Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL 33612, USA.
Department of Child and Family Studies, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL 33612, USA.
Int J Environ Res Public Health. 2023 Feb 14;20(4):3355. doi: 10.3390/ijerph20043355.
This rapid review examined current evidence on lifestyle interventions with stress-management or mind-body practices that assessed dietary and/or physical activity outcomes among cancer survivors. Searches were conducted in PubMed, Embase, and PsycINFO based on Cochrane Rapid Reviews Methods Group rapid review recommendations using the keywords "diet," "physical activity," "mind-body," "stress," and "intervention." Of the 3624 articles identified from the initial search, 100 full-text articles were screened, and 33 articles met the inclusion criteria. Most studies focused on post-treatment cancer survivors and were conducted in-person. Theoretical frameworks were reported for five studies. Only one study was tailored for adolescent and young adult (AYA) cancer survivors, and none included pediatric survivors. Nine studies reported race and/or ethnicity; six reported that ≥90% participants were White. Many reported significant findings for diet and/or physical activity-related outcomes, but few used complete, validated dietary intake methods (e.g., 24-h recall; = 5) or direct measures of physical activity (e.g., accelerometry; = 4). This review indicated recent progress on evaluating lifestyle interventions with stress-management or mind-body practices for cancer survivors. Larger controlled trials investigating innovative, theory-based, personalized interventions that address stress and health behaviors in cancer survivors-particularly racial/ethnic minority and pediatric and AYA populations-are needed.
本快速综述考察了当前关于生活方式干预与压力管理或身心实践的证据，这些干预措施评估了癌症幸存者的饮食和/或体力活动结果。根据 Cochrane Rapid Reviews Methods Group 快速综述建议，使用“饮食”、“体力活动”、“身心”、“压力”和“干预”等关键词，在 PubMed、Embase 和 PsycINFO 中进行了检索。从最初的搜索中确定了 3624 篇文章，筛选了 100 篇全文文章，有 33 篇文章符合纳入标准。大多数研究都集中在癌症治疗后的幸存者身上，并且是在现场进行的。有 5 项研究报告了理论框架，只有一项研究针对青少年和年轻成人（AYA）癌症幸存者，并且都没有包括儿科幸存者。有 9 项研究报告了种族和/或民族；其中 6 项报告说，≥90%的参与者是白人。许多研究报告了与饮食和/或体力活动相关的结果有显著意义，但很少使用完整、有效的饮食摄入方法（如 24 小时回顾；5 项）或直接测量体力活动的方法（如加速度计；4 项）。本综述表明，最近在评估针对癌症幸存者的压力管理或身心实践的生活方式干预方面取得了进展。需要更大规模的对照试验来调查创新的、基于理论的、个性化的干预措施，这些措施可以解决癌症幸存者的压力和健康行为问题，特别是针对少数族裔和儿科及 AYA 人群。
