Zoekverantwoording Gezonde leefstijl

Key question 1

1. Key question

Wat zijn kenmerken voor het zelfstandig oppakken / handhaven van een gezonde leefstijl (fysieke actief, gezond voedingspatroon, niet roken, beperkt alcoholgebruk, gezond lichaamsgewicht) voor patiënten met kanker?

P: patiënten met kanker

I: persoonlijkheid (bv. controle, self-efficacy, neuroticisme/extraversie/conscientiousness/BIG five end.), huidig gedrag (leeft iemand al gezond/sport iemand al of moet iemand daarmee beginnen), ervaren druk/steun van omgeving, motivatie, planning, sociaal ecomonische status, leeftijd, age , social cognitive theory constructen (self efficacy etc.) theory of planned behavior constructen (intention, value, social support, etc.) klachten en symptomen (pijn, vermoeidheid, neuropathie) bewegingsangst, kennis

C: -

O: gezonde leefstijl (fysieke actief, gezond voedingspatroon, niet roken, beperkt alcoholgebruik, gezond lichaamsgewicht)

2. Search strategy

Search date: February 13 and 20, 2014.

Databases: OVID Medline, Embase, Cochrane Library, Cinahl, Pedro (see appendix for search strings).

Search limits:

Publication date: 2008-2014;
English and Dutch only;

- Study design: meta-analyses, systematic reviews, cohort studies of at least 100 patients.

3. Search Results

Table 1. Overall search results.

Database	Number of hits
OVID Medline	740
OVID PreMedline	93
EMBASE.com	827
Cochrane Database of Systematic Reviews	6
DARE	1
HTA database	0
CENTRAL	203
Cinahl	80
Pedro	156
Total hits	2106
N excluded (language, year, duplicates)	699
Total unique eligible hits	1407

a. Excluded studies

1407 unique hits were screened on title and abstract (Table 1). Of these, 1313 were excluded. The most important reasons for exclusion were:

Other population: patients without cancer
Other intervention: interventions other than those specified
Wrong study design: narrative reviews, studies with less than 100 patients, etc

Of the remaining 94 papers, the full-text was retrieved. Based on the full-text, an additional 73 papers were excluded. Table 2 provides an overview of these excluded studies.

b. Included studies

The following 20 primary studies (published in 21 papers) were included:

Basen-Engquist K, Carmack CL, Li Y, Brown J, Jhingran A, Hughes DC, et al. Social-cognitive theory predictors of exercise behavior in endometrial cancer survivors. Health Psychol. 2013;32(11):1137-48.
Belanger LJ, Plotnikoff RC, Clark AM, Courneya KS. Determinants of physical activity in young adult cancer survivors. Am J Health Behav. 2012;36(4):483-94.
Blaney JM, Lowe-Strong A, Rankin-Watt J, Campbell A, Gracey JH. Cancer survivors' exercise barriers, facilitators and preferences in the context of fatigue, quality of life and physical activity participation: a questionnaire-survey. Psychooncology. 2013;22(1):186-94.
Brunet J, Sabiston CM. Self-presentation and physical activity in breast cancer survivors: the moderating effect of social cognitive constructs. J Sport Exerc Psychol. 2011;33(6):759-78.
Chipperfield K, Fletcher J, Millar J, Brooker J, Smith R, Frydenberg M, et al. Factors associated with adherence to physical activity guidelines in patients with prostate cancer. Psycho-Oncology. 2013;22(11):2478-86.
Cox CL, Montgomery M, Oeffinger KC, Leisenring W, Zeltzer L, Whitton JA, et al. Promoting physical activity in childhood cancer survivors: results from the Childhood Cancer Survivor Study. Cancer. 2009;115(3):642-54.
Gjerset GM, Fossa SD, Courneya KS, Skovlund E, Jacobsen AB, Thorsen L. Interest and preferences for exercise counselling and programming among Norwegian cancer survivors. Eur J Cancer Care (Engl). 2011;20(1):96-105.
Harrison S, Hayes SC, Newman B. Level of physical activity and characteristics associated with change following breast cancer diagnosis and treatment. Psycho Oncology. 2009;18(4):387-94.
Hsu H-T, Dodd MJ, Guo S-E, Lee KA, Hwang S-L, Lai Y-H. Predictors of exercise frequency in breast cancer survivors in Taiwan. J Clin Nurs. 2011;20(13-14):1923-35.
Huy C, Schmidt ME, Vrieling A, Chang-Claude J, Steindorf K. Physical activity in a German breast cancer patient cohort: One-year trends and characteristics associated with change in activity level. Eur. J. Cancer. 2012;48(3):297-304.
Karvinen KH, Courneya KS, Plotnikoff RC, Spence JC, Venner PM, North S. A prospective study of the determinants of exercise in bladder cancer survivors using the Theory of Planned Behavior. Support Care Cancer. 2009;17(2):171-9.
McGowan EL, Speed-Andrews AE, Rhodes RE, Blanchard CM, Culos-Reed SN, Friedenreich CM, et al. Sport participation in colorectal cancer survivors: an unexplored approach to promoting physical activity. Support Care Cancer. 2013;21(1):139-47.
Milne HM, Wallman KE, Guilfoyle A, Gordon S, Corneya KS. Self-determination theory and physical activity among breast cancer survivors. J Sport Exerc Psychol. 2008;30(1):23-38.
Ng AK, Li S, Recklitis C, Diller LR, Neuberg D, Silver B, et al. Health Practice in Long-Term Survivors of Hodgkin's Lymphoma. Int. J. Radiat. Oncol. Biol. Phys. 2008;71(2):468-76.
Peddle CJ, Plotnikoff RC, Wild TC, Au H-J, Courneya KS. Medical, demographic, and psychosocial correlates of exercise in colorectal cancer survivors: an application of self-determination theory. Support Care Cancer. 2008;16(1):9-17.
Soerjomataram I, Thong MSY, Korfage IJ, Polinder S, Van Der Heide A, De Vries E, et al. Excess weight among colorectal cancer survivors: Target for intervention. J. Gastroenterol. 2012;47(9):999-1005.
Speed-Andrews AE, Rhodes RE, Blanchard CM, Culos-Reed SN, Friedenreich CM, Belanger LJ, et al. Medical, demographic and social cognitive correlates of physical activity in a population-based sample of colorectal cancer survivors. Eur J Cancer Care (Engl). 2012;21(2):187-96.
Stevinson C, Tonkin K, Capstick V, Schepansky A, Ladha AB, Valance JK, et al. A population-based study of the determinants of physical activity in ovarian cancer survivors. J Phys Act Health. 2009;6(3):339-46.
Trinh L, Plotnikoff RC, Rhodes RE, North S, Courneya KS. Correlates of physical activity in a population-based sample of kidney cancer survivors: an application of the theory of planned behavior. International Journal of Behavioral Nutrition & Physical Activity. 2012;9(96).
Vallance JK, Lavallee C, Culos-Reed NS, Trudeau MG. Predictors of physical activity among rural and small town breast cancer survivors: an application of the theory of planned behaviour. Psychology Health & Medicine. 2012;17(6):685-97.

- Yang H-K, Shin D-W, Park J-H, Kim S-Y, Eom C-S, Kam S, et al. The association between perceived social support and continued smoking in cancer survivors. Jpn J Clin Oncol. 2013;43(1):45-54.

Table 2. Key question 1: overview of excluded studies based on full-text evaluation.

