Effects of Combined Interventions of Physical Activity and Diet in Childhood Cancer Survivors: A Systematic Review
Abstract
:1. Introduction
2. Materials and Methods
2.1. Search Strategy
2.2. Selection of the Studies
2.3. Data Extraction
2.4. Risk of Bias Assessment
3. Results
3.1. Study Screening
3.2. Study Features
3.3. Interventions
3.4. Bias Risk Assessment
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Author/Country/Design | Participants’ Characteristics | Variables | Experimental Group | Control Group | Main Results |
---|---|---|---|---|---|
Bielik et al. [23]/Slovakia/Prospective study | Intervention group: 16 subjects (8.9 ± 3.3 years; 9 female) Control group: 16 subjects (9.0 ± 3.3 years; 9 female) | Gut microbiome | Individual online training program for 8 weeks included 25–45 min. of moderate to strenuous exercise (twice a week). The probiotic dairy product (Danone, Belgium) has been provided once a day for 8 weeks. | No intervention was precribed. | There were notable changes in bacterial diversity between pre- and post-intervention. Furthermore, it was found an increment in the amount of Lactobacillus casei and in some strains of Veillonella |
Fuemmeler et al. [24]/USA/Quasi-experimental study | 15 subjects (14.8 ± 2.0 years; 6 female). | - Energy intake - Total fat - Dietary fiber - Servings of FV - MVPA - BMI - FV self-efficacy - PA self-efficacy - Sweet foods - Sugary bevegares - Sedentary activity | Mobile app game designed to encourage healthy eating and physical activity during 8 weeks Intervention group was splited in two different groups regarding the use of the app: group 1 (8 individuals): >4 weeks of app use; group 2 (7 individuals): <4 weeks of app use) | Non applied for this study | No significant differences were found on energy intake, dietary fiber, total fat, servings of fruit and vegetables, average minutes of moderate-to-strenuous physical activity, body mass index, fruit and vegetables self-efficacy and physical activity self-efficacy. Significant differences were found on percent of kcl from sweet foods, daily average consumption of sugary drinks and proportion of time engaged in sedentary behaviors |
Huang et al. [25]/USA/Randomized controlled trial | 38 subjects (19 on experimental and 19 on control group) (Median = 13 years; 15 female) | - Negative mood - Weight - Body mass index - Amount of physical activity - Energy intake - Interpersonal problems - Negative self-esteem - Innefectiveness | Participated in a 4-month program combining web, text, and phone counseling for weight management. | Provided with printed materials on diet and physical activity for weight management. | Significant differences between groups were found on negative mood, with improvements in the intervention group Between groups, differences in weight, physical activity, body mass index, calorie intake, interpersonal problems, negative self-esteem and innefectiveness were not statistically significant |
Criteria/Study | Huang et al. [25] |
---|---|
1. Random Sequence Generation | High |
2. Allocation Concealment | High |
3. Blinding of Participants and Personnel | High |
4. Blinding of Outcome Assessment | High |
5. Incomplete Outcome Data | Low |
6. Selective Reporting | Some Concerns |
7. Other Bias | High |
Overall Risk of Bias | High |
Criteria/Study | Bielik et al. [23] | Fuemmeler et al. [24] |
---|---|---|
1. Bias due to Confounding | Moderate | Moderate |
2. Bias in Selection of Participants | Moderate | Serious |
3. Bias in Classification of Interventions | Low | Low |
4. Bias due to Deviations from Intended Interventions | Low | Low |
5. Bias due to Missing Data | Low | Low |
6. Bias in Measurement of Outcomes | Low | Low |
7. Bias in the Selection of the Reported Result | Low | Low |
Overall Risk of Bias | Moderate | Serious |
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Vasconcelos, C.; Sousa, P. Effects of Combined Interventions of Physical Activity and Diet in Childhood Cancer Survivors: A Systematic Review. Children 2024, 11, 853. https://doi.org/10.3390/children11070853
Vasconcelos C, Sousa P. Effects of Combined Interventions of Physical Activity and Diet in Childhood Cancer Survivors: A Systematic Review. Children. 2024; 11(7):853. https://doi.org/10.3390/children11070853
Chicago/Turabian StyleVasconcelos, Carlos, and Patrícia Sousa. 2024. "Effects of Combined Interventions of Physical Activity and Diet in Childhood Cancer Survivors: A Systematic Review" Children 11, no. 7: 853. https://doi.org/10.3390/children11070853