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. 2022 Nov;69(11):e29953.
doi: 10.1002/pbc.29953. Epub 2022 Sep 8.

Multidisciplinary Network ActiveOncoKids guidelines for providing movement and exercise in pediatric oncology: Consensus-based recommendations

Miriam Götte  1 , Gabriele Gauß  1 , Uta Dirksen  1 , Pablo Hernáiz Driever  2 , Oliver Basu  1 , Freerk T Baumann  3 , Joachim Wiskemann  4 , Joachim Boos  5 , Sabine Verena Kesting  6   7
Affiliations

Multidisciplinary Network ActiveOncoKids guidelines for providing movement and exercise in pediatric oncology: Consensus-based recommendations

Miriam Götte et al. Pediatr Blood Cancer. 2022 Nov.

Abstract

Background: Pediatric cancer leads to reduced participation in exercise and only few patients comply with national physical activity recommendations. Physically inactive behavior hinders motor development and increases physical and psychological adverse effects of therapy and incidence of sequelae. Currently, there is neither nationwide coverage nor uniform level of knowledge regarding exercise promotion. The objective of the guideline is to facilitate qualified exercise interventions through standardized procedures in addition to regular physiotherapy and overall avoid physical inactivity in pediatric cancer patients.

Methods: This guideline addresses the multidisciplinary treatment team and informs physiotherapists and decision-makers in tertiary care hospitals and health insurance companies. The requirements of the Association of the Scientific Medical Societies in Germany were followed. Contents were based on best practice experience of experts, patient advocates, as well as on scientific evidence.

Results: The guideline includes 11 recommendations. Recommendations 1-4 declare the relevance of implementing exercise interventions and address general framework conditions. Recommendations 5-11 focus on the design of exercise programs, prevention and safety issues, relative contraindications for specific training loads, and options to overcome barriers to exercise.

Conclusion: This guideline summarizes existing and established structures and evidence in the context of movement and exercise in pediatric oncology. It takes into consideration the rights, varying needs, and characteristics of children and adolescents as well as national and international experience in this field. In the future, relevant research gaps need to be addressed by high-quality intervention studies to provide the scientific background for a stronger evidence-based guideline.

Keywords: health behavior; health promotion; implementation; physical activity; recommendations.

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References

REFERENCES

    1. Steliarova-Foucher E, Colombet M, Ries LAG, et al. International incidence of childhood cancer, 2001-10: a population-based registry study. Lancet Oncol. 2017;18(6):719-731.
    1. Kaatsch P, Grabow D, Spix C, eds. German Childhood Cancer Registry - Annual Report 2017 (1980-2016). Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI) at the University Medical Center of the Johannes Gutenberg University Mainz; 2018.
    1. Langer T, Grabow D, Steinmann D, Wörmann B, Calaminus G. Late effects and long-term follow-up after cancer in childhood. Oncol Res Treat. 2017;40(12):746-750.
    1. Götte M, Kesting S, Winter C, Rosenbaum D, Boos J. Comparison of self-reported physical activity in children and adolescents before and during cancer treatment. Pediatr Blood Cancer. 2014;61(6):1023-1028.
    1. Kesting SV, Götte M, Seidel CC, Rosenbaum D, Boos J. One in four questioned children faces problems regarding reintegration into physical education at school after treatment for pediatric cancer. Pediatr Blood Cancer. 2016;63(4):737-739.