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Physical Activity Intervention Characteristics and Effects on Behavioral and Health-Related Outcomes Among Adolescents and Young Adults Living with and Beyond Cancer: A Systematic Review.
Journal of Adolescent and Young Adult Oncology ( IF 2 ) Pub Date : 2023-09-08 , DOI: 10.1089/jayao.2023.0047
Rebecca L Hoover 1 , Jingle Xu 1 , Jamie L Conklin 2 , Hazel B Nichols 3, 4 , Andrew Smitherman 4, 5 , Carmina G Valle 4, 6 , Todd Schwartz 7 , Deborah K Mayer 1 , Rachel Hirschey 1, 4
Affiliation  

Participation in physical activity (PA) during and after cancer treatment is safe and beneficial in the adolescent and young adult (AYA) cancer population. PA can positively impact health-related outcomes; however, participation remains low. This systematic review aims to describe PA intervention characteristics and outcomes in AYA survivors of cancer (AYASCa). This review followed Preferred Reporting Index for Systematic Reviews and Meta Analyses (PRISMA) guidelines and was registered with Prospero (CRD42022365661). PubMed, CINAHL, and Scopus databases were searched for randomized control trials (RCTs) and pre/post-test studies without a control group through December 31, 2022. Data included: participant demographics, PA intervention characteristics, and health-related outcomes. Studies were assessed using the National Institute of Health Critical Appraisal Tools, and findings were synthesized to identify common characteristics of PA interventions and outcomes. Twenty-three studies were included: 15 RCTs and 8 pre/post-test studies. Heterogeneity existed across design, sample demographics, intervention timing, and observed outcomes. The most common characteristics of PA interventions were supervision of PA, wearable device use, tailored/individualized PA prescriptions, and goal setting. PA interventions positively affected health-related outcomes, with 21 studies reporting statistically significant findings. Implementing personalized PA prescriptions, utilizing wearable devices, and incorporating goal setting as characteristics in PA interventions hold potential benefits for AYASCa, leading to improved outcomes. Still, additional research is needed to explore interventions that utilize these PA characteristics and determine which ones are most effective for AYASCa. By further investigating and identifying optimal PA characteristics, interventions can be better tailored to meet this population's specific needs and preferences, ultimately enhancing their overall well-being and recovery.

中文翻译:

体力活动干预特征以及对患有癌症和超越癌症的青少年和年轻人的行为和健康相关结果的影响:系统评价。

对于青少年和青年 (AYA) 癌症人群来说,在癌症治疗期间和治疗后参加体力活动 (PA) 是安全且有益的。PA 可以对健康相关结果产生积极影响;然而,参与度仍然很低。本系统评价旨在描述 AYA 癌症幸存者 (AYASCa) 的 PA 干预特征和结果。本综述遵循系统评价和荟萃分析首选报告索引 (PRISMA) 指南,并已在 Prospero 注册 (CRD42022365661)。在 PubMed、CINAHL 和 Scopus 数据库中检索了截至 2022 年 12 月 31 日没有对照组的随机对照试验 (RCT) 和测试前/测试后研究。数据包括:参与者人口统计数据、PA 干预特征和健康相关结果。使用美国国立卫生研究院关键评估工具对研究进行评估,并综合研究结果以确定 PA 干预措施和结果的共同特征。纳入 23 项研究:15 项随机对照试验和 8 项测试前/测试后研究。设计、样本人口统计、干预时机和观察到的结果都存在异质性。PA 干预措施最常见的特征是 PA 监督、可穿戴设备的使用、量身定制/​​个性化的 PA 处方和目标设定。PA 干预措施对健康相关结果产生积极影响,有 21 项研究报告了具有统计意义的结果。实施个性化 PA 处方、利用可穿戴设备以及将目标设定作为 PA 干预措施的特征,可为 AYASCa 带来潜在好处,从而改善结果。尽管如此,仍需要进行更多研究来探索利用这些 PA 特征的干预措施,并确定哪些干预措施对 AYASCa 最有效。通过进一步调查和确定最佳 PA 特征,可以更好地定制干预措施,以满足该人群的特定需求和偏好,最终提高他们的整体福祉和康复。
更新日期:2023-09-08
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