ASSESSING THE EFFECTS OF PHYSICAL ACTIVITY ON CHILDREN AND ADOLESCENTS HODGKIN’S LYMPHOMA SURVIVORS: A SYSTEMATIC REVIEW

Dario Colella, Domenico Monacis

Abstract


Physical activity can improve metabolism, lung functionality, aerobic capacity, physical fitness components and quality of life among children and adults diagnosed with cancer. The daily practice of physical activity and physical fitness levels are important factors to cancer care and prevention, showing positive effects on the immune system and hematologic malignancies. Hodgkin's lymphoma is a cancer of the lymphatic system, originated from B lymphocytes (a type of white blood cell) present in the lymph nodes, spleen, bone marrow, blood and numerous other organs. This system has a defense function, protecting organism from external agents and diseases. The aim of this systematic review is to analyze the effects of physical activity on fatigue, physical fitness levels and quality of life in children and adolescents Hodgkin's lymphoma survivors. The PRISMA protocol was used to conduct a systematic review of SportDiscuss, PubMed, Scopus, Web of Science and Pedro databases. 4 articles met inclusion criteria (randomized controlled trials, pre-post intervention studies with and without control group, pilot studies or preliminary studies; full-text and peer-reviewed studies; diagnosis of lymphoma during childhood or adolescence; studies using validated assessment tools or a combination of validated and non-validated tools; studies including physical activity, physical fitness and quality of life as outcomes; studies focusing Hodgkin Lymphoma exclusively; studies published in English). Results evidence a progressive decline in physical activity levels, a progressive decrease in VO2max, increased fatigue, muscular strength reduction, and major risk of cardiovascular diseases in Hodgkin’s Lymphoma survivors. Future research should clarify the effects of physical activity on HL management and etiology, to reach definitive conclusions and develop specific policy recommendations.

Article visualizations:

Hit counter


Keywords


physical activity; Hodgkin’s lymphoma; children; motor development; immune system

Full Text:

PDF

References


Abarca-Gómez, L., Abdeen, Z. A., Hamid, Z. A., Abu-Rmeileh, N. M., Acosta-Cazares, B., Acuin, C., … Ezzati, M. (2017). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. The Lancet, 390(10113), 2627–2642. https://doi.org/10.1016/S0140-6736(17)32129-3

Abrignani, M. G., Lucà, F., Favilli, S., Benvenuto, M., Rao, C. M., Di Fusco, S. A., … Gulizia, M. M. (2019). Lifestyles and Cardiovascular Prevention in Childhood and Adolescence. Pediatric Cardiology, 40(6), 1113–1125. https://doi.org/10.1007/s00246-019-02152-w

Al-Khudairy, L., Loveman, E., Colquitt, J. L., Mead, E., Johnson, R. E., Fraser, H., … Rees, K. (2017). Diet, physical activity and behavioural interventions for the treatment of overweight or obese adolescents aged 12 to 17 years. The Cochrane Database of Systematic Reviews, 6(6), CD012691. https://doi.org/10.1002/14651858.CD012691

Bhaskaran, K., Dos-Santos-Silva, I., Leon, D. A., Douglas, I. J., & Smeeth, L. (2018). Association of BMI with overall and cause-specific mortality: a population-based cohort study of 3·6 million adults in the UK. The Lancet. Diabetes & Endocrinology, 6(12), 944–953. https://doi.org/10.1016/S2213-8587(18)30288-2

Bøhn, S. H., Lie, H. C., Reinertsen, K. V, Fosså, S. D., Haugnes, H. S., Kiserud, C. E., … Thorsen, L. (2020). Lifestyle among long-term survivors of cancers in young adulthood. Support Care Cancer. https://doi.org/10.1007/s00520-020-05445-6

Bruijns, B. A., Adamo, K. B., Burke, S. M., Carson, V., Irwin, J. D., Naylor, P.-J., … Tucker, P. (2019). Exploring the physical activity and screen-viewing-related knowledge, training, and self-efficacy of early childhood education candidates. BMC Pediatrics, 19(1), 5. https://doi.org/10.1186/s12887-018-1358-6

Brunet, J., Wurz, A., & Shallwani, S. M. (2018). A scoping review of studies exploring physical activity among adolescents and young adults diagnosed with cancer. Psycho‐oncology, 27(8), 1875–1888. https://doi.org/10.1002/pon.4743

Celind, J., Ohlsson, C., Bygdell, M., Martikainen, J., Lewerin, C., & Kindblom, J. M. (2020). Childhood body mass index is associated with the risk of adult hematologic malignancies in men-The best Gothenburg cohort. International Journal of Cancer, 147(9), 2355–2362. https://doi.org/10.1002/ijc.33015

Crombie, J. L., & LaCasce, A. S. (2019). Current considerations in AYA Hodgkin lymphoma. British Journal of Haematology, 184(1), 72–81. https://doi.org/10.1111/bjh.15640

Davies, G. A., Strader, C., Chibbar, R., Papatheodorou, S., & Dmytriw, A. A. (2020). The relationship between physical activity and lymphoma: a systematic review and meta analysis. BMC Cancer, 20(1), 962. https://doi.org/10.1186/s12885-020-07431-x

