From: Determinants of exercise adherence and maintenance among cancer survivors: a systematic review
First author, year | Cancer diagnosis | Study population (number of patients (n); mean age ± SD; %female) | Study design | Exercise intervention | Outcome measures adherence or maintenance | Adherence/maintenance (% or mean ± SD) |
---|---|---|---|---|---|---|
Pretreatment | Â | Â | Â | Â | Â | Â |
Peddle, 2009 [39] | Lung cancer | n = 19; 64 ± 10y; 68% female | Single-group trial | AET 5 times a week for the duration of surgical wait time (range 4–13 weeks) | Percentage of the prescribed number of sessions attended | 73 ± 35% |
During treatment | Â | Â | Â | Â | Â | |
Courneya, 2008 [40] | Breast cancer | n = 160; 49y; 100% female | Three-armed RCT | 1) Supervised AET or 2) RET, 3 times a week for the duration of CT (ranging from 12 to 24 weeks) | Percentage of the expected number of sessions attended | Group 1: 72.0 ± 30.1%; Group 2: 68.2 ± 28.4% |
Klepin, 2011 [41] | Acute myelogenous leukemia | n = 24; 65.1 ± 7.8y; 62.5% female | Single-group trial | Supervised AET and strength training 3 times a week for 4 weeks | Number of exercise sessions completed | 2.7 ± 2.4 |
Shang, 2012 [42] | Mixed (34% breast cancer) | N = 68; 59.8 ± 10.8y; 39.7% female | Two-armed RCT | Home-based walking intervention 5 times a week for the duration of RT/CT (ranging from 5 to 35 weeks) | Percentage of patients meeting the personalized exercise prescription > 2/3 of the study period | 67.7% |
Swenson, 2010 [43] | Breast cancer | n = 29; 46.9y (range: 40–54); 100% female | Two-armed RCT | Tools and advise to perform minimal 10,000 steps per day (PA assessed over 12 months) | Percentage of patients meeting the exercise prescription of 10,000 steps per day | 74% |
After treatment | Â | Â | Â | Â | Â | |
Courneya, 2004 [44] | Colorectal cancer | n = 62; 59.9 ± 10.7y; 45.2% female | Two-armed RCT | Home-based AET 3–5 times a week for 16 weeks | Average min/week of moderate-strenuous AET performed | 91.5 ± 148.4 min/week |
Courneya, 2004 [45] | Prostate cancer | n = 82; 68.2 ± 7.9y; 0% female | Two-armed RCT | RET at fitness center 3 times a week for 12 weeks | Number of observed exercise session attended | 28.2 ± 7.1 |
Latka, 2009 [46] | Breast cancer | n = 37; 56.5 ± 9.5y; 100% female | Two-armed RCT | Supervised AET 3 times a week and home-based AET 2 times a week for 6 months | Average min/week of moderate-intensity AET performed (prescribed 150 min.) | 122.8 ± 52.4 min/week |
McGuire, 2011 [47] | Breast cancer | n = 120; 58.7y, 100% female | Two-armed RCT | Home-based strength training for 8 months and strength training in a fitness center for the following 16 months, both 2 times a week | Percentage of the prescribed number of sessions performed | 62% |
Pinto, 2009 [48] | Breast cancer | n = 43; 53.4 ± 9.1; 100% female | Two-armed RCT | Home-based walking intervention 2–5 days a week for 12 weeks | Percentage of patients meeting the exercise prescription | 54-91% |
During and after treatment | Â | Â | Â | Â | Â | |
Courneya, 2002 [49] | Mixed (41% breast cancer) | n = 51; 52.5 ± 10.2y; 84.4% female | Two-armed RCT | Home-based AET 3–5 times per week for 10 weeks | Average min/week of moderate-strenuous AET performed | 141.1 ± 129.2 min/week |
Courneya, 2010 [50] | Lymphoma | n = 60; 52.8y (range: 18–77); 38.3% female | Two-armed RCT | Supervised AET 3 times a week for 12 weeks | Percentage of the expected number of sessions attended | 78 ± 30% |
Maintenance | Â | Â | Â | Â | Â | Â |
Courneya, 2004 [51] | Mixed (40% breast cancer) | n = 30; 54.9 ± 8.0y; 77% female | Two-armed RCT | Home-based AET 3–5 times per week for 10 weeks | Average min/week of moderate-strenuous exercise | 146.3 ± 143.5 min/week |
Courneya, 2009 [52] | Breast cancer | n = 201; 49y; 100% female | Three-armed RCT | 1) Supervised AET; 2) RET 3 times a week for the duration of CT (ranging from 12 to 24 weeks) or 3) a delayed 1 month supervised program for usual care patients | Meeting AET and/or RET guidelines | Neither: 42.3%; either: 36.8%; both: 20.9% |
Courneya, 2011 [53] | Lymphoma | n = 110; 44 pt <55y and 66 pt ≥55y; 43.6% female | Two-armed RCT | 1) Supervised AET 3 times a week for 12 weeks or 2) a delayed 1 month supervised program for usual care | Percentage of patients meeting ACSM guideline | 55.5% |
Loprinzi, 2012 [54] | Breast cancer | n = 69; 70.6 ± 1.2y; 100% female | Three-armed RCT | 1) Supervised AET; 2) supervised RET or 3) supervised stretching and relaxation exercise 3 times a week for 12 months | Activity status based on TTM stages | Sufficiently active: 57%; Insufficiently active: 43% |
Rogers, 2011 [55] | Breast cancer | n = 36; 53 ± 9y; 100% female | Two-armed RCT | 1) 12 individual supervised exercise sessions, 6 discussion group sessions and 3 individual face-to-face counseling sessions over a 3 month period or 2) information on PA after a cancer diagnosis | Daily minutes of activity of moderate-strenuous activity | Group 1: 174.9 min/day; Group 2: 92 min/day |
Vallance, 2010 [56] | Breast cancer | n = 266; 57y (range 36–90); 100% female | Four-armed RCT | Exercise recommendation and 1) nothing, 2) exercise for health book, 3) pedometer or 4)exercise for health book and pedometer | Percentage of patients meeting ACSM guideline | 49.2% |