The Impact of Hematologic Cancer and Its Treatment on Physical Activity Level and Quality of Life Among Children in Mainland China

Xia, Wei; Lam, Katherine Ka Wai; Chung, Joanne Wai Yee; Song, Peige; Chiu, Sau Ying; Chan, Godfrey Chi-Fung; Ho, Ka Yan

doi:10.1097/ncc.0000000000000661

Cited by 12 publications

(9 citation statements)

References 43 publications

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“…In Mainland China, most health behaviour research concentrated on healthy children or adult groups. Only a few studies documented PA and QoL among paediatric patients with cancer during the treatment period, which identified that PA level and QoL among this population were both lower than healthy peers, and lacking PA had significant negative effects on their QoL (Ouyang et al, 2019; Xia et al, 2018). However, research on these children entering survivorship is still blank; the health behaviours and QoL of Chinese CCS remain unclear despite numerous research conducted in Western countries.…”

Section: Introductionmentioning

confidence: 99%

Dietary behaviours, physical activity and quality of life among childhood cancer survivors in Mainland China: A cross‐sectional study

et al. 2020

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Objective To examine the dietary behaviours, physical activity (PA) and quality of life (QoL) of childhood cancer survivors (CCS) in Mainland China and explore the relationships between these behaviours and QoL. Methods This cross‐sectional study recruited 181 CCS from three Grade‐A tertiary hospitals in Guangzhou. Survivors completed questionnaires assessing their dietary behaviours, PA and QoL. Results Only 2.2%, 7.7% and 2.2% of CCS reported frequent soft drinks, sugar and fast food intake, which were lower compared to CCS in Western studies. Most survivors (72.9%) failed to drink milk daily, and many (54.7%) were picky eating. Sixty percent of CCS reported less moderate‐to‐vigorous physical activity (MVPA) time than 60 min/day recommended by WHO. Picky eating was significantly associated with lower overall (p < 0.001), physical (p < 0.001) and psychosocial (p < 0.001) QoL. MVPA was significantly positively associated with overall (p < 0.05) and psychosocial (p < 0.01) QoL. Conclusions Chinese CCS engaged better dietary behaviours of less soft drinks, sugar and fast food consumption, but many were picky eaters and did not meet milk intake and PA recommendations. Early behavioural interventions aimed at increasing the dietary diversity and MVPA level of this population should be taken to improve their QoL.

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Section: Introductionmentioning

confidence: 99%

Dietary behaviours, physical activity and quality of life among childhood cancer survivors in Mainland China: A cross‐sectional study

et al. 2020

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“…These prevalence rates were all higher than those of Western CCSs (45% of insufficient PA and 32% of exceeded screen time in 5- to 15-year-olds 41 ) or local healthy children and adolescents (65.9% of insufficient PA and 34.6% of exceeded screen time in 7- to 19-year-olds, 42 14.1% of internet addiction in 11- to 20-year-olds 43 ). Frequent treatment and adverse effects may also undermine children’s PA, which can contribute to fatigue, depressive symptoms, and severely limited mobility, forcing them to rest more and further increase screen time, risking internet addiction 44 . As children enter survivorship, these poor behaviors may linger.…”

Section: Discussionmentioning

confidence: 99%

Individual, Interpersonal, and Home Environmental Factors Influencing Health Behaviors Among Chinese Childhood Cancer Survivors

et al. 2021

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BackgroundChildhood cancer survivors (CCSs) are at increased risk of chronic health conditions, which could be controlled with health behaviors. However, the health behaviors and related factors of Chinese CCSs remain unclear.ObjectiveThe aims of this study were to examine multiple health behaviors among Chinese CCSs and explore the individual, interpersonal, and home environmental factors affecting health behaviors.MethodsThis cross-sectional study recruited 204 participants from 3 grade-A tertiary hospitals in Guangzhou, China. Participants provided data on health behaviors (smoking, drinking, drug use, screen time, internet addiction, dietary behaviors, physical activity, and sleep behaviors) and their determining factors. Structural equation modeling was used to analyze the data.ResultsChinese CCSs reported low rates of smoking, drinking, and drug use (0%–6.4%), but only 51% of survivors met screen time recommendations, and 24.5% of them had Internet addiction. Few survivors reported frequent soft-drink, sugar, and fast-food intake (2.0 to 7.4%), but many were finicky eaters (55.4%) or seldom drank milk (41.7%). In addition, 67.6% and 47.5% of survivors did not meet physical activity and sleep time recommendations. Childhood cancer survivors’ health behaviors were influenced by the individual (age, education level, and time since diagnosis), interpersonal (peer and family support), and home environmental (residential location, parents’ educations level, and household income) factors.ConclusionsThere were suboptimal health behaviors among Chinese CCSs. Targeted interventions should consider their individual, interpersonal, and home environmental factors.Implications for PracticeKnowledge of health behaviors and related factors of Chinese CCSs would help healthcare professionals develop further interventions to improve their care of this population.

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“…Cancer and anticancer therapies are associated with many adverse effects on childhood cancer survivors (CCSs). Research has shown that, during treatment, CCSs may experience fatigue and a decline in cardiopulmonary function, muscle strength, functional performance, and quality of life (QoL) [ 1 , 2 , 3 ]. Although, the five-year survival rate of children diagnosed with cancer has reached nearly 85% due to the significant advancements in cancer treatment [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Supervised Exercise Interventions in Childhood Cancer Survivors: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

2022

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Background: Childhood cancer survivors (CCSs) may suffer from a multitude of health impairments, resulting in a compromised quality of life (QoL). This review’s objective was to examine CCSs’ adherence to supervised exercise training interventions and the impact of these interventions on health outcomes. Methods: The following databases were searched in May 2022: PubMed, Embase, Cochrane Library, and Web of Science. The included studies were limited to randomized controlled trials (RCTs), published in English involving CCSs aged 18 years and below. Results: Nine RCTs (n = 642 participants) were included in the systematic review, and seven of them (n = 551 participants) were included in the meta-analysis. Both the mean retention rate and adherence to the supervised exercise interventions were 87%. Supervised exercise interventions significantly improved muscle strength (standardized mean difference (SMD) = 1.42, p = 0.03), level of daily physical activity (SMD = 1.05, p < 0.001), body mass index (BMI) (mean difference (MD) = 1.06, p = 0.03), and fatigue (SMD = −0.44, p < 0.001), while there was no statistical significance in the quality of life (QoL) (SMD = 0.21, p = 0.20). Conclusions: The adherence of CCSs to supervised exercise interventions is high, and supervised exercise interventions are safe and effective.

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The Impact of Hematologic Cancer and Its Treatment on Physical Activity Level and Quality of Life Among Children in Mainland China

Cited by 12 publications

References 43 publications

Dietary behaviours, physical activity and quality of life among childhood cancer survivors in Mainland China: A cross‐sectional study

Dietary behaviours, physical activity and quality of life among childhood cancer survivors in Mainland China: A cross‐sectional study

Individual, Interpersonal, and Home Environmental Factors Influencing Health Behaviors Among Chinese Childhood Cancer Survivors

Supervised Exercise Interventions in Childhood Cancer Survivors: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

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