaviors, quality of life, and psychosocial health among survivors of adolescent and young adult cancers", Journal of Cancer Survivorship, 10(2), pp.280~290 (2015), Springer Science and Business Media LLC[DOI]
  18. Kirsten K. Ness, "The Impact of Limitations in Physical, Executive, and Emotional Function on Health-Related Quality of Life Among Adult Survivors of Childhood Cancer: A Report From the Childhood Cancer Survivor Study", Archives of Physical Medicine and Rehabilitation, 89(1), pp.128~136 (2008), Elsevier BV[DOI]
  19. Jacqueline Casillas, "Development of a text messaging system to improve receipt of survivorship care in adolescent and young adult survivors of childhood cancer", Journal of Cancer Survivorship, 11(4), pp.505~516 (2017), Springer Science and Business Media LLC[DOI]
  20. Stacey Marjerrison, "Smoking, Binge Drinking, and Drug Use Among Childhood Cancer Survivors: A Meta‐Analysis", Pediatric Blood & Cancer, 63(7), pp.1254~1263 (2016), Wiley[DOI]
  21. William A. Ramsey, "eHealth and mHealth interventions in pediatric cancer: A systematic review of interventions across the cancer continuum", Psycho-Oncology, 29(1), pp.17~37 (2019), Wiley[DOI]
  22. Matthew J Page, "The PRISMA 2020 statement: an updated guideline for reporting systematic reviews", BMJ, pp.n71~ (2021), BMJ[DOI]
  23. ". Available from"[URL]
  24. Sterne JA, "ROBINS-I : a tool for assessing risk of bias in non-randomised studies of interventions", BMJ, 355, pp.i4919~ (2016)[DOI]
  25. (2014)[URL]
  26. Cohen J, "Statistical power analysis for the behavioral sciences", pp.24~ (1988), Routledge
  28. Jacqueline N. Casillas, "The use of mobile technology and peer navigation to promote adolescent and young adult (AYA) cancer survivorship care: results of a randomized controlled trial", Journal of Cancer Survivorship, 13(4), pp.580~592 (2019), Springer Science and Business Media LLC[DOI]
  29. Katie A. Devine, "Feasibility of FitSurvivor: A technology‐enhanced group‐based fitness intervention for adolescent and young adult survivors of childhood cancer", Pediatric Blood & Cancer, 67(9) (2020), Wiley[DOI]
  30. Carrie R. Howell, "Randomized web‐based physical activity intervention in adolescent survivors of childhood cancer", Pediatric Blood & Cancer, 65(8) (2018), Wiley[DOI]
  31. Jeannie S. Huang, "Fit4Life: A weight loss intervention for children who have survived childhood leukemia", Pediatric Blood & Cancer, 61(5), pp.894~900 (2014), Wiley[DOI]
  32. Melissa M. Hudson, "Multi‐component behavioral intervention to promote health protective behaviors in childhood cancer survivors: The Protect Study", Medical and Pediatric Oncology, 39(1), pp.2~11 (2002), Wiley[DOI]
  33. Alicia Kunin-Batson, "A randomized controlled pilot trial of a Web-based resource to improve cancer knowledge in adolescent and young adult survivors of childhood cancer", Psycho-Oncology, 25(11), pp.1308~1316 (2015), Wiley[DOI]
  34. Darren Mays, "Efficacy of the Survivor Health and Resilience Education (SHARE) Program to Improve Bone Health Behaviors Among Adolescent Survivors of Childhood Cancer", Annals of Behavioral Medicine, 42(1), pp.91~98 (2011), Oxford University Press (OUP)[DOI]
  35. Jason A. Mendoza, "A Fitbit and Facebook mHealth intervention for promoting physical activity among adolescent and young adult childhood cancer survivors: A pilot study", Pediatric Blood & Cancer, 64(12) (2017), Wiley[DOI]
  36. Morgan Atkinson, "A randomized controlled trial of a structured exercise intervention after the completion of acute cancer treatment in adolescents and young adults", Pediatric Blood & Cancer, 68(1) (2020), Wiley[DOI]
  37. CARMEN FIUZA-LUCES, "Exercise Intervention in Pediatric Patients with Solid Tumors", Medicine & Science in Sports & Exercise, 49(2), pp.223~230 (2017), Ovid Technologies (Wolters Kluwer Health)[DOI]
  38. Jahn Dubery Manchola-González, "Effects of a home-exercise programme in childhood survivors of acute lymphoblastic leukaemia on physical fitness and physical functioning: results of a randomised clinical trial", Supportive Care in Cancer, 28(7), pp.3171~3178 (2019), Springer Science and Business Media LLC[DOI]
  39. Ria Blaauwbroek, "The effect of exercise counselling with feedback from a pedometer on fatigue in adult survivors of childhood cancer: a pilot study", Supportive Care in Cancer, 17(8), pp.1041~1048 (2008), Springer Science and Business Media LLC[DOI]
  40. Elisabeth M. van Dijk‐Lokkart, "Effects of a combined physical and psychosocial intervention program for childhood cancer patients on quality of life and psychosocial functioning: results of the QLIM randomized clinical trial", Psycho-Oncology, 25(7), pp.815~822 (2015), Wiley[DOI]
  41. Maru Barrera, "A randomized control intervention trial to improve social skills and quality of life in pediatric brain tumor survivors", Psycho-Oncology, 27(1), pp.91~98 (2017), Wiley[DOI]
  42. Geraldina Poggi, "Psychological intervention in young brain tumor survivors: The efficacy of the cognitive behavioural approach", Disability and Rehabilitation, 31(13), pp.1066~1073 (2009), Informa UK Limited[DOI]
  43. Oi Kwan Joyce Chung, "Sustainability of an Integrated Adventure-Based Training and Health Education Program to Enhance Quality of Life Among Chinese Childhood Cancer Survivors", Cancer Nursing, 38(5), pp.366~374 (2015), Ovid Technologies (Wolters Kluwer Health)[DOI]
  44. H. C. William Li, "Effectiveness of an integrated adventure‐based training and health education program in promoting regular physical activity among childhood cancer survivors", Psycho-Oncology, 22(11), pp.2601~2610 (2013), Wiley[DOI]
  45. William H.C. Li, "Adventure-based training to promote physical activity and reduce fatigue among childhood cancer survivors: A randomized controlled trial", International Journal of Nursing Studies, 83, pp.65~74 (2018), Elsevier BV[DOI]
  46. Li‐Min Wu, "Tailored education enhances healthy behaviour self‐efficacy in childhood cancer survivors: A randomised controlled study with a 4‐month follow‐up", European Journal of Cancer Care, 28(4) (2019), Hindawi Limited[DOI]
  47. Carla J. Berg, "Young Adult Cancer Survivors’ Experience with Cancer Treatment and Follow-Up Care and Perceptions of Barriers to Engaging in Recommended Care", Journal of Cancer Education, 31(3), pp.430~442 (2015), Springer Science and Business Media LLC[DOI]
  48. Katie A. Devine, "Digital Health Interventions for Adolescent and Young Adult Cancer Survivors", JCO Clinical Cancer Informatics, (2), pp.1~15 (2018), American Society of Clinical Oncology (ASCO)[DOI]
  49. Long Hin Jonathan Poon, "Clinical ascertainment of health outcomes in Asian survivors of childhood cancer: a systematic review", Journal of Cancer Survivorship, 13(3), pp.374~396 (2019), Springer Science and Business Media LLC[DOI]

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