Remote Interventions to Improve Exercise Behaviour in Sedentary People Living with and Beyond Cancer: a Systematic Review and Meta-analysis

Overview

Journal BMC Cancer

Publisher Biomed Central

Specialty Oncology

Date 2021 Mar 25

PMID 33761906

Citations 11

Authors

Said Ibeggazene

Rebecca Turner

Derek Rosario

Liam Bourke

Affiliations

Soon will be listed here.

Abstract

Background: The COVID-19 pandemic has forced many cancer services to consider a transition to a remote format of delivery that is largely untested. Accordingly, we sought to perform a systematic review of the effects of remotely delivered interventions to improve exercise behaviour in sedentary adults living with and beyond cancer.

Methods: Eligible studies were randomised controlled trials comparing a remotely delivered exercise intervention to a usual care comparison in sedentary people over 18 years old with a primary cancer diagnosis. Nine electronic databases were searched from inception to November 2020.

Results: The review included three trials, totalling 186 participants. Two of the included trials incorporated prescriptions that meet current aerobic exercise recommendations, one of which also meets the guidelines for resistance exercise. No trials reported an intervention adherence of 75% or more for a set prescription that meets current exercise guidelines.

Conclusion: There is little evidence suggesting that remote exercise interventions promote exercise behaviours or improve physical function in sedentary adults living with and beyond cancer. The development and evaluation of novel remote exercise interventions is needed to establish their usefulness for clinical practice. Given the social response to the COVID-19 pandemic, further research in this area is urgently needed.

Citing Articles

From home to health: Telerehabilitation's contribution to physical activity and quality of life in young adult teleworkers.

Purushothaman V, Ramalingam V, Subbarayalu A, Raman V, Prabaharan S, Subramaniam A Work. 2024; 79(3):1557-1565.

PMID: 39121147 PMC: 11613075. DOI: 10.3233/WOR-230745.

Facing the COVID-19 pandemic: An Italian feasibility study of a mixed in-person/telerehabilitation intervention for cancer patients.

Denti M, Pecorari A, Accogli M, Costi S, Mainini C, Pellegrini M Cancer Med. 2024; 13(15):e70022.

PMID: 39095954 PMC: 11296954. DOI: 10.1002/cam4.70022.

Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice on telerehabilitation. The European PRM position (UEMS PRM Section).

Zampolini M, Oral A, Barotsis N, Aguiar Branco C, Burger H, Capodaglio P Eur J Phys Rehabil Med. 2024; 60(2):165-181.

PMID: 38477069 PMC: 11135123. DOI: 10.23736/S1973-9087.24.08396-5.

Effects of internet-based exercise intervention on depression and anxiety: A systematic review and meta-analysis.

Chen Z, Huang H, Liu R, Tang Z Medicine (Baltimore). 2024; 103(8):e37373.

PMID: 38394484 PMC: 11309647. DOI: 10.1097/MD.0000000000037373.

Digital health and telehealth in cancer care: a scoping review of reviews.

Shaffer K, Turner K, Siwik C, Gonzalez B, Upasani R, Glazer J Lancet Digit Health. 2023; 5(5):e316-e327.

PMID: 37100545 PMC: 10124999. DOI: 10.1016/S2589-7500(23)00049-3.

References

Eng L, Pringle D, Su J, Shen X, Mahler M, Niu C . Patterns, perceptions, and perceived barriers to physical activity in adult cancer survivors. Support Care Cancer. 2018; 26(11):3755-3763. DOI: 10.1007/s00520-018-4239-5. View

Kemps H, Brouwers R, Cramer M, Jorstad H, De Kluiver E, Kraaijenhagen R . Recommendations on how to provide cardiac rehabilitation services during the COVID-19 pandemic. Neth Heart J. 2020; 28(7-8):387-390. PMC: 7364293. DOI: 10.1007/s12471-020-01474-2. View

Robertson L, Richards R, Egan R, Szymlek-Gay E . Promotion and support of physical activity among cancer survivors: a service provider perspective. Psychooncology. 2012; 22(2):441-6. DOI: 10.1002/pon.3032. View

Blaney J, Lowe-Strong A, Rankin-Watt J, Campbell A, Gracey J . Cancer survivors' exercise barriers, facilitators and preferences in the context of fatigue, quality of life and physical activity participation: a questionnaire-survey. Psychooncology. 2013; 22(1):186-94. DOI: 10.1002/pon.2072. View

