title: Parental involvement in exercise and diet interventions for childhood cancer survivors: a systematic review.
abstract: Childhood cancer survivors (CCS) are at risk of becoming overweight or obese due to treatment effects and/or post-treatment behaviors. Parents are key agents influencing child diet and physical activity (PA), which are modifiable risk factors for obesity. A systematic literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was undertaken to evaluate current interventions that include diet and PA elements for CCS to determine if and to what extent parents were included, and whether parent involvement had a significant effect on behavioral outcomes or adiposity. A total of 2,386 potential articles were reviewed and 25 individual studies fulfilled inclusion criteria. Parental involvement was classified into three categories and varied across studies, although most had indirect or no parental involvement. The studies that included direct parental involvement showed positive outcomes on a variety of measures suggesting that increasing parental involvement in interventions for CCS may be one way to promote long-term lifestyle changes for pediatric cancer patients. However, additional research directly addressing parental involvement in obesity prevention and treatment among CCS is warranted.
authors.affiliation: Department of Pediatrics Research, The University of Texas, M.D. Anderson Cancer Center, Houston, Texas.
authors.forename: Margaret
authors.initials: M
authors.lastname: Raber
authors.affiliation: Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, Texas.
authors.forename: Maria C
authors.initials: MC
authors.lastname: Swartz
authors.affiliation: Department of Nursing Systems, University of Texas School of Nursing, Houston, Texas.
authors.forename: Diane
authors.initials: D
authors.lastname: Santa Maria
authors.affiliation: Department of Pediatrics, USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, Texas.
authors.forename: Teresia
authors.initials: T
authors.lastname: O'Connor
authors.affiliation: Department of Pediatrics, USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, Texas.
authors.forename: Tom
authors.initials: T
authors.lastname: Baranowski
authors.affiliation: Department of Pediatrics Research, The University of Texas, M.D. Anderson Cancer Center, Houston, Texas.
authors.forename: Rhea
authors.initials: R
authors.lastname: Li
authors.affiliation: Department of Pediatrics Research, The University of Texas, M.D. Anderson Cancer Center, Houston, Texas.
authors.forename: Joya
authors.initials: J
authors.lastname: Chandra
mesh_terms: D050154:Adiposity; D000293:Adolescent; D002648:Child; D004032:Diet; D015444:Exercise; D005081:Exercise Therapy / Q000379:methods*; D006801:Humans; D009369:Neoplasms / Q000150:complications* / Q000628:therapy; D017063:Outcome Assessment, Health Care; D050177:Overweight / Q000150:complications / Q000517:prevention & control; D016487:Parenting; D010290:Parents; D063766:Pediatric Obesity / Q000150:complications / Q000517:prevention & control; D012307:Risk Factors; D017741:Survivors