The effects of physical activity interventions on self-esteem during and after cancer treatment: a systematic review and meta-analysis

Siegel RL, Miller KD, Wagle NS, Jemal A. Cancer statistics, 2023. CA Cancer J Clin. 2023 Jan 12;73(1):17–48.

Friederike Erdmann, et al. Childhood cancer: Survival, treatment modalities, late effects and improvements over time. Cancer Epidemiol. 2021;71(Part B):101733.

Henderson TO, Nathan PC. Childhood cancer survivors: Considerations for surgeons in the transition from pediatric to adult care. Semin Pediatr Surg. 2015;24(2):93–9.

Antwi GO, Jayawardene W, Lohrmann DK, Mueller EL. Physical activity and fitness among pediatric cancer survivors: a meta-analysis of observational studies. Support Care Cancer. 2019 Sep 16;27(9):3183–94.

Wang YH, et al. Depression and anxiety in relation to cancer incidence and mortality: a systematic review and meta-analysis of cohort studies. Mol Psychiatry. 2020;25(7):1487–99. 

Tonsing KN, Ow R. Quality of Life, Self-Esteem, and Future Expectations of Adolescent and Young Adult Cancer Survivors. Health Soc Work. 2018 Feb 1;43(1):15–21.

Ness KK, et al. Limitations on Physical Performance and Daily Activities among Long-Term Survivors of Childhood Cancer. Ann Intern Med. 2005 Nov 1;143(9):639.

Wurz A, Brunet J. Describing and exploring self-esteem, physical self‐perceptions, physical activity and self‐efficacy in adolescent and young adult cancer survivors. Eur J Cancer Care (Engl). 2020 Jan 24;29(1):e13179.

Silvestri PR, Baglioni V, Cardona F, Cavanna AE. Self-concept and self-esteem in patients with chronictic disorders: A systematic literature review. Eur J Paediatr Neurol. 2018;22(5):749–56.

Levesque, Roger J. R. “Sadistic Personality Disorder.” In Encyclopedia of Adolescence, 3229–30. Cham: Springer International Publishing, 2018.

Baumeister RF, Campbell JD, Krueger JI, Vohs KD. Does High Self-Esteem Cause Better Performance, Interpersonal Success, Happiness, or Healthier Lifestyles? Psychol Sci Public Interes. 2003 May 24;4(1):1–44.

Arsandaux J, Galéra C, Salamon R. The association of self-esteem and psychosocial outcomes in young adults: a 10‐year prospective study. Child Adolesc Ment Health. 2021 May 13;26(2):106–13.

Tirlea L, et al. Measuring Self-Esteem Changes in Children and Adolescents Affected by Overweight or Obesity: A Scoping Review of Instruments Currently Used in Multicomponent Weight-Management Interventions. Child Obes. 2019;15(8):485–501.

Evan EE, Kaufman M, Cook AB, Zeltzer LK. Sexual health and self-esteem in adolescents and young adults with cancer. Cancer. 2006;107:1672–9.

Orth U, Erol RY, Luciano EC. Development of self-esteem from age 4 to 94 Years: A meta-analysis of longitudinal studies. Psychol Bull. 2018;144(10):1045–80.

Warburton DER, Bredin SSD. Health benefits of physical activity. Curr Opin Cardiol. 2017 Sep;32(5):541–56.

Choudhary A, Chou J, Heller G, Sklar C. Prevalence of vitamin D insufficiency in survivors of childhood cancer. Pediatr Blood Cancer. 2013 Jul;60(7):1237–9.

Maddocks M. Physical activity and exercise training in cancer patients. Clin Nutr ESPEN. 2020 Dec;40:1–6.

Ligibel JA, et al,. Exercise, Diet, and Weight Management During Cancer Treatment: ASCO Guideline. J Clin Oncol. 2022 Aug 1;40(22):2491-2507.

Thomsen SN, et al. Harms of exercise training in patients with cancer undergoing systemic treatment: a systematic review and meta-analysis of published and unpublished controlled trials. eClinicalMedicine. 2023;59:101937.

Fong DYT, et al. Physical activity for cancer survivors: meta-analysis of randomised controlled trials. BMJ. 2012 Jan 30;344(jan30 5):e70–e70.

Li J, et al. Effectiveness of mindfulness-based interventions on anxiety, depression, and fatigue in people with lung cancer: A systematic review and meta-analysis. Int J Nurs Stud. 2023;140:104447.

Saultier P, et al. A Randomized Trial of Physical Activity in Children and Adolescents with Cancer. Cancers (Basel). 2021 Jan 2;13(1):121.

Kovačič T, Kovačič M. Impact of Relaxation Training According to Yoga in Daily Life ^® System on Self-Esteem After Breast Cancer Surgery. J Altern Complement Med. 2011 Dec;17(12):1157–64.

Leite B, de Bem Fretta T, Boing L, Coutinho de Azevedo Guimarães A. Can belly dance and mat Pilates be effective for range of motion, self-esteem, and depressive symptoms of breast cancer women? Complement Ther Clin Pract. 2021 Nov;45:101483.

