Cargando…

Technology-Supported Self-Guided Nutrition and Physical Activity Interventions for Adults With Cancer: Systematic Review

BACKGROUND: Nutrition and physical activity interventions are important components of cancer care. With an increasing demand for services, there is a need to consider flexible, easily accessible, and tailored models of care while maintaining optimal outcomes. OBJECTIVE: This systematic review descri...

Descripción completa

Detalles Bibliográficos
Autores principales: Kiss, Nicole, Baguley, Brenton James, Ball, Kylie, Daly, Robin M, Fraser, Steve F, Granger, Catherine L, Ugalde, Anna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390188/
https://www.ncbi.nlm.nih.gov/pubmed/30747720
http://dx.doi.org/10.2196/12281
_version_ 1783398093394280448
author Kiss, Nicole
Baguley, Brenton James
Ball, Kylie
Daly, Robin M
Fraser, Steve F
Granger, Catherine L
Ugalde, Anna
author_facet Kiss, Nicole
Baguley, Brenton James
Ball, Kylie
Daly, Robin M
Fraser, Steve F
Granger, Catherine L
Ugalde, Anna
author_sort Kiss, Nicole
collection PubMed
description BACKGROUND: Nutrition and physical activity interventions are important components of cancer care. With an increasing demand for services, there is a need to consider flexible, easily accessible, and tailored models of care while maintaining optimal outcomes. OBJECTIVE: This systematic review describes and appraises the efficacy of technology-supported self-guided nutrition and physical activity interventions for people with cancer. METHODS: A systematic search of multiple databases from 1973 to July 2018 was conducted for randomized and nonrandomized trials investigating technology-supported self-guided nutrition and physical activity interventions. Risk of bias was assessed using the Cochrane Risk of Bias tool. Outcomes included behavioural, health-related, clinical, health service, or financial measures. RESULTS: Sixteen randomized controlled trials representing 2684 participants were included. Most studies were web-based interventions (n=9) and had a 12-week follow-up duration (n=8). Seven studies assessed dietary behaviour, of which two reported a significant benefit on diet quality or fruit and vegetable intake. Fifteen studies measured physical activity behaviour, of which eight studies reported a significant improvement in muscle strength and moderate-to-vigorous physical activity. Four of the nine studies assessing the health-related quality of life (HRQoL) reported a significant improvement in global HRQoL or a domain subscale. A significant improvement in fatigue was found in four of six studies. Interpretation of findings was influenced by inadequate reporting of intervention description and compliance. CONCLUSIONS: This review identified short-term benefits of technology-supported self-guided interventions on the physical activity level and fatigue and some benefit on dietary behaviour and HRQoL in people with cancer. However, current literature demonstrates a lack of evidence for long-term benefit. TRIAL REGISTRATION: PROSPERO CRD42017080346; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=80346
format Online
Article
Text
id pubmed-6390188
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher JMIR Publications
record_format MEDLINE/PubMed
spelling pubmed-63901882019-03-15 Technology-Supported Self-Guided Nutrition and Physical Activity Interventions for Adults With Cancer: Systematic Review Kiss, Nicole Baguley, Brenton James Ball, Kylie Daly, Robin M Fraser, Steve F Granger, Catherine L Ugalde, Anna JMIR Mhealth Uhealth Review BACKGROUND: Nutrition and physical activity interventions are important components of cancer care. With an increasing demand for services, there is a need to consider flexible, easily accessible, and tailored models of care while maintaining optimal outcomes. OBJECTIVE: This systematic review describes and appraises the efficacy of technology-supported self-guided nutrition and physical activity interventions for people with cancer. METHODS: A systematic search of multiple databases from 1973 to July 2018 was conducted for randomized and nonrandomized trials investigating technology-supported self-guided nutrition and physical activity interventions. Risk of bias was assessed using the Cochrane Risk of Bias tool. Outcomes included behavioural, health-related, clinical, health service, or financial measures. RESULTS: Sixteen randomized controlled trials representing 2684 participants were included. Most studies were web-based interventions (n=9) and had a 12-week follow-up duration (n=8). Seven studies assessed dietary behaviour, of which two reported a significant benefit on diet quality or fruit and vegetable intake. Fifteen studies measured physical activity behaviour, of which eight studies reported a significant improvement in muscle strength and moderate-to-vigorous physical activity. Four of the nine studies assessing the health-related quality of life (HRQoL) reported a significant improvement in global HRQoL or a domain subscale. A significant improvement in fatigue was found in four of six studies. Interpretation of findings was influenced by inadequate reporting of intervention description and compliance. CONCLUSIONS: This review identified short-term benefits of technology-supported self-guided interventions on the physical activity level and fatigue and some benefit on dietary behaviour and HRQoL in people with cancer. However, current literature demonstrates a lack of evidence for long-term benefit. TRIAL REGISTRATION: PROSPERO CRD42017080346; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=80346 JMIR Publications 2019-02-12 /pmc/articles/PMC6390188/ /pubmed/30747720 http://dx.doi.org/10.2196/12281 Text en ©Nicole Kiss, Brenton James Baguley, Kylie Ball, Robin M Daly, Steve F Fraser, Catherine L Granger, Anna Ugalde. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 12.02.2019. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mhealth and uhealth, is properly cited. The complete bibliographic information, a link to the original publication on http://mhealth.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Review
Kiss, Nicole
Baguley, Brenton James
Ball, Kylie
Daly, Robin M
Fraser, Steve F
Granger, Catherine L
Ugalde, Anna
Technology-Supported Self-Guided Nutrition and Physical Activity Interventions for Adults With Cancer: Systematic Review
title Technology-Supported Self-Guided Nutrition and Physical Activity Interventions for Adults With Cancer: Systematic Review
title_full Technology-Supported Self-Guided Nutrition and Physical Activity Interventions for Adults With Cancer: Systematic Review
title_fullStr Technology-Supported Self-Guided Nutrition and Physical Activity Interventions for Adults With Cancer: Systematic Review
title_full_unstemmed Technology-Supported Self-Guided Nutrition and Physical Activity Interventions for Adults With Cancer: Systematic Review
title_short Technology-Supported Self-Guided Nutrition and Physical Activity Interventions for Adults With Cancer: Systematic Review
title_sort technology-supported self-guided nutrition and physical activity interventions for adults with cancer: systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390188/
https://www.ncbi.nlm.nih.gov/pubmed/30747720
http://dx.doi.org/10.2196/12281
work_keys_str_mv AT kissnicole technologysupportedselfguidednutritionandphysicalactivityinterventionsforadultswithcancersystematicreview
AT baguleybrentonjames technologysupportedselfguidednutritionandphysicalactivityinterventionsforadultswithcancersystematicreview
AT ballkylie technologysupportedselfguidednutritionandphysicalactivityinterventionsforadultswithcancersystematicreview
AT dalyrobinm technologysupportedselfguidednutritionandphysicalactivityinterventionsforadultswithcancersystematicreview
AT fraserstevef technologysupportedselfguidednutritionandphysicalactivityinterventionsforadultswithcancersystematicreview
AT grangercatherinel technologysupportedselfguidednutritionandphysicalactivityinterventionsforadultswithcancersystematicreview
AT ugaldeanna technologysupportedselfguidednutritionandphysicalactivityinterventionsforadultswithcancersystematicreview