Deisenroth, A., Söntgerath, R., Schuster, A. J., von Busch, C., Huber, G., Eckert, K., … Wiskemann, J. (2016). Muscle strength and quality of life in patients with childhood cancer at early phase of primary treatment. Pediatric Hematology and Oncology, 33(6), 393–407. https://doi.org/10.1080/08880018.2016.1219796

Ford-Smith, C. D., Wyman, J. F., Elswick, R. K. J., Fernandez, T., & Newton, R. A. (1995). Test-retest reliability of the sensory organization test in noninstitutionalized older adults. Archives of Physical Medicine and Rehabilitation, 76(1), 77–81. https://doi.org/10.1016/s0003-9993(95)80047-6

García-Hermoso, A., Ramírez-Vélez, R., Alfonso-Rosa, R. M., & Del Pozo Cruz, B. (2020). Cardiorespiratory fitness, physical activity, sedentary behavior, and circulating white blood cells in US youth. Scandinavian Journal of Medicine & Science in Sports. https://doi.org/10.1111/sms.13845

Gonçalves, C. A. M., Dantas, P. M. S., Dos Santos, I. K., Dantas, M., da Silva, D. C. P., Cabral, B. G. de A. T., … Júnior, G. B. C. (2019). Effect of Acute and Chronic Aerobic Exercise on Immunological Markers: A Systematic Review. Frontiers in Physiology. https://doi.org/10.3389/fphys.2019.01602

Hooke, M. C., Hoelscher, A., Tanner, L. R., Langevin, M., Bronas, U. G., Maciej, A., & Mathiason, M. A. (2019). Kids Are Moving: A Physical Activity Program for Children with Cancer. Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses, 36(6), 379–389. https://doi.org/10.1177/1043454219858607

Hosker, D. K., Elkins, R. M., & Potter, M. P. (2019). Promoting Mental Health and Wellness in Youth Through Physical Activity, Nutrition, and Sleep. Child and Adolescent Psychiatric Clinics of North America, 28(2), 171–193. https://doi.org/10.1016/j.chc.2018.11.010

Kowaluk, A., Woźniewski, M., & Malicka, I. (2019). Physical Activity and Quality of Life of Healthy Children and Patients with Hematological Cancers. International Journal of Environmental Research and Public Health, 16(15). https://doi.org/10.3390/ijerph16152776

Kowaluk, A., Woźniewski, M., & Malicka, I. (2019). Physical Activity and Quality of Life of Healthy Children and Patients with Hematological Cancers. International Journal of Environmental Research and Public Health, 16(15). https://doi.org/10.3390/ijerph16152776

Kuczmarski, R. J., Ogden, C. L., Guo, S. S., Grummer-Strawn, L. M., Flegal, K. M., Mei, Z., … Johnson, C. L. (2002). 2000 CDC Growth Charts for the United States: methods and development. Vital and Health Statistics. Series 11, Data from the National Health Survey, (246), 1–190.

Matthews, C. E., Moore, S. C., Arem, H., Cook, M. B., Trabert, B., Hakansson, N., … Lee, I. M. (2020). Amount and Intensity of Leisure-Time Physical Activity and Lower Cancer Risk. Journal of Clinical Oncology, 38(7), 686–697. https://doi.org/10.1200/jco.19.02407

Mauz-Körholz, C., Metzger, M. L., Kelly, K. M., Schwartz, C. L., Castellanos, M. E., Dieckmann, K., … Körholz, D. (2015). Pediatric Hodgkin Lymphoma. Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology, 33(27), 2975–2985. https://doi.org/10.1200/JCO.2014.59.4853

Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Medicine, 6, e1000097. https://doi.org/10.1371/journal.pmed.1000097

Mounier, N., Anthony, S., Busson, R., Thieblemont, C., Ribrag, V., Tilly, H., … Henry-Amar, M. (2019). Long-term fatigue in survivors of non-Hodgkin lymphoma: The Lymphoma Study Association SIMONAL cross-sectional study. Cancer, 125(13), 2291–2299. https://doi.org/10.1002/cncr.32040

Munsie, C., Ebert, J., Joske, D., & Ackland, T. (2019). The Benefit of Physical Activity in Adolescent and Young Adult Cancer Patients During and After Treatment: A Systematic Review. Journal of Adolescent and Young Adult Oncology, 8(5), 512–524. https://doi.org/10.1089/jayao.2019.0013

National Cancer Institute (n.d.). retrieved from https://www.cancer.gov/types/lymphoma/hp/child-hodgkin-treatment-pdq

Puente-Maestu, L., & Stringer, W. W. (2018, February). Physical activity to improve health: do not forget that the lungs benefit too. The European Respiratory Journal. England. https://doi.org/10.1183/13993003.02468-2017