Ardern CL, et al. Implementing the 27 PRISMA 2020 Statement items for systematic reviews in the sport and exercise medicine, musculoskeletal rehabilitation and sports science fields: The PERSiST (implementing Prisma in Exercise, Rehabilitation, Sport medicine and SporTs sc. Br J Sports Med. 2023;175–95.

Rethlefsen ML, et al. PRISMA-S: an extension to the PRISMA Statement for Reporting Literature Searches in Systematic Reviews. Syst Rev. 2021 Jan 26;10(1):39.

Higgins JP, Savović J, Page MJ, Sterne JAC. RoB 2 Guidance: Parallel Trial. Cochrane Collab. 2019;1–24. Avaliable from: https://methods.cochrane.org/bias/resources/rob-2-revised-cochrane-risk-bias-toolrandomized-trials

Tufanaru, C., Munn, Z., Aromataris, E., Campbell, J., and Hopp, L. (2017). “Chapter 3: Systematic reviews of effectiveness,” in Joanna Briggs Institute reviewer’s manual. Editors E. Aromataris and Z. Munn (The Joanna Briggs Institute). Available at: https://reviewersmanual.joannabriggs.org/.

Cohen J. A power primer. Psychol Bull. 1992;112(1):155–9.

Cohen J. Statistical Power Analysis for the Behavioral Sciences. (1988). Routledge.

Higgins JPT, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med. 2002 Jun 15;21(11):1539–58.

Shi L, Lin L. The trim-and-fill method for publication bias: practical guidelines and recommendations based on a large database of meta-analyses. Medicine (Baltimore). 2019 Jun;98(23):e15987.

Adams SC, Delorey DS, Davenport MH, Fairey AS, North S, Courneya KS. Effects of high-intensity interval training on fatigue and quality of life in testicular cancer survivors. Br J Cancer. 2018;118(10):1313–21.

Boing L, et al,. Can mat Pilates and belly dance be effective in improving body image, self-esteem, and sexual function in patients undergoing hormonal treatment for breast cancer? A randomized clinical trial. Arch Womens Ment Health. 2023 Apr;26(2):141-151.

Cadmus LA, Salovey P, Yu H, Chung G, Kasl S, Irwin ML. Exercise and quality of life during and after treatment for breast cancer: results of two randomized controlled trials. Psychooncology. 2009 Apr;18(4):343–52.

Courneya KS, et al. Effects of Aerobic and Resistance Exercise in Breast Cancer Patients Receiving Adjuvant Chemotherapy: A Multicenter Randomized Controlled Trial. J Clin Oncol. 2007 Oct 1;25(28):4396–404.

Fretta T de B, Boing L, Stein F, Dos Santos L, Guimarães AC de A. Improved self-esteem after mat Pilates method intervention in breast cancer women undergoing hormone therapy: randomized clinical trial pilot study. Rev Bras Cineantropometria e Desempenho Hum. 2021;23.

Gokal K, Wallis D, Ahmed S, Boiangiu I, Kancherla K, Munir F. Effects of a self-managed home-based walking intervention on psychosocial health outcomes for breast cancer patients receiving chemotherapy: a randomised controlled trial. Support Care Cancer. 2016 Mar 15;24(3):1139–66.

MUSANTI R. A Study of Exercise Modality and Physical Self-esteem in Breast Cancer Survivors. 2011;(33):352–62.

Rastogi S, Tevaarwerk AJ, Sesto M, Van Remortel B, Date P, Gangnon R, et al. Effect of a technology-supported physical activity intervention on health‐related quality of life, sleep, and processes of behavior change in cancer survivors: A randomized controlled trial. Psychooncology. 2020 Nov 4;29(11):1917–26.

van Dijk-Lokkart EM, Braam KI, van Dulmen-den Broeder E, Kaspers GJL, Takken T, Grootenhuis MA, et al. Effects of a combined physical and psychosocial intervention program for childhood cancer patients on quality of life and psychosocial functioning: results of the QLIM randomized clinical trial. Psychooncology. 2016;822(October 2015):815–22.

Wurz A, Brunet J. Exploring the feasibility and acceptability of a mixed-methods pilot randomized controlled trial testing a 12-week physical activity intervention with adolescent and young adult cancer survivors. Pilot Feasibility Stud. 2019 Dec 20;5(1):154.

Carminatti M, et al. Effects of belly dancing on body image and self-esteem in women with breast cancer – pilot study. Rev Bras Med do Esporte. 2019;25(6):464–8.

Rosenberg RS, Lange W, Zebrack B, Moulton S, Kosslyn SM. An outdoor adventure program for young adults with cancer: positive effects on body image and psychosocial functioning. J Psychosoc Oncol. 2014;32(5):622–36.

Barrio SC, Molinuelo JS, De Durana ALD, López FJC, Carballo ROB. Cáncer de mama y ejercicio físico: Estudio piloto. Rev Andaluza Med del Deport. 2012;5(4):134–9.

