Advancing the Field of Pediatric Exercise Oncology: Research and Innovation Needs

Wurz, Amanda; McLaughlin, Emma; Viña, Carolina Chamorro; Grimshaw, Sarah L; Hamari, Lotta; Götte, Miriam; Kesting, Sabine; Rossi, Francesca; Torre, Patrick van der; Guilcher, Gregory M.T.; McIntyre, Krista; Culos-Reed, S. Nicole

doi:10.3390/curroncol28010061

Cited by 18 publications

(11 citation statements)

References 47 publications

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“…The objectives of this meeting were to discuss the results from the information gathered in Phase I (February 2019–August 2019) and to draft the iPOEG guideline and recommendation statements. Also, attendees reviewed and commented on the literature synthesis to identify research and innovation needs in the field (see [ 44 ] for a manuscript detailing these needs).…”

Section: Methodsmentioning

confidence: 99%

The international Pediatric Oncology Exercise Guidelines (iPOEG)

Wurz

McLaughlin

Lategan

et al. 2021

Translational Behavioral Medicine

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Physical activity (PA) and exercise are safe and beneficial for children and adolescents affected by cancer. Yet, this population is not active enough to receive benefits. PA guideline and recommendation statements can support individual behavior and practice change. The purpose of this project was to develop the international Pediatric Oncology Exercise Guidelines (iPOEG), comprised of guideline and recommendation statements, to promote PA among children and adolescents affected by cancer. Guideline development procedures, stakeholder engagement strategies, and the Delphi technique were used. Four online surveys were distributed to the iPOEG network (n = 9 core team members, n = 122 expert consensus committee members). Surveys included closed- and open-ended items informed by a literature synthesis and an in-person meeting. Responses were analyzed using descriptive statistics and content analysis. Consensus was defined as ≥ 80% agreement. Response rates to online surveys ranged from 82% to 91%. The iPOEG network agreed on four guideline and five recommendation statements, which highlight that movement is important for all children and adolescents affected by cancer. These statements are generic in nature as more research is still required to provide specific guidance on the frequency, intensity, time, and type of PA for this population. Nevertheless, the iPOEG statements represent available evidence and expert opinion, collectively suggesting that it is time for children and adolescents affected by cancer to move more.

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Section: Methodsmentioning

confidence: 99%

The international Pediatric Oncology Exercise Guidelines (iPOEG)

Wurz

McLaughlin

Lategan

et al. 2021

Translational Behavioral Medicine

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“…In Germany, the interdisciplinary Network ActiveOncoKids (NAOK) is working on the expansion and implementation of exercise programs, individualized exercise counseling, qualification of pediatric oncology exercise professionals, and research projects. The evaluation of risks and benefits of exercise programs in children, adolescents, and young adults during and after cancer treatment is one of those research topics identified as relevant in the field of pediatric exercise oncology ( 9 ).…”

Section: Introductionmentioning

confidence: 99%

Adverse Events During Supervised Exercise Interventions in Pediatric Oncology—A Nationwide Survey

