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01-03-2017 | Review Article

Understanding factors influencing physical activity and exercise in lung cancer: a systematic review

Authors: Catherine L. Granger, Bronwen Connolly, Linda Denehy, Nicholas Hart, Phillip Antippa, Kuan-Yin Lin, Selina M. Parry

Published in: Supportive Care in Cancer | Issue 3/2017

Abstract

Purpose

Despite evidence and clinical practice guidelines supporting physical activity (PA) for people with lung cancer, this evidence has not translated into clinical practice. This review aims to identify, evaluate and synthesise studies examining the barriers and enablers for patients with lung cancer to participate in PA from the perspective of patients, carers and health care providers (HCPs).

Methods

Systematic review of articles using electronic databases: MEDLINE (1950–2016), CINAHL (1982–2016), EMBASE (1980–2016), Scopus (2004–2016) and Cochrane (2016). Quantitative and qualitative studies, published in English in a peer-reviewed journal, which assessed the barriers or enablers to PA for patients with lung cancer were included. Registered-PROSPERO (CRD4201603341).

Results

Twenty-six studies (n = 9 cross-sectional, n = 4 case series, n = 11 qualitative) including 1074 patients, 23 carers and 169 HCPs were included. Barriers and enablers to PA were identified (6 major themes, 18 sub-themes): Barriers included patient-level factors (physical capability, symptoms, comorbidities, previous sedentary lifestyle, psychological influences, perceived relevance), HCP factors (time/knowledge to deliver information) and environmental factors (access to services, resources, timing relative to treatment). Enablers included anticipated benefits, opportunity for behaviour change and influences from HCPs and carers.

Conclusion

This systematic review has identified the volume of literature demonstrating that barriers and enablers to PA in lung cancer are multidimensional and span diverse factors. These include patient-level factors, such as symptoms, comorbidities, sedentary lifestyle, mood and fear, and environmental factors. These factors should be considered to identify and develop suitable interventions and clinical services in attempt to increase PA in patients with lung cancer.

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Title: Understanding factors influencing physical activity and exercise in lung cancer: a systematic review
Authors: Catherine L. Granger
Bronwen Connolly
Linda Denehy
Nicholas Hart
Phillip Antippa
Kuan-Yin Lin
Selina M. Parry
Publication date: 01-03-2017
Publisher: Springer Berlin Heidelberg
Published in: Supportive Care in Cancer / Issue 3/2017
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-016-3484-8

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