Factors That Influence Physical Activity Behavior in Children and Adolescents During and After Cancer Treatment: A Qualitative Systematic Review of the Literature.
Laura Kappelmann, Miriam Götte, Arno Krombholz, Jan Hüter, Britta Fischer
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引用次数: 0
Abstract
Purpose: The aim of this systematic review is to reveal the social, personal, and contextual factors that influence physical activity (PA) in children and adolescents during and after cancer treatment.
Method: SPORTDiscus, Cochrane, Web of Science, PubMed, and FIS Education electronic database were systematically searched.
Results: The 13 included studies show that social support (parents, siblings, and friends) in particular is rated as important by cancer survivors; for example, doing PA together. Depending on the treatment status and state of health, particularities arise. During the acute treatment phase, parents issued more prohibitions regarding PA than after treatment. The state of health and concern about infections are described as inhibiting factors. Not all hospitals generally offer special exercise programs for cancer patients, and in some cases, only sporadic exercise sessions were conducted by specialized staff. In addition, the hospital atmosphere, such as cramped rooms, tends to be associated with demotivating effects.
Conclusions: Both inhibiting and promoting factors in the area of social, personal, and contextual factors could be identified. The most fundamental factor for PA is the physical condition. Social factors, such as parents or friends, often have a motivating effect and can promote PA. Inhibiting factors are mainly context-related, such as an environment unsuitable for PA. Although the review highlights interesting aspects, further treatment-related and longitudinal studies could provide deeper insights.
目的：本系统综述的目的是揭示在癌症治疗期间和之后影响儿童和青少年体育活动（PA）的社会、个人和背景因素。方法：系统检索SPORTDiscus、Cochrane、Web of Science、PubMed和FIS Education电子数据库。结果：13项研究表明，癌症幸存者尤其认为社会支持（父母、兄弟姐妹和朋友）很重要；例如一起做PA。根据治疗状况和健康状况，会出现特殊情况。在急性治疗阶段，父母发布的关于PA的禁令比治疗后更多。健康状况和对感染的担忧被描述为抑制因素。并非所有医院都为癌症患者提供特殊的锻炼项目，在某些情况下，只有零星的锻炼项目由专业人员进行。此外，医院的氛围，如狭窄的房间，往往会产生消极影响。结论：抑制因素和促进因素在社会、个人和环境因素方面都可以识别。PA最基本的因素是身体状况。社会因素，如父母或朋友，通常具有激励作用，可以促进PA。抑制因素主要与环境有关，例如不适合PA的环境。尽管综述强调了有趣的方面，但进一步的治疗相关和纵向研究可以提供更深入的见解。
期刊介绍：
Pediatric Exercise Science is a journal committed to enriching the scientific knowledge of exercise during childhood and adolescence. To this end it publishes information that contributes to an understanding of (a) the unique aspects of the physiologic, physical, biochemical, and psychologic responses of children to exercise, (b) the role of exercise in the treatment of pediatric chronic diseases, (c) the importance of physical activity in the prevention of illness and preservation of wellness, and (d) the means by which participation in sports may be made safer and more enjoyable for children and youth. Consideration will be given for publication of work by various methodologies consistent with the scientific approach.
Besides original research, the journal includes review articles, abstracts from other journals, book reviews, and editorial comments. Pediatric Exercise Science encourages the expression of conflicting opinions regarding children and exercise by providing a forum for alternative viewpoints. At the same time it serves as a means of accumulating a base of research information that will allow application of experimental data to clinical practice. The scientific disciplines contributing to this body of knowledge are diverse. Therefore it is the purpose of this journal to provide a common focus for disseminating advances in the science of exercise during childhood. In doing so, the journal allows the opportunity for cross-fertilization of ideas between disciplines that will potentiate the growth of knowledge in this field. Pediatric Exercise Science seeks to stimulate new ideas regarding exercise in children and to increase the awareness of scientists, health care providers, and physical educators of the importance of exercise during childhood.
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