Skip to main content
Erschienen in: Sport Sciences for Health 2/2020

18.12.2019 | Original Article

Physical activity behaviour in children and adolescents before, during and after cancer treatment

verfasst von: Sandra Stössel, Marie A. Neu, Vanessa Oschwald, Regine Söntgerath, Julia Däggelmann, Katharina Eckert, Vivian Hamacher, Freerk T. Baumann, Wilhelm Bloch, Joerg Faber

Erschienen in: Sport Sciences for Health | Ausgabe 2/2020

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Childhood cancer survivors show reduced physical activity (PA) levels which may considerably impact child development, quality of life, social participation and sequelae such as functional and cardiovascular health. This study aims to evaluate different aspects of PA behaviour in patients with childhood cancer (PaC) before (bT), during (dT) and after (aT) cancer treatment.

Methods

In this cross-sectional, multicentre study, 114 PaC and 37 healthy controls between 4 and 20 years of age were enrolled. PA behaviour was assessed using an adapted questionnaire which included items asking about PA level, PA intensity and domains of PA.

Results

Patients reported lower PA levels and less minutes of PA at moderate-intensity dT than aT and bT (P ≤ 0.05). Healthy controls reported higher PA levels than patients aT (P ≤ 0.05). At school, 41.7% of PaC did not participate in physical education aT or bT. Lastly, 45.6% of PaC who were engaged in sport club activities bT did no more participate in sport club activities aT.