Reulen, R. C., Zeegers, M. P., Jenkinson, C., Lancashire, E. R., Winter, D. L., Jenney, M. E., & Hawkins, M. M. (2006). The use of the SF-36 questionnaire in adult survivors of childhood cancer: evaluation of data quality, score reliability, and scaling assumptions. Health and Quality of Life Outcomes, 4, 77. https://doi.org/10.1186/1477-7525-4-77

Robison, L. L., Green, D. M., Hudson, M., Meadows, A. T., Mertens, A. C., Packer, R. J., … Zeltzer, L. K. (2005). Long-term outcomes of adult survivors of childhood cancer. Cancer, 104(S11), 2557–2564. https://doi.org/10.1002/cncr.21249

Ross, W. L., Le, A., Zheng, D. J., Mitchell, H.-R., Rotatori, J., Li, F., … Kadan-Lottick, N. S. (2018). Physical activity barriers, preferences, and beliefs in childhood cancer patients. Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, 26(7), 2177–2184. https://doi.org/10.1007/s00520-017-4041-9

Saberi Hosnijeh, F., Kolijn, P. M., Casabonne, D., Nieters, A., Solans, M., Naudin, S., … Vermeulen, R. (2020). Mediating effect of soluble B-cell activation immune markers on the association between anthropometric and lifestyle factors and lymphoma development. Scientific Reports, 10(1), 13814. https://doi.org/10.1038/s41598-020-70790-9

Singh, A. S., Saliasi, E., van den Berg, V., Uijtdewilligen, L., de Groot, R. H. M., Jolles, J., … Chinapaw, M. J. M. (2019). Effects of physical activity interventions on cognitive and academic performance in children and adolescents: a novel combination of a systematic review and recommendations from an expert panel. British Journal of Sports Medicine, 53(10), 640–647. https://doi.org/10.1136/bjsports-2017-098136

Sitlinger, A., Brander, D. M., & Bartlett, D. B. (2020). Impact of exercise on the immune system and outcomes in hematologic malignancies. Blood Advances, 4(8), 1801–1811. https://doi.org/10.1182/bloodadvances.2019001317

Trachtenberg, E., Gurion, R., Mashiach, T., Tadmor, T., Kedmi, M., & Dann, E. J. (2019). Recognizing severe fatigue and decline in quality of life in Hodgkin lymphoma survivors. Leukemia & Lymphoma, 60(14), 3449–3454. https://doi.org/10.1080/10428194.2019.1641803.

Troped PJ, Wiecha JL, Fragala MS, et al: Reliability and validity of YRBS physical activity items among middle school students. Med Sci Sports Exerc 39:416-425, 2007.

Van Dijk-Lokkart, E. M., Steur, L. M. H., Braam, K. I., Veening, M. A., Huisman, J., Takken, T., … Van Litsenburg, R. R. L. (2019). Longitudinal development of cancer-related fatigue and physical activity in childhood cancer patients. Pediatric Blood & Cancer, 66(12), e27949. https://doi.org/10.1002/pbc.27949.

Wampler, M., Miaskowski, C., Byl, N., Rugo, H., & Topp, K. (2006). The Modified Total Neuropathy Score: A Clinically Feasible and Valid Measure of Taxane-Induced Peripheral Neuropathy in Women with Breast Cancer.

Ware, J. E. J., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30(6), 473–483.

Wiseman, M. J. (2019, September). Nutrition and cancer: prevention and survival. The British Journal of Nutrition. England. https://doi.org/10.1017/S0007114518002222.

World Cancer Research Fund (2018) Diet, nutrition, physical activity and cancer: a global perspective. http://www.wcrf.org/dietandcancerreport (accessed August 2018).

Yu, J., Tao, Y., Dou, J., Ye, J., Yu, Y., & Jin, L. (2018). The dose-response analysis between BMI and common chronic diseases in northeast China. Scientific Reports, 8(1), 4228. https://doi.org/10.1038/s41598-018-22551-y.

Zhang, T., Xu, J., Li, S., Bazzano, L. A., He, J., Whelton, P. K., & Chen, W. (2019). Trajectories of childhood BMI and adult diabetes: the Bogalusa Heart Study. Diabetologia, 62(1), 70–77. https://doi.org/10.1007/s00125-018-4753-5.




DOI: http://dx.doi.org/10.46827/ejpe.v6i12.3691

Refbacks

  • There are currently no refbacks.


Copyright (c) 2021 Dario Colella, Domenico Monacis

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright © 2015 - 2023. European Journal of Physical Education and Sport Science (ISSN 2501 - 1235) is a registered trademark of Open Access Publishing Group. All rights reserved.


This journal is a serial publication uniquely identified by an International Standard Serial Number (ISSN) serial number certificate issued by Romanian National Library (Biblioteca Nationala a Romaniei). All the research works are uniquely identified by a CrossRef DOI digital object identifier supplied by indexing and repository platforms. All authors who send their manuscripts to this journal and whose articles are published on this journal retain full copyright of their articles. All the research works published on this journal are meeting the Open Access Publishing requirements and can be freely accessed, shared, modified, distributed and used in educational, commercial and non-commercial purposes under a Creative Commons Attribution 4.0 International License (CC BY 4.0).