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Curr Obes Rep. 2017 Apr 28. doi: 10.1007/s13679-017-0260-0. [Epub ahead of print]

Early Nutrition and Physical Activity Interventions in Childhood Cancer Survivors.

Author information

1
Friedman School of Nutrition Science and Policy, Tufts University, 150 Harrison Ave, Boston, MA, 02111, USA. fang_fang.zhang@tufts.edu.
2
Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA, USA. fang_fang.zhang@tufts.edu.
3
Department of Pediatrics, Tufts University School of Medicine, Boston, MA, USA.
4
Division of Pediatric Hematology and Oncology, The Floating Hospital for Children, Tufts Medical Center, Boston, MA, USA.
5
Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, USA.

Abstract

PURPOSE OF REVIEW:

Childhood cancer survivors experience excessive weight gain early in treatment. Lifestyle interventions need to be initiated early in cancer care to prevent the early onset of obesity and cardiovascular disease (CVD). We reviewed the existing literature on early lifestyle interventions in childhood cancer survivors and consider implications for clinical care.

RECENT FINDINGS:

Few lifestyle interventions focus on improving nutrition in childhood cancer survivors. A consistent effect on reducing obesity and CVD risk factors is not evident from the limited number of studies with heterogeneous intervention characteristics, although interventions with a longer duration and follow-up show more promising trends. Future lifestyle interventions should be of a longer duration and include a nutrition component. Interventions with a longer duration and follow-up are needed to assess the timing and sustainability of the intervention effect. Lifestyle interventions introduced early in cancer care are both safe and feasible.

KEYWORDS:

Cancer survivors; Childhood cancer survivors; Interventions; Nutrition; Obesity; Physical activity; Weight management

PMID:
28455678
DOI:
10.1007/s13679-017-0260-0
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