Conclusion

Patients reported different PA behaviours dT and aT than bT. Therefore, monitoring of PA should be considered to increase PA levels in PaC. Future studies also need to examine how PA behaviour can be influenced in a positive way in PaC.
Literatur
1.
Zurück zum Zitat Florin TA, Fryer GE, Miyoshi T, Weitzman M, Mertens AC, Hudson MM, Sklar CA, Emmons K, Hinkle A, Whitton J (2007) Physical inactivity in adult survivors of childhood acute lymphoblastic leukemia: a report from the childhood cancer survivor study. Cancer Epidemiol Biomarkers Prev 16(7):1356–1363PubMed Florin TA, Fryer GE, Miyoshi T, Weitzman M, Mertens AC, Hudson MM, Sklar CA, Emmons K, Hinkle A, Whitton J (2007) Physical inactivity in adult survivors of childhood acute lymphoblastic leukemia: a report from the childhood cancer survivor study. Cancer Epidemiol Biomarkers Prev 16(7):1356–1363PubMed
2.
Zurück zum Zitat Tillmann V, Darlington A, Eiser C, Bishop N, Davies H (2002) Male sex and low physical activity are associated with reduced spine bone mineral density in survivors of childhood acute lymphoblastic leukemia. J Bone Miner Res 17(6):1073–1080PubMed Tillmann V, Darlington A, Eiser C, Bishop N, Davies H (2002) Male sex and low physical activity are associated with reduced spine bone mineral density in survivors of childhood acute lymphoblastic leukemia. J Bone Miner Res 17(6):1073–1080PubMed
3.
Zurück zum Zitat Wampler MA, Galantino ML, Huang S, Gilchrist LS, Marchese VG, Morris GS, Scalzitti DA, Hudson MM, Oeffinger KC, Stovall M (2012) Physical activity among adult survivors of childhood lower-extremity sarcoma. J Cancer Surviv 6(1):45–53PubMed Wampler MA, Galantino ML, Huang S, Gilchrist LS, Marchese VG, Morris GS, Scalzitti DA, Hudson MM, Oeffinger KC, Stovall M (2012) Physical activity among adult survivors of childhood lower-extremity sarcoma. J Cancer Surviv 6(1):45–53PubMed
4.
Zurück zum Zitat Wright MJ, Galea V, Barr RD (2005) Proficiency of balance in children and youth who have had acute lymphoblastic leukemia. Phys Ther 85(8):782–790PubMed Wright MJ, Galea V, Barr RD (2005) Proficiency of balance in children and youth who have had acute lymphoblastic leukemia. Phys Ther 85(8):782–790PubMed
5.
Zurück zum Zitat Zhang FF, Saltzman E, Must A, Parsons SK (2012) Do childhood cancer survivors meet the diet and physical activity guidelines? A review of guidelines and literature. Int J Child Health Nutr 1(1):44–58PubMedPubMedCentral Zhang FF, Saltzman E, Must A, Parsons SK (2012) Do childhood cancer survivors meet the diet and physical activity guidelines? A review of guidelines and literature. Int J Child Health Nutr 1(1):44–58PubMedPubMedCentral
6.
Zurück zum Zitat van Waas M, Neggers SJ, Uitterlinden AG, Blijdorp K, van der Geest IM, Pieters R, van den Heuvel-Eibrink MM (2013) Treatment factors rather than genetic variation determine metabolic syndrome in childhood cancer survivors. Eur J Cancer 49(3):668–675PubMed van Waas M, Neggers SJ, Uitterlinden AG, Blijdorp K, van der Geest IM, Pieters R, van den Heuvel-Eibrink MM (2013) Treatment factors rather than genetic variation determine metabolic syndrome in childhood cancer survivors. Eur J Cancer 49(3):668–675PubMed
7.
Zurück zum Zitat Boman KK, Hörnquist L, De Graaff L, Rickardsson J, Lannering B, Gustafsson G (2013) Disability, body image and sports/physical activity in adult survivors of childhood CNS tumors: population-based outcomes from a cohort study. J Neurooncol 112(1):99–106PubMed Boman KK, Hörnquist L, De Graaff L, Rickardsson J, Lannering B, Gustafsson G (2013) Disability, body image and sports/physical activity in adult survivors of childhood CNS tumors: population-based outcomes from a cohort study. J Neurooncol 112(1):99–106PubMed
8.
Zurück zum Zitat Murnane A, Gough K, Thompson K, Holland L, Conyers R (2014) Adolescents and young adult cancer survivors: exercise habits, quality of life and physical activity preferences. Support Care Cancer 23:1–10 Murnane A, Gough K, Thompson K, Holland L, Conyers R (2014) Adolescents and young adult cancer survivors: exercise habits, quality of life and physical activity preferences. Support Care Cancer 23:1–10
9.
Zurück zum Zitat Keats MR, Courneya KS, Danielsen S, Whitsett SF (1999) Leisure-time physical activity and psychosocial well-being in adolescents after cancer diagnosis. J Pediatr Oncol Nurs 16(4):180–188PubMed Keats MR, Courneya KS, Danielsen S, Whitsett SF (1999) Leisure-time physical activity and psychosocial well-being in adolescents after cancer diagnosis. J Pediatr Oncol Nurs 16(4):180–188PubMed