Caru M, et al. Children’s physical activity behavior following a supervised physical activity program in pediatric oncology. J Cancer Res Clin Oncol. 2020;146(11):3037–48.

Caru M, et al. The impact of cancer on theory of planned behavior measures and physical activity levels during the first weeks following cancer diagnosis in children. Support Care Cancer. 2021 Feb;29(2):823–31.

Courneya KS, et al. A multicenter randomized trial of the effects of exercise dose and type on psychosocial distress in breast cancer patients undergoing chemotherapy. Cancer Epidemiol Biomarkers Prev. 2014;23(5):857–64.

Ho RTH. Effects of dance movement therapy on Chinese cancer patients: A pilot study in Hong Kong. Arts Psychother. 2005;32(5):337–45.

Morielli AR, et al. Exercise motivation in rectal cancer patients during and after neoadjuvant chemoradiotherapy. Support Care Cancer. 2016;24(7):2919–26.

Müller C, Krauth KA, Gerß J, Rosenbaum D. Physical activity and health-related quality of life in pediatric cancer patients following a 4-week inpatient rehabilitation program. Support Care Cancer. 2016;24(9):3793–802.

Osypiuk K, et al. Qigong Mind-Body Exercise as a Biopsychosocial Therapy for Persistent Post- Surgical Pain in Breast Cancer: A Pilot Study. Integr Cancer Ther. 2020;19.

Rey-Barth S, et al. A program centered on smart electrically assisted bicycle outings for rehabilitation after breast cancer: A pilot study. Med Eng Phys. 2022;100(January):103758.

Speed-Andrews AE, Stevinson C, Belanger LJ, Mirus JJ, Courneya KS. Pilot evaluation of an Iyengar yoga program for breast cancer survivors. Cancer Nurs. 2010;33(5):369–81.

Török S, Kökönyei G, Károlyi L, Ittzés A, Tomcsányi T. Outcome Effectiveness of Therapeutic Recreation Camping Program for Adolescents Living with Cancer and Diabetes. J Adolesc Heal. 2006;39(3):445–7.

Vallet C, et al. Pilot evaluation of physical and psychological effects of a physical trek programme including a dog sledding expedition in children and teenagers with cancer. Ecancermedicalscience. 2015 Jul;9:558.

Awick EA, Phillips SM, Lloyd GR, McAuley E. Physical activity, self-efficacy and self-esteem in breast cancer survivors: a panel model. Psychooncology. 2017;26(10):1625–31.

Belanger LJ, Plotnikoff RC, Clark AM, Courneya KS. Prevalence, correlates, and psychosocial outcomes of sport participation in young adult cancer survivors. Psychol Sport Exerc. 2013;14(2):298–304.

Deisenroth A, et al. Muscle strength and quality of life in patients with childhood cancer at early phase of primary treatment. Pediatr Hematol Oncol. 2016;33(6):393–407.

Patsou ED, Alexias GT, Anagnostopoulos FG, Karamouzis MV. Physical activity and sociodemographic variables related to global health, quality of life, and psychological factors in breast cancer survivors. Psychol Res Behav Manag. 2018 Sep 6;11:371–381.

Ranft A, Seidel C, et al. Quality of survivorship in a rare disease: Clinicofunctional outcome and physical activity in an observational cohort study of 618 long-term survivors of Ewing sarcoma. J Clin Oncol. 2017;35(15):1704–12.

Dol KS. Effects of a yoga nidra on the life stress and self-esteem in university students. Complement Ther Clin Pract. 2019;35(December 2018):232–6.

Salmon P, Clark L, McGrath E, Fisher P. Screening for psychological distress in cancer: renewing the research agenda. Psychooncology. 2015 Mar;24(3):262–8.

Hill J, et al. Predictors of onset of depression and anxiety in the year after diagnosis of breast cancer. Psychol Med. 2011 Jul 14;41(7):1429–36.

Abd El-Kader SM, Al-Jiffri OH. Aerobic exercise improves quality of life, psychological well-being and systemic inflammation in subjects with alzheimer’s disease. Afr Health Sci. 2016;16(4):1045–55.

Notaras M, van den Buuse M. Brain-Derived Neurotrophic Factor (BDNF): Novel Insights into Regulation and Genetic Variation. Neuroscientist. 2019;25(5):434–54.

Murawska-Ciałowicz E, et al. Bdnf impact on biological markers of depression—role of physical exercise and training. Int J Environ Res Public Health. 2021;18(14):1–21.

Rethorst CD, Wipfli BM, Landers DM. The antidepressive effects of exercise: A meta-analysis of randomized trials. Sport Med. 2009;39(6):491–511.

Kandola A, Ashdown-Franks G, Hendrikse J, Sabiston CM, Stubbs B. Physical activity and depression: Towards understanding the antidepressant mechanisms of physical activity. Neurosci Biobehav Rev. 2019;107(June):525–39.