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

Q3 Medicine
Kyung-Ah Kang, Suk Jung Han, Jiyoung Chun, Hyun-Yong Kim, Yerin Oh, Heejin Yoon
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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.

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Abstract Image

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健康生活方式干预儿童和青少年癌症幸存者:系统回顾和荟萃分析。
目的:本研究探讨健康生活方式干预(HLSIs)对儿童和青少年癌症幸存者(CACS)健康相关生活质量(HR-QoL)的影响。方法:检索各大数据库2000年1月1日至2021年5月2日发表的英文原创文章。包括随机对照试验(rct)和非随机对照试验。使用修订后的Cochrane风险偏倚工具评估质量,并使用RevMan 5.3软件进行meta分析。结果:共纳入19项研究。采用多模式方法(运动和教育)的干预措施对HR-QoL有显著影响(d=-0.46;95%可信区间[CI]=-0.84 ~ -0.07, p= 0.02),持续时间不少于6个月(d=-0.72;95% CI=-1.15 ~ -0.29, p= 0.0010),采用分组方法(d=-0.46;95% CI=-0.85 ~ -0.06, p= 0.02)。仅提供健康教育对自我效能感有显著影响(d=-0.55;95% CI=-0.92 ~ -0.18;P = 0.003),持续时间小于6个月(d=-0.40;95% CI=-0.69 ~ -0.11, p= 0.006),并单独进行(d=-0.55;95% CI=-0.92 ~ -0.18, p= 0.003)。体力指标(体力活动量、疲劳度、运动能力- vo2、运动能力-上肢、身体质量指数)无统计学意义。结论:明确了CACS患者需要进一步研究的hlsi领域,提出了整体健康管理的需求和研究方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Child Health Nursing Research
Child Health Nursing Research Medicine-Pediatrics, Perinatology and Child Health
CiteScore
1.70
自引率
0.00%
发文量
30
审稿时长
7 weeks
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