10.
Zurück zum Zitat Järvelä LS, Niinikoski H, Lähteenmäki PM, Heinonen OJ, Kapanen J, Arola M, Kemppainen J (2010) Physical activity and fitness in adolescent and young adult long-term survivors of childhood acute lymphoblastic leukaemia. J Cancer Surviv 4(4):339–345PubMed Järvelä LS, Niinikoski H, Lähteenmäki PM, Heinonen OJ, Kapanen J, Arola M, Kemppainen J (2010) Physical activity and fitness in adolescent and young adult long-term survivors of childhood acute lymphoblastic leukaemia. J Cancer Surviv 4(4):339–345PubMed
11.
Zurück zum Zitat Ness KK, Baker KS, Dengel DR, Youngren N, Sibley S, Mertens AC, Gurney JG (2007) Body composition, muscle strength deficits and mobility limitations in adult survivors of childhood acute lymphoblastic leukemia. Pediatr Blood Cancer 49(7):975–981PubMed Ness KK, Baker KS, Dengel DR, Youngren N, Sibley S, Mertens AC, Gurney JG (2007) Body composition, muscle strength deficits and mobility limitations in adult survivors of childhood acute lymphoblastic leukemia. Pediatr Blood Cancer 49(7):975–981PubMed
12.
Zurück zum Zitat Miller AM, Lopez-Mitnik G, Somarriba G, Lipsitz SR, Hinkle AS, Constine LS, Lipshultz SE, Miller TL (2013) Exercise capacity in long-term survivors of pediatric cancer: an analysis from the Cardiac Risk Factors in Childhood Cancer Survivors Study. Pediatr Blood Cancer 60(4):663–668. https://doi.org/10.1002/pbc.24410 PubMed Miller AM, Lopez-Mitnik G, Somarriba G, Lipsitz SR, Hinkle AS, Constine LS, Lipshultz SE, Miller TL (2013) Exercise capacity in long-term survivors of pediatric cancer: an analysis from the Cardiac Risk Factors in Childhood Cancer Survivors Study. Pediatr Blood Cancer 60(4):663–668. https://​doi.​org/​10.​1002/​pbc.​24410 PubMed
13.
Zurück zum Zitat Johnson D, Hln Perrault, Fournier A, Leclerc J-M, Bigras J-L, Davignon A (1997) Cardiovascular responses to dynamic submaximal exercise in children previously treated with anthracycline. Am Heart J 133(2):169–173PubMed Johnson D, Hln Perrault, Fournier A, Leclerc J-M, Bigras J-L, Davignon A (1997) Cardiovascular responses to dynamic submaximal exercise in children previously treated with anthracycline. Am Heart J 133(2):169–173PubMed
15.
Zurück zum Zitat Polgreen LE, Petryk A, Dietz AC, Sinaiko AR, Leisenring W, Goodman P, Steffen LM, Perkins JL, Dengel DR, Baker KS (2012) Modifiable risk factors associated with bone deficits in childhood cancer survivors. BMC Pediatr 12(1):40PubMedPubMedCentral Polgreen LE, Petryk A, Dietz AC, Sinaiko AR, Leisenring W, Goodman P, Steffen LM, Perkins JL, Dengel DR, Baker KS (2012) Modifiable risk factors associated with bone deficits in childhood cancer survivors. BMC Pediatr 12(1):40PubMedPubMedCentral
16.
Zurück zum Zitat Keats MR, Culos-Reed SN, Courneya KS, McBride M (2006) An examination of physical activity behaviors in a sample of adolescent cancer survivors. J Pediatr Oncol Nurs 23(3):135–142PubMed Keats MR, Culos-Reed SN, Courneya KS, McBride M (2006) An examination of physical activity behaviors in a sample of adolescent cancer survivors. J Pediatr Oncol Nurs 23(3):135–142PubMed
17.
Zurück zum Zitat Murnane A, Gough K, Thompson K, Holland L, Conyers R (2015) Adolescents and young adult cancer survivors: exercise habits, quality of life and physical activity preferences. Support Care Cancer 23(2):501–510PubMed Murnane A, Gough K, Thompson K, Holland L, Conyers R (2015) Adolescents and young adult cancer survivors: exercise habits, quality of life and physical activity preferences. Support Care Cancer 23(2):501–510PubMed
18.
Zurück zum Zitat Cheng T (2013) Physical Activity for children undergoing Haematopoietic Stem Cell Transplantation (HSCT). Master thesis, School of MedicalSciences. UNSW Australia, Sydney Cheng T (2013) Physical Activity for children undergoing Haematopoietic Stem Cell Transplantation (HSCT). Master thesis, School of MedicalSciences. UNSW Australia, Sydney
19.
Zurück zum Zitat Chung OJ, Li HCW, Chiu SY, Ho KYE, Lopez V (2014) The impact of cancer and its treatment on physical activity levels and behavior in Hong Kong Chinese childhood cancer survivors. Cancer Nurs 37(3):E43–E51PubMed Chung OJ, Li HCW, Chiu SY, Ho KYE, Lopez V (2014) The impact of cancer and its treatment on physical activity levels and behavior in Hong Kong Chinese childhood cancer survivors. Cancer Nurs 37(3):E43–E51PubMed
