Journal
JOURNAL OF CANCER SURVIVORSHIP
Volume 16, Issue 4, Pages 714-727Publisher
SPRINGER
DOI: 10.1007/s11764-021-01065-z
Keywords
Active video games; Adolescent and young adult; Physical function; Cancer; Systematic review
Categories
Funding
- Mentored Research Scholar Grant in Applied and Clinical Research from the American Cancer Society [MRSG-14-165-01-CPPB]
- Claude D. Pepper Older Americans Independence Center (OAIC) [P30AG024832]
- Sealy Center on Aging [P30AG024832]
- National Cancer Institute [R21CA218543]
- National Institute on Aging [R01AG064092]
- MD Anderson's Cancer Center Support Grant [CA016672]
- Center for Energy Balance in Cancer Prevention and Survivorship, Duncan Family Institute for Cancer Prevention and Risk Assessment
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This study found that PA interventions using AVGs and/or videoconferencing may improve quality of life and reduce fatigue in AYA cancer survivors. However, there is insufficient evidence on improvements in physical function. More rigorous interventions targeting AYA survivors are needed.
Purpose Adolescent and young adult (AYA) cancer survivors experience greater functional deficits compared to non-cancer peers or older survivors with a similar diagnosis. Physical activity (PA) is a key strategy for mitigating functional decline, and motivation and peer support are critical PA facilitators in AYA cancer survivors. Active video games (AVGs) may be a gateway method to promote PA. Further, integrating AVGs into group videoconferencing, a medium used by AYAs to socialize, can capitalize on peer support needed for PA motivation. Thus, we examined the use of AVGs and/or videoconferencing in PA interventions that included AYA survivors and the effect on physical function and health outcomes. Methods Seven electronic databases were searched from incept to January 2020. Search terms included videoconferencing, video games, exercise, and cancer. The protocol is registered on PROSPERO: CRD42020163491. Two reviewers evaluated eligibility and methodological quality using Cochrane's risk of bias tools. Results Six unique studies were included with 97% reviewer agreement. All used AVGs, none used videoconferencing alone, and one used both. Study designs and outcome measures were heterogeneous. Only one study solely targeted AYA survivors. Most were low to medium quality. Few showed significant improvements in quality of life (QOL) and fatigue (n=3), coordination/balance (n=2), and aerobic capacity (n=1). Conclusions PA interventions using AVGs and/or videoconferencing may improve QOL and fatigue, but evidence on function is lacking. Rigorous interventions targeting AYA survivors are needed. Implications for Cancer Survivors Using AVGs and/or videoconferencing to facilitate PA may improve QOL and fatigue.
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