The contribution of physical exercise to leukemia and lymphoma in children: a scoping review.

IF 1 Q3 PEDIATRICS Minerva Pediatrics Pub Date : 2024-10-07 DOI:10.23736/S2724-5276.24.07548-7
Marco Monticone, Barbara Rocca, Fulvio Dal Farra
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Abstract

Introduction: The overall contribution of physical exercise on the management of disabling consequences of leukemia and lymphoma in children is missing. The aim of this scoping review (ScoR) was to systematically collect, map and present the current research evidence concerning studies reporting data on physical exercise among children with leukemia and lymphoma.

Evidence acquisition: This ScoR was performed by adopting recommendations of the 2020 version of the "Joanna Briggs Institute Methodological Guidance", along with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews. PubMed, Scopus, and the Central (Cochrane) were searched up to December 2023. Original studies were included, and results were presented numerically and thematically.

Evidence synthesis: One hundred twelve articles were identified through the search; 14 studies met the inclusion criteria. Publications have increased over the years. Most of the studies were conducted in Western countries. 11 articles (79%) owned to primary research (seven RCTs, and four observational studies), and 3 studies (21%) were systematic reviews. The overall sample size was of 293 individuals. 1 study included a mixed population of leukemias and lymphomas, while the others included only children with leukemia. The features of physical exercise were well described, including details on duration of treatment, frequency of exercises sessions, and duration of sittings.

Conclusions: The studies indicated physical exercise as a contributor to the improvement of motor abilities and quality of life. More studies including outcome measures that assess disability are recommended. More evidence on the impact of physical exercise in children with lymphoma is needed.

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体育锻炼对儿童白血病和淋巴瘤的影响:范围界定综述。
导言:体育锻炼对控制儿童白血病和淋巴瘤致残后果的总体贡献尚不明确。本次范围界定综述(ScoR)的目的是系统地收集、绘制和呈现当前有关白血病和淋巴瘤患儿体育锻炼数据的研究证据:本范围界定综述采用了《乔安娜-布里格斯研究所方法指南》2020 年版的建议,以及《范围界定综述的系统综述和元分析首选报告项目》。对截至 2023 年 12 月的 PubMed、Scopus 和中央数据库(Cochrane)进行了检索。证据综合:通过检索,确定了 112 篇文章;14 项研究符合纳入标准。这些年发表的文章有所增加。大多数研究在西方国家进行。11篇文章(79%)属于初步研究(7项研究性临床试验和4项观察性研究),3项研究(21%)属于系统回顾。总体样本量为 293 人。其中一项研究包括白血病和淋巴瘤混合人群,其他研究仅包括白血病儿童。这些研究对体育锻炼的特点进行了很好的描述,包括治疗时间、锻炼频率和坐诊时间等细节:研究表明,体育锻炼有助于提高运动能力和生活质量。建议开展更多研究,包括评估残疾的结果测量。需要更多证据来证明体育锻炼对淋巴瘤患儿的影响。
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