Evidence map›Paper›PMID 29383508›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2018

Physical activity barriers, preferences, and beliefs in childhood cancer patients.

Wilhelmenia L Ross, Alyssa Le, Daniel J Zheng, Hannah-Rose Mitchell, Jaime Rotatori, Fangyong Li, John T Fahey, Kirsten K Ness, Nina S Kadan-Lottick

Abstract read
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Exercise Therapy and Radiation Therapy for Cancer: A Systematic Review.International journal of radiation oncology, biology, physics · 2021
    Pooled it
  3. Severe fatigue after treatment for childhood cancer.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Physical activity and fitness among pediatric cancer survivors: a meta-analysis of observational studies.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Implementing health promotion interventions in a pediatric oncology setting: A qualitative study among families impacted by cancer and healthcare professionals.Journal of child health care : for professionals working with children in the hospital and community · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Wilhelmenia L RossSection of Pediatric Hematology-Oncology, Yale School of Medicine, PO Box 208064, 333 Cedar Street, LMP-2073, New Haven, CT, 06520-8064, USA.
Alyssa LeSection of Pediatric Hematology-Oncology, Yale School of Medicine, PO Box 208064, 333 Cedar Street, LMP-2073, New Haven, CT, 06520-8064, USA.
Daniel J ZhengSection of Pediatric Hematology-Oncology, Yale School of Medicine, PO Box 208064, 333 Cedar Street, LMP-2073, New Haven, CT, 06520-8064, USA.
Hannah-Rose MitchellDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Jaime RotatoriSection of Pediatric Hematology-Oncology, Yale School of Medicine, PO Box 208064, 333 Cedar Street, LMP-2073, New Haven, CT, 06520-8064, USA.
Fangyong LiYale School of Public Health, New Haven, CT, USA.
John T FaheySection of Pediatric Cardiology, Yale School of Medicine, New Haven, CT, USA.
Kirsten K NessDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.
Nina S Kadan-LottickSection of Pediatric Hematology-Oncology, Yale School of Medicine, PO Box 208064, 333 Cedar Street, LMP-2073, New Haven, CT, 06520-8064, USA. nina.kadan-lottick@yale.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChildhood cancer patients report low physical activity levels despite the risk for long-term complications that may benefit from exercise. Research is lacking regarding exercise barriers, preferences, and beliefs among patients (1) on- and off-therapy and (2) across the age spectrum.

methodsCross-sectional study in the Yale Pediatric Hematology-Oncology Clinic (October 2013-October 2014). Participants were ≥ 4 years old, > 1 month after cancer diagnosis at < 20 years, not acutely ill, expected to live > 6 months, and received chemotherapy and/or radiation. Participants (or parents if < 13 years) completed a survey.

resultsThe 162 patients (99% participated) were 34% children (4.0-12.9 years), 31% adolescents (13.0-17.9 years), and 35% adults (≥ 18 years). Most had leukemia/lymphoma (66%); 32% were on-therapy. On-therapy patients were more likely than off-therapy patients (73 vs. 48%; p = 0.003) to report ≥ 1 barrier related to physical complaints, such as "just too tired" (46 vs. 28%; p = 0.021) or "afraid" of injury (22 vs. 9%; p = 0.027). The majority preferred walking (73%), exercising at home (91%), exercising in the afternoon (79%), and a maximum travel time of 10-20 min (54%); preferences did not vary significantly by therapy status or age. Most respondents (94%) recognized the benefits of exercise after cancer, but 50% of on- vs. 12% of off-therapy patients believed "their cancer diagnosis made it unsafe to exercise regularly" (p < 0.001).

conclusionsPhysical activity barriers pertaining to physical complaints and safety concerns were more pronounced in on-therapy childhood cancer patients but persisted off-therapy. Preferences and beliefs were relatively consistent. Our data can inform interventions in different patient subgroups.

Indexed as

AdolescentCancer SurvivorsChildChild, PreschoolCross-Sectional StudiesExerciseFatigueFemaleHumansLeukemiaLymphomaMaleMedical OncologySurveys and QuestionnairesChildhood cancerLong-term follow-up carePhysical activitySurvivorship

Identifiers

PMID29383508

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.