Author	Reference	Title	Reason
Andersen AH	Support Care Cancer 2013 21(8):2247-53	A modified exercise protocol may promote continuance of exercise after the intervention in lung cancer patients--a pragmatic uncontrolled trial	Geen analyse van kenmerken
Basen-Engquist K	Psychology of Sport and Exercise 2011 12(1):27-35	Design of the steps to health study of physical activity in survivors of endometrial cancer: Testing a social cognitive theory model	Study design
Blanchard CM	J Clin Oncol 2008 26(13):2198-204	Cancer survivors' adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society's SCS-II	Gaat over associatie van compliance met QoL
Blaney J	Phys Ther 2010 90(8):1135-1147	The cancer rehabilitation journey: barriers to and facilitators of exercise among patients with cancer-related fatigue	N=26
Bourke L	Cancer Epidemiol. Biomarkers Prev. 2011 20(4):647-657	Lifestyle intervention in men with advanced prostate cancer receiving androgen suppression therapy: A feasibility study	Geen analyse van kenmerken
Bourke L	Br. J. Cancer 2013	Interventions to improve exercise behaviour in sedentary people living with and beyond cancer: a systematic review	Geen analyse van kenmerken; wel over effect van interventies op compliance
Bourke L	Cochrane Database of Systematic Reviews 2013 9):	Interventions for promoting habitual exercise in people living with and beyond cancer	Geen analyse van kenmerken; wel over effect van interventies op compliance
Bourke L	Arch. Phys. Med. Rehabil. 2011 92(5):749-755	Pragmatic lifestyle intervention in patients recovering from colon cancer: A randomized controlled pilot study	Geen analyse van kenmerken; wel over effect van interventie op compliance
Browning KK	Cancer Nurs 2009 32(4):E15-25	The Self-regulation Model of Illness applied to smoking behavior in lung cancer	Enkel vergelijking tussen rokers en quitters: N=29, dus te laag
Brunet J	Disability & Rehabilitation 2013 35(24):2038-45	A qualitative exploration of barriers and motivators to physical activity participation in women treated for breast cancer	N=9
Carter CL	Supportive Care Cancer 2012 20(8):1699-1707	The comparative effectiveness of a team-based versus group-based physical activity intervention for cancer survivors	Geen analyse van kenmerken; wel over effect van interventie op compliance
Courneya KS	Cancer 2008 112(8):1845-53	Moderators of the effects of exercise training in breast cancer patients receiving chemotherapy: a randomized controlled trial	Moderatoren van effect van exercise op QoL
Courneya KS	Ann. Behav. Med. 2008 35(1):116-122	Barriers to supervised exercise training in a randomized controlled trial of breast cancer patients receiving chemotherapy	Gaat over adherence in exercise trial
Courneya KS	Medicine & Science in Sports & Exercise 2008 40(6):1180-1187	Predictors of supervised exercise adherence during breast cancer chemotherapy	Gaat over adherence in exercise trial
Courneya KS	Ann Behav Med 2010 40(1):30-39	Predictors of adherence to supervised exercise in lymphoma patients participating in a randomized controlled trial	Gaat over adherence in exercise trial
Courneya KS	Psycho-Oncology 2012 21(10):1124-1131	Predictors of follow-up exercise behavior 6 months after a randomized trial of supervised exercise training in lymphoma patients	RCT
Courneya KS	Breast Cancer Res. Treat. 2009 114(1):179-187	Predictors of follow-up exercise behavior 6 months after a randomized trial of exercise training during breast cancer chemotherapy	RCT
Craike MJ	Support Care Cancer 2011 19(7):1019-28	An exploratory study of the factors that influence physical activity for prostate cancer survivors	N=18
Demark-Wahnefried W	Journal of clinical oncology : official journal of the American Society of Clinical Oncology 2012 30(19):2354-61	Reach out to enhance wellness home-based diet-exercise intervention promotes reproducible and sustainable long-term improvements in health behaviors, body weight, and physical functioning in older, overweight/obese cancer survivors	Geen analyse van kenmerken
Devitt B	J Thorac Oncol 2010 5(8):1227-32	What should a support program for people with lung cancer look like? Differing attitudes of patients and support group facilitators	Gaat over uptake van support program
Duffy SA	Oncol Nurs Forum 2010 37(3):349-56	Perceived difficulty quitting predicts enrollment in a smoking-cessation program for patients with head and neck cancer	Substudie van RCT
England R	Respir. Med. 2012 106(2):294-299	Factors influencing exercise performance in thoracic cancer	Gaat over effect van factoren op exercise performance
Gjerset GM	Eur J Cancer Care (Engl) 2011 20(1):96-105	Interest and preferences for exercise counselling and programming among Norwegian cancer survivors	Over interesse om deel te nemen aan fysieke activiteit