et al. 2021

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Objectives: Exercise interventions during and after treatment for pediatric cancer are associated with beneficial physical, psychological, and social effects. However, valid data about adverse events (AEs) of such interventions have rarely been evaluated. This retrospective study evaluates AEs that occurred during supervised oncological exercise programs for pediatric cancer patients and survivors.Methods: This Germany-wide study used a self-administered online survey focusing on general program characteristics and AEs retrospectively for 2019. The questionnaire included (a) basic data on the offered exercise program, (b) AEs with consequences (Grade 2–5) that occurred in 2019 during an exercise intervention, (c) number of Grade 1 AEs, (d) safety procedures as part of the exercise programs, and (e) possibility to give feedback and describe experience with AEs in free text.Results: Out of 26 eligible exercise programs, response rate of program leaders was 92.3% (n = 24). Representatives working for Universities (n = 6), rehabilitation clinics (n = 3), acute cancer clinics (n = 12), and activity camps (n = 3) participated. In total, 35,110 exercise interventions with varying duration were recorded for 2019. Six AEs with consequences (Grade 2–3) occurred during exercise interventions after cancer treatment resulting in an incidence of 17 per 100,000 exercise interventions (0.017%). No life-threatening consequences or death were reported and no serious AE occurred during acute cancer treatment. Grade 1 AE occurred with a frequency of 983, corresponding to an incidence of 2,800 per 100,000 interventions (2.8%). Most frequent Grade 1 AE were muscle soreness, circulatory problems, and abdominal pain. The most frequent preventive safety procedures at the institutions were regular breaks, consultations with the medical treatment team, and material selection with low injury potential.Conclusions: Supervised exercise interventions for pediatric cancer patients and survivors seem to be safe and AEs with consequences comparatively rare when compared to general childhood population data. Occurrence of grade 1 AEs was common, however, causality was probably not evident between AEs and the exercise intervention. Future research should standardize assessment of AEs in clinical practice and research, and prospectively register and evaluate AEs that occur in the context of exercise interventions in pediatric cancer patients and survivors.

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“…Thanks to regular PA, patients feel reduced tiredness, enhanced immunity, and better sleep and overall quality of life. Positive effects of PA in the field of paediatric oncology have been supported by other studies too ( 8 – 11 ). The importance of physical activity in this target group is also emphasised by the international expert group that has developed the International Paediatric Oncology Exercise Guidelines (iPOEG).…”

Section: Introductionmentioning

confidence: 52%

Movement behaviours in paediatric cancer survivors during recovery and school weeks

Vyhlídal

Dygrýn²,

Pelclová³

et al. 2022

Front. Oncol.

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PurposePaediatric cancer survivors (PCS) are a high-risk population, who can suffer from late effects of their treatment, such as metabolic syndrome, cardiovascular conditions, secondary tumours. Optimal movement behaviours (e.g., limited sedentary behaviour [SB] and sufficient physical activity [PA]) can reduce the side effects or avoid late effects of their treatment. The aims of this study were to analyse movement behaviours and meeting the recommendation of 60 minutes of moderate-to-vigorous physical activity (MVPA) a day in Czech PCS, and to compare their movement behaviours during recovery and school weeks in relation to gender, age, and cancer type.MethodsTwenty-six PCS aged 7-15 years in remission stage took part in the cross-sectional study. Movement behaviours were measured with Actigraph wGT3X+ accelerometers worn 24 hour/day for 20 consecutive days covering recovery week (13 days at recovery camp) and school week (7 days). Based on cancer types, the PCS were categorized into haematological malignancy or solid tumours group.ResultsIn the PCS, movement behaviours differed between recovery and school weeks. During recovery week, the PCS showed less SB (451.8 vs. 552.3 min/day, p < 0.001) and spent more time on light PA (350.3 vs. 255.1 min/day, p < 0.001), moderate PA (73.2 vs. 37.4 min/day, p < 0.001), and vigorous PA (10.3 vs. 4.0 min/day p < 0.001) than during school week. The PA recommendation was met by 77% (n = 20) PCS during recovery week, but only by 15% (n = 4) individuals during school week.ConclusionsThe PCS recorded higher levels of PA and lower levels of SB during recovery week than during school week. If provided with appropriate conditions, PCS in the remission stage are able to reach the PA level recommended for the healthy population. Recovery week can be a suitable platform for gaining experience that PCS are able to meet the recommended PA level and could be an integral part of reconditioning and resocialization programmes for PCS after the completion of their treatment.

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Advancing the Field of Pediatric Exercise Oncology: Research and Innovation Needs

Cited by 18 publications

References 47 publications

The international Pediatric Oncology Exercise Guidelines (iPOEG)

The international Pediatric Oncology Exercise Guidelines (iPOEG)

Adverse Events During Supervised Exercise Interventions in Pediatric Oncology—A Nationwide Survey

Movement behaviours in paediatric cancer survivors during recovery and school weeks

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