Effect of exercise on bone health in children and adolescents with cancer during and after oncological treatment: A systematic review and meta-analysis

Frontiers in Physiology

Physiology

Andres Marmol-Perez¹  Andrea Rodriguez-Solana¹  Jose J. Gil-Cosano²  Esther Ubago-Guisado³  Luis Gracia-Marco⁴  Jonatan R. Ruiz⁴  Vicente Martinez-Vizcaino⁵  Ivan Cavero-Redondo⁵ 

[1] Department of Physical Education and Sports, Faculty of Sports Science, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain;Department of Physical Education and Sports, Faculty of Sports Science, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain;Department of Communication and Education, Universidad Loyola Andalucía, Sevilla, Spain;Department of Physical Education and Sports, Faculty of Sports Science, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain;Instituto de Investigación Biosanitaria, ibs.Granada, Granada, Spain;Department of Physical Education and Sports, Faculty of Sports Science, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain;Instituto de Investigación Biosanitaria, ibs.Granada, Granada, Spain;Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Madrid, Spain;Health and Social Research Center, Universidad de Castilla La Mancha, Cuenca, Spain;Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca, Chile;

关键词: bone mineral density;    dual-energy x-ray absorptiometry;    impact-loading exercise;    paediatrics;    physical activity;    weight-bearing exercise;   

DOI  :  10.3389/fphys.2023.1088740

 received in 2022-11-03, accepted in 2023-02-07,  发布年份 2023

来源: Frontiers

【 摘 要 】

Background: Although regular physical activity and exercise programs might improve bone health caused by oncological treatment and the disease itself, it remains unknown the pooled effect of exercise interventions following frequency, intensity, time and type prescriptions.Objective: This systematic review and meta-analysis aimed to synthesise evidence regarding the effectiveness of exercise interventions on bone health in children and adolescents with cancer during and after oncological treatment.Methods: A systematic search was conducted in the MEDLINE (via PubMed), Web of Science and Scopus databases from November 2021 to January 2022. Randomised controlled trials (RCTs) and non-RCTs reporting pre-post changes of the effectiveness of exercise interventions on DXA-measured bone parameters in young population (1–19 years) during or after oncological treatment were included. Pooled (ESs) and 95% confidence intervals (95%CIs) were calculated. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed.Results: A total of eight trials with 341 participants were included. The meta-analyses did not reveal a statistically significant increase in whole body areal bone mineral density (ES = 0.10; 95%CI: −0.14, 0.34), lumbar spine (ES = 0.03; 95%CI: −0.21, 0.26) or femoral neck (ES = 0.10; 95%CI: −0.37, 0.56). Similarly, during the oncological treatment phase the ES was 0.04 (95%CI: −0.17, 0.25) and after the ES was 0.07 (95%CI: −0.20, 0.33).Conclusion: To date, exercise interventions have been inappropriate and therefore, ineffective to illustrate any beneficial effect on bone health in children and adolescents with cancer during and after oncological treatment.Systematic Review Registration: PROSPERO registration number: CRD42022310876

【 授权许可】

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Copyright © 2023 Marmol-Perez, Ubago-Guisado, Rodriguez-Solana, Gil-Cosano, Martinez-Vizcaino, Cavero-Redondo, Ruiz and Gracia-Marco.