20.
Zurück zum Zitat Holmes MD, Chen WY, Feskanich D, Kroenke CH, Colditz GA (2005) Physical activity and survival after breast cancer diagnosis. JAMA 293(20):2479–2486PubMed Holmes MD, Chen WY, Feskanich D, Kroenke CH, Colditz GA (2005) Physical activity and survival after breast cancer diagnosis. JAMA 293(20):2479–2486PubMed
23.
Zurück zum Zitat Opper E, Worth A, Wagner M, Bös K (2007) im Rahmen des Kinder-und Jugendgesundheitssurveys (KiGGS). Bundesgesundheitsblatt-Gesundheitsforschung-Gesundheitsschutz 50(5):879–888PubMed Opper E, Worth A, Wagner M, Bös K (2007) im Rahmen des Kinder-und Jugendgesundheitssurveys (KiGGS). Bundesgesundheitsblatt-Gesundheitsforschung-Gesundheitsschutz 50(5):879–888PubMed
24.
Zurück zum Zitat Kaatsch P, Spix C (2015) German Childhood Cancer Registry-Jahresbericht/Annual Report 2015 (1980–2014). Institut für Medizinische Biometrie, Epidemiologie und Informatik (IMBEI), Universitätsmedizin der Johannes Gutenberg-Universität Mainz, pp 2760–2765 Kaatsch P, Spix C (2015) German Childhood Cancer Registry-Jahresbericht/Annual Report 2015 (1980–2014). Institut für Medizinische Biometrie, Epidemiologie und Informatik (IMBEI), Universitätsmedizin der Johannes Gutenberg-Universität Mainz, pp 2760–2765
25.
Zurück zum Zitat Organization WH (2010) Global recommendations on physical activity for health Organization WH (2010) Global recommendations on physical activity for health
26.
Zurück zum Zitat Pfeifer K, Rütten A (2017) Nationale Empfehlungen für Bewegung und Bewegungsförderung. Das Gesundheitswesen 79(1):S2–S3PubMed Pfeifer K, Rütten A (2017) Nationale Empfehlungen für Bewegung und Bewegungsförderung. Das Gesundheitswesen 79(1):S2–S3PubMed
27.
Zurück zum Zitat Baumann F, Kraut L, Schüle K, Bloch W, Fauser A (2009) A controlled randomized study examining the effects of exercise therapy on patients undergoing haematopoietic stem cell transplantation. Bone Marrow Transpl 45(2):355–362 Baumann F, Kraut L, Schüle K, Bloch W, Fauser A (2009) A controlled randomized study examining the effects of exercise therapy on patients undergoing haematopoietic stem cell transplantation. Bone Marrow Transpl 45(2):355–362
28.
Zurück zum Zitat Azar M, Reuveny R, Yalon M, Koren A, Constantini N (2013) The effect of physical activity on the mental and physical health of childhood cancer survivors. Br J Sports Med 47(10):e3 Azar M, Reuveny R, Yalon M, Koren A, Constantini N (2013) The effect of physical activity on the mental and physical health of childhood cancer survivors. Br J Sports Med 47(10):e3
29.
Zurück zum Zitat Breakey VR, Zeraatkar D, Baird B (2015) Timmons B (2015) Improving fitness after childhood cancer: a novel exercise clinic for pediatric oncology patients. ASCO Ann Meet Proc 15(suppl):e21030 Breakey VR, Zeraatkar D, Baird B (2015) Timmons B (2015) Improving fitness after childhood cancer: a novel exercise clinic for pediatric oncology patients. ASCO Ann Meet Proc 15(suppl):e21030
32.
Zurück zum Zitat Daeggelmann J, Rustler V, Eckert K, Kramp V, Stoessel S, Bloch W, Baumann FT (2018) Participation in organized sports, physical education, therapeutic exercises, and non-organized leisure-time physical activity: how does participation differ between childhood cancer outpatients and healthy peers? Ger J Exerc Sport Res. https://doi.org/10.1007/s12662-018-0501-8 Daeggelmann J, Rustler V, Eckert K, Kramp V, Stoessel S, Bloch W, Baumann FT (2018) Participation in organized sports, physical education, therapeutic exercises, and non-organized leisure-time physical activity: how does participation differ between childhood cancer outpatients and healthy peers? Ger J Exerc Sport Res. https://​doi.​org/​10.​1007/​s12662-018-0501-8
Metadaten
Titel
Physical activity behaviour in children and adolescents before, during and after cancer treatment
verfasst von
Sandra Stössel
Marie A. Neu
Vanessa Oschwald
Regine Söntgerath
Julia Däggelmann
Katharina Eckert
Vivian Hamacher
Freerk T. Baumann
Wilhelm Bloch
Joerg Faber
Publikationsdatum
18.12.2019
Verlag
Springer Milan
Erschienen in
Sport Sciences for Health / Ausgabe 2/2020
Print ISSN: 1824-7490
Elektronische ISSN: 1825-1234
DOI
https://doi.org/10.1007/s11332-019-00612-7

Weitere Artikel der Ausgabe 2/2020

Sport Sciences for Health 2/2020 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.