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Feasibility and Acceptability Findings of an Energy Balance Data Repository of Children, Adolescents, and Young Adults with Cancer - PubMed

  • ️Wed Jan 01 2020

Feasibility and Acceptability Findings of an Energy Balance Data Repository of Children, Adolescents, and Young Adults with Cancer

Maria C Swartz et al. J Clin Med. 2020.

Abstract

Cancer patients suffer changes in energy balance (EB), the combination of energy intake (nutrition) and energy expenditure (physical activity (PA)), which may influence cancer-related morbidity, mortality, and quality of life. Significant gaps remain in our understanding of the frequency and magnitude of these EB changes. Herein, we report on the feasibility and acceptability of a longitudinal repository of EB outcomes in children, adolescents and young adults (AYA) with cancer along the cancer continuum to fill these gaps. This EB repository includes PA, nutrition, and physical function (PF) parameters. PA data were gathered through activity trackers. Nutritional data were gathered through food diaries and micronutrient labs. PF was assessed with validated objective and patient-reported measures. Feasibility was achieved with >50% enrollment of eligible patients (n = 80, Mage = 18.1 ± 7.5); 26 were children with cancer and 54 were AYAs with cancer. An 88.75% retention rate indicated acceptability. Despite COVID-19 disruptions, >50% of participants provided completed data for PA and micronutrient labs as of April 2020. Food diaries and PF data collection experienced disruptions. Methodological adaptations are in progress to minimize future disruptions. Overall, our findings demonstrate that prospective EB assessments are feasible and acceptable among children and AYAs with cancer.

Keywords: adolescent; child; exercise; feasibility studies; fitness trackers; hematopoietic stem cell transplantation; neoplasms; nutritional status; physical functional performance; young adult.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1

Flow diagram of the energy balance (EB) repository.

Figure 2
Figure