Bourke L, Homer K, Thaha M, Steed L, Rosario D, Robb K . Interventions to improve exercise behaviour in sedentary people living with and beyond cancer: a systematic review. Br J Cancer. 2013; 110(4):831-41. PMC: 3929865. DOI: 10.1038/bjc.2013.750. View

Slade S, Dionne C, Underwood M, Buchbinder R . Consensus on Exercise Reporting Template (CERT): Explanation and Elaboration Statement. Br J Sports Med. 2016; 50(23):1428-1437. DOI: 10.1136/bjsports-2016-096651. View

Goode A, Lawler S, Brakenridge C, Reeves M, Eakin E . Telephone, print, and Web-based interventions for physical activity, diet, and weight control among cancer survivors: a systematic review. J Cancer Surviv. 2015; 9(4):660-82. DOI: 10.1007/s11764-015-0442-2. View

Groen W, van Harten W, Vallance J . Systematic review and meta-analysis of distance-based physical activity interventions for cancer survivors (2013-2018): We still haven't found what we're looking for. Cancer Treat Rev. 2018; 69:188-203. DOI: 10.1016/j.ctrv.2018.07.012. View

Ding D, Lawson K, Kolbe-Alexander T, Finkelstein E, Katzmarzyk P, van Mechelen W . The economic burden of physical inactivity: a global analysis of major non-communicable diseases. Lancet. 2016; 388(10051):1311-24. DOI: 10.1016/S0140-6736(16)30383-X. View

10.

Rock C, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya K, Schwartz A . Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin. 2012; 62(4):243-74. DOI: 10.3322/caac.21142. View

11.

Musanti R . A study of exercise modality and physical self-esteem in breast cancer survivors. Med Sci Sports Exerc. 2011; 44(2):352-61. DOI: 10.1249/MSS.0b013e31822cb5f2. View

12.

Lee L, Cazier J, Angelis V, Arnold R, Bisht V, Campton N . COVID-19 mortality in patients with cancer on chemotherapy or other anticancer treatments: a prospective cohort study. Lancet. 2020; 395(10241):1919-1926. PMC: 7255715. DOI: 10.1016/S0140-6736(20)31173-9. View

13.

Turner R, Steed L, Quirk H, Greasley R, Saxton J, Taylor S . Interventions for promoting habitual exercise in people living with and beyond cancer. Cochrane Database Syst Rev. 2018; 9:CD010192. PMC: 6513653. DOI: 10.1002/14651858.CD010192.pub3. View

14.

Rogers L, Courneya K, Shah P, Dunnington G, Hopkins-Price P . Exercise stage of change, barriers, expectations, values and preferences among breast cancer patients during treatment: a pilot study. Eur J Cancer Care (Engl). 2007; 16(1):55-66. DOI: 10.1111/j.1365-2354.2006.00705.x. View

15.

Dittus K, Lakoski S, Savage P, Kokinda N, Toth M, Stevens D . Exercise-based oncology rehabilitation: leveraging the cardiac rehabilitation model. J Cardiopulm Rehabil Prev. 2014; 35(2):130-9. PMC: 4342296. DOI: 10.1097/HCR.0000000000000091. View

16.

Clifford B, Mizrahi D, Sandler C, Barry B, Simar D, Wakefield C . Barriers and facilitators of exercise experienced by cancer survivors: a mixed methods systematic review. Support Care Cancer. 2017; 26(3):685-700. DOI: 10.1007/s00520-017-3964-5. View

17.

Karvinen K, Courneya K, Venner P, North S . Exercise programming and counseling preferences in bladder cancer survivors: a population-based study. J Cancer Surviv. 2008; 1(1):27-34. DOI: 10.1007/s11764-007-0010-5. View

18.

Michie S, Ashford S, Sniehotta F, Dombrowski S, Bishop A, French D . A refined taxonomy of behaviour change techniques to help people change their physical activity and healthy eating behaviours: the CALO-RE taxonomy. Psychol Health. 2011; 26(11):1479-98. DOI: 10.1080/08870446.2010.540664. View

19.

Babu A, Arena R, Ozemek C, Lavie C . COVID-19: A Time for Alternate Models in Cardiac Rehabilitation to Take Centre Stage. Can J Cardiol. 2020; 36(6):792-794. PMC: 7195273. DOI: 10.1016/j.cjca.2020.04.023. View

20.

Hoffmann T, Glasziou P, Boutron I, Milne R, Perera R, Moher D . Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014; 348:g1687. DOI: 10.1136/bmj.g1687. View