Haas BK	Cancer Nurs 2011 34(4):322-34	Fatigue, self-efficacy, physical activity, and quality of life in women with breast cancer	N=73
Huberty JL	Oncol Nurs Forum 2009 36(5):E266-273	Development of an instrument to measure adherence to strength training in postmenopausal breast cancer survivors	Ontwikkeling van instrument: niet van toepassing op uitgangsvraag
Husebo AM	Journal of Clinical Nursing 2013 22(1-2):4-21	Predicting exercise adherence in cancer patients and survivors: A systematic review and meta-analysis of motivational and behavioural factors	Ook RCT’s geïncludeerd
Ibfelt E	Acta oncologica (Stockholm, Sweden) 2011 50(2):289-98	No change in health behavior, BMI or self-rated health after a psychosocial cancer rehabilitation: Results of a randomized trial	Gaat over effect van interventie op health behaviour
Irwin ML	British Journal of Sports Medicine 2009 43(1):32-38	Physical activity interventions for cancer survivors	Narrative review
Joyce Chung OK	Cancer Nurs. 2013	The impact of cancer and its treatment on physical activity levels and behavior in Hong Kong Chinese Childhood cancer survivors	Niet van toepassing op uitgangsvraag
Kardas P	Front. Pharmacol. 2013 4 JUL(	Determinants of patient adherence: A review of systematic reviews	Niet specifiek over kanker
Kim SH	Oncol. Nurs. Forum 2011 38(2):E97-E106	Randomized pilot test of a simultaneous stage-matched exercise and diet intervention for breast cancer survivors	Gaat over effect van interventie op health behaviour
Knols RH	Disability & Rehabilitation 2010 32(22):1819-26	The relationship between ambulatory step activity, self-reported physical functioning and standardised timed walking in patients with haematological malignancies	Geen analyse van kenmerken
Larsson I	Scandinavian Journal of Caring Sciences 2008 22(3):422-429	Women's experience of physical activity following breast cancer treatment	Geen analyse van kenmerken
Latka RN	Journal of cancer survivorship : research and practice 2009 3(3):148-57	Adherence to a randomized controlled trial of aerobic exercise in breast cancer survivors: the Yale exercise and survivorship study	Gaat over adherence in exercise trial
Lowe SS	Support Care Cancer 2010 18(11):1469-75	Physical activity interests and preferences in palliative cancer patients	Over interesse om deel te nemen aan fysieke activiteit
McGuire R	PhD	Examining intervention components for promoting adherence to strength weight training exercise in postmenopausal breast cancer survivors with bone loss	PhD
McGuire R	West J Nurs Res 2011 33(5):671-89	Intervention components promoting adherence to strength training exercise in breast cancer survivors with bone loss	Gaat over adherence in exercise trial
Melchers LJ	Int J Oral Maxillofac Surg 2009 38(9):947-54	Exercise adherence in patients with trismus due to head and neck oncology: a qualitative study into the use of the Therabite	Gaat over adherence to Therabite exercise
Miller PE	J. Acad. Nutri. Diet. 2012 112(6):824-831.e1	Dietary Patterns Differ between Urban and Rural Older, Long-Term Survivors of Breast, Prostate, and Colorectal Cancer and Are Associated with Body Mass Index	Gaat over relatie tussen adherence to diet en de BMI
Milne HM	Ann. Behav. Med. 2008 36(2):158-166	Impact of a combined resistance and aerobic exercise program on motivational variables in breast cancer survivors: A randomized controlled trial	Gaat over effect van exercise op motivatie
Moon SH	Asian Pacific Journal of Cancer Prevention: Apjcp 2013 14(5):2949-54	Adherence to health-related lifestyle behavior recommendations and association with quality of life among cancer survivors and age-matched controls in Korea	Gaat over link tussen adherence en QoL
Mosher CE	J. Health Psychol. 2008 13(8):1105-1112	Cancer survivors' health worries and associations with lifestyle practices	Niet van toepassing op uitgangsvraag
Mosher CE	Psycho-Oncology 2013 22(4):876-885	Long-term outcomes of the FRESH START trial: exploring the role of self-efficacy in cancer survivors' maintenance of dietary practices and physical activity	Gaat over invloed van veranderingen die door de interventie veroorzaakt worden
Murnane A	Supportive Care Cancer 2012 20(5):957-962	The exercise programming preferences and activity levels of cancer patients undergoing radiotherapy treatment	Geen analyse van kenmerken
Ness KK	Cancer 2010 116(12):3034-44	Physical performance limitations among adult survivors of childhood brain tumors	Niet van toepassing op uitgangsvraag
Ollberding NJ	Public Health Nutrition 2011 14(10):1796-1804	Comparison of modifiable health behaviours between persons with and without cancer: the Multiethnic Cohort	Vergelijking tussen kanker en niet-kanker patiënten
Peddle CJ	Oncology Nursing Forum 2009 36(3):287-295	Correlates of adherence to supervised exercise in patients awaiting surgical removal of malignant lung lesions: results of a pilot study	N=19
