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A scoping review of studies exploring leisure-time physical activity in adults diagnosed with advanced cancer

Published online by Cambridge University Press:  14 December 2020

Shirin M. Shallwani Open the ORCID record for Shirin M. Shallwani [Opens in a new window] ,
Marie-Christine Ranger ,
Roanne Thomas ,
Lucie Brosseau ,
Stéphane Poitras ,
Lindsey Sikora  and
Judy King
Shirin M. Shallwani*
Affiliation:
School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada Physiotherapy Department, McGill University Health Centre, Montreal, Quebec, Canada
Marie-Christine Ranger
Affiliation:
School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada
Roanne Thomas
Affiliation:
School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada
Lucie Brosseau
Affiliation:
School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada
Stéphane Poitras
Affiliation:
School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada
Lindsey Sikora
Affiliation:
Health Sciences Library, University of Ottawa, Ottawa, Ontario, Canada
Judy King
Affiliation:
School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada
*
Author for correspondence: Shirin M. Shallwani, University of Ottawa School of Rehabilitation Sciences, 451 Smyth Road, Room 1125, K1H 8M5Ottawa, Ontario, Canada. E-mail: sshal076@uottawa.ca
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Abstract

Objectives

Despite improving survival rates, people with advanced cancer face several physical and psychosocial concerns. Leisure-time physical activity (LPA) has been found to be beneficial after cancer diagnosis, but little is known about the current state of research exploring LPA in advanced cancer. Our objectives were to (a) map the literature examining LPA in people with advanced cancer, (b) report on the terms used to describe the advanced cancer population within the literature, and (c) examine how the concept of LPA is operationalized within the literature.

Method

Our scoping review followed Arksey and O'Malley's methodological framework. We performed a search of 11 electronic databases and supplementary sources (February 2018; database search updated January 2020). Two reviewers independently reviewed and selected articles according to the inclusion criteria: English-language journal articles on original primary research studies exploring LPA in adults diagnosed with advanced cancer. Descriptive and thematic analyses were performed.

Results

Ninety-two articles met our criteria. Most included studies were published in the last decade (80%) and used quantitative methods (77%). Many study populations included mixed (40%), breast (21%), or lung (17%) cancers. Stages 3–4 or metastatic disease were frequently indicated to describe study populations (77%). Several studies (68%) described LPA programs or interventions. Of these, 78% involved structured aerobic/resistance exercise, while 16% explored other LPA types.

Significance of results

This review demonstrates a recent surge in research exploring LPA in advanced cancer, particularly studies examining exercise interventions with traditional quantitative methods. There remains insufficient knowledge about patient experiences and perceptions toward LPA. Moreover, little is known about other leisure activities (e.g., Tai Chi, dance, and sports) for this population. To optimize the benefits of LPA in people with advanced cancer, research is needed to address the gaps in the current literature and to develop personalized, evidence-based supportive care strategies in cancer care.

Keywords

ExerciseLeisure activitiesNeoplasmsPalliative careRehabilitation
Type
Review Article
Information
Palliative & Supportive Care , Volume 19 , Issue 5 , October 2021 , pp. 615 - 630
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Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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