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Open Access 01-06-2017 | Review

Toward the optimal strategy for sustained weight loss in overweight cancer survivors: a systematic review of the literature

Authors: Meeke Hoedjes, Maartje M. van Stralen, Sheena Tjon A Joe, Matti Rookus, Flora van Leeuwen, Susan Michie, Jacob C. Seidell, Ellen Kampman

Published in: Journal of Cancer Survivorship | Issue 3/2017

Abstract

Purpose

To gain more insight into the optimal strategy to achieve weight loss and weight loss maintenance in overweight and obese cancer survivors after completion of initial treatment, this systematic review aimed to provide an overview of the literature on intervention effects on weight, to describe intervention components used in effective interventions, to identify and synthesize behaviour change techniques (BCTs) and to assess the frequency with which these BCTs were used in effective interventions.

Methods

Six databases were searched for original research articles describing weight changes in adult overweight cancer survivors after participation in a lifestyle intervention initiated after completion of initial treatment. Two researchers independently screened the retrieved papers and extracted BCTs using the BCT Taxonomy version 1.

Results

Thirty-two papers describing 27 interventions were included. Interventions that were evaluated with a robust study design (n = 8) generally showed <5% weight loss and did not evaluate effects at ≥12 months after intervention completion. Effective interventions promoted both diet and physical activity and used the BCTs ‘goal setting (behaviour)’, ‘action planning’, ‘social support (unspecified)’ and ‘instruction on how to perform the behaviour’.

Conclusions

The results of this first review on intervention components of effective interventions could be used to inform intervention development and showed a need for future publications to report long-term effects, a detailed intervention description and an extensive process evaluation.

Implications for cancer survivors

This study contributed to increasing knowledge on the optimal strategy to achieve weight loss, which is recommended for overweight cancer survivors to improve health outcomes.

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Title: Toward the optimal strategy for sustained weight loss in overweight cancer survivors: a systematic review of the literature
Authors: Meeke Hoedjes
Maartje M. van Stralen
Sheena Tjon A Joe
Matti Rookus
Flora van Leeuwen
Susan Michie
Jacob C. Seidell
Ellen Kampman
Publication date: 01-06-2017
Publisher: Springer US
Published in: Journal of Cancer Survivorship / Issue 3/2017
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI: https://doi.org/10.1007/s11764-016-0594-8

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Abstract

Purpose

Methods

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Implications for cancer survivors

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Cervical cancer screening for survivors diagnosed with cancer before age 25

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