Pekmezi D	ACSM's Health & Fitness Journal 2012 16(4):8-13	Enhancing Exercise Adherence for Breast Cancer Survivors	Narrative review
Pinto BM	Recent Results Cancer Res. 2011 186(367-387	Physical activity motivation and cancer survivorship	Narrative review
Pinto BM	Supportive Care Cancer 2008 16(11):1279-1289	Maintenance of effects of a home-based physical activity program among breast cancer survivors	Gaat over de effecten van exercise
Pinto BM	Psycho-Oncology 2009 18(4):369-376	Home-based exercise among cancer survivors: adherence and its predictors	Gaat over adherence in exercise trial
Playdon M	Curr. Breast Cancer Rep. 2013 5(3):222-246	Weight loss intervention for breast cancer survivors: A systematic review	Geen analyse van kenmerken
Pollard A	Cancer Forum 2009 33(3):182-186	Health behaviour interventions for cancer survivors: An overview of the evidence and contemporary Australian trials	Narrative review
Rogers LQ	J Phys Act Health 2008 5(5):688-705	Factors associated with exercise counseling and program preferences among breast cancer survivors	Gaat over voorkeuren voor type exercise program
Rogers LQ	Med. Sci. Sports Exerc. 2009 41(4):935-946	A randomized trial to increase physical activity in breast cancer survivors	Gaat over effect van interventie op health behaviour
Rogers LQ	Journal of Rural Health 2009 25(4):388-91	Exercise preference patterns, resources, and environment among rural breast cancer survivors	Gaat over voorkeuren voor type exercise program
Rogers LQ	Contemp. Clin. Trials 2012 33(1):124-137	Better exercise adherence after treatment for cancer (BEAT Cancer) study: Rationale, design, and methods	Study design
Rogers LQ	Supportive Care Cancer 2008 16(1):19-27	Physical activity correlates and barriers in head and neck cancer patients	N=59
Rogers LQ	J. Sport Exerc. Psychol. 2011 33(2):235-254	Reduced barriers mediated physical activity maintenance among breast cancer survivors	Niet van toepassing op uitgangsvraag
Shang J	PhD	Exercise adherence and contamination in a randomized control trial of a home-based walking program among patients receiving active cancer treatment	PhD
Shang J	Cancer Nursing 2012 35(4):312-322	Who will drop out and who will drop in: exercise adherence in a randomized clinical trial among patients receiving active cancer treatment	Gaat over adherence in exercise trial
Spark LC	J. Cancer Survivorship 2013 7(1):74-82	Physical activity and/or dietary interventions in breast cancer survivors: A systematic review of the maintenance of outcomes	Vergelijking tussen studies met succesvolle en niet-succesvolle maintenance van effecten
Swenson KK	Oncol Nurs Forum 2010 37(3):321-330	Physical activity in women receiving chemotherapy for breast cancer: adherence to a walking intervention	Gaat over adherence in exercise trial
Thomson CA	Nutr. Cancer 2010 62(8):1142-52	Changes in body weight and metabolic indexes in overweight breast cancer survivors enrolled in a randomized trial of low-fat vs. reduced carbohydrate diets	Geen analyse van kenmerken
Travier N	Med. Oncol. 2014 31(1):	Effect of a diet and physical activity intervention on body weight and nutritional patterns in overweight and obese breast cancer survivors	Geen analyse van kenmerken
Trinh L	Supportive Care Cancer 2012 20(8):1709-1717	Physical activity preferences in a population-based sample of kidney cancer survivors	Gaat over voorkeuren voor type exercise program
Vallance J	Am J Health Behav 2010 34(2):225-236	Understanding physical activity maintenance in breast cancer survivors	Niet van toepassing op uitgangsvraag
Vallance JK	Med. Sci. Sports Exerc. 2008 40(1):173-180	Maintenance of physical activity in breast cancer survivors after a randomized trial	RCT
Van Waas M	J. Pediatr. Hematol. Oncol. 2013 35(5):361-365	Daily life physical activity in long-term survivors of nephroblastoma and neuroblastoma	Geen analyse van kenmerken
von Gruenigen VE	Health & Quality of Life Outcomes 2009 7(17):	A randomized trial of a lifestyle intervention in obese endometrial cancer survivors: quality of life outcomes and mediators of behavior change	Geen analyse van kenmerken voor adherence
White SM	Ann. Behav. Med. 2009 37(1):10-19	Translating physical activity interventions for breast cancer survivors into practice: An evaluation of randomized controlled trials	Gaat over interne en externe validiteit van RCTs
Wilkinson AV	Psycho-Oncology 2012 21(1):108-113	Extant health behaviors and uptake of standardized vs tailored health messages among cancer survivors enrolled in the FRESH START trial: a comparison of fighting-spirits vs fatalists	Gaat over adherence in exercise trial
Zhao G	J 2013 7(4):563-9	Trends in modifiable lifestyle-related risk factors following diagnosis in breast cancer survivors	Gaat over trends in prevalentie van risicofactoren