Department of Medicine, University of Illinois, Chicago, IL, USA.
Ann Behav Med. 2010 Jun;39(3):232-49. doi: 10.1007/s12160-010-9192-6.
Treatment advances have led to a growing population of childhood cancer survivors. Many are at risk for developing treatment-related late effects. Diet and physical activity may affect levels of health risk. A number of papers have examined these behaviors in childhood cancer survivors. The purpose of this study was to provide a review and summary of the published studies in the areas of diet, physical activity, and related interventions among childhood cancer survivors. A systematic search was conducted for studies published prior to October 2009. Descriptive and intervention studies that included survivors of childhood cancers and a measurement of diet and/or physical activity were reviewed. Twenty-six manuscripts met criteria: ten addressed diet; 20 addressed physical activity, and six included intervention studies. Results suggest that childhood cancer survivors engage in health-promoting activities at rates comparable to the general population. Behavioral interventions have mostly targeted physical activity. Results, overall, are not encouraging, due primarily to difficulties recruiting and retaining participants. Although more rigorous studies are needed, recommendations for health-promoting behaviors should be a regular topic of discussion between health care providers and their childhood cancer survivor patients.
治疗进展使得越来越多的儿童癌症幸存者存活下来。许多人面临发生治疗相关晚期效应的风险。饮食和身体活动可能会影响健康风险水平。许多论文已经研究了这些行为在儿童癌症幸存者中的情况。本研究的目的是提供一个关于儿童癌症幸存者的饮食、身体活动以及相关干预措施的已发表研究的综述和总结。对截至 2009 年 10 月前发表的研究进行了系统检索。综述了包括儿童癌症幸存者、测量饮食和/或身体活动的描述性和干预性研究。有 26 篇文章符合标准：10 篇涉及饮食；20 篇涉及身体活动，6 篇包含干预性研究。结果表明，儿童癌症幸存者以与一般人群相当的比例从事促进健康的活动。行为干预主要针对身体活动。总体而言，结果并不令人鼓舞，主要是因为招募和保留参与者存在困难。尽管需要更严格的研究，但促进健康行为的建议应该成为医疗保健提供者与其儿童癌症幸存者患者之间定期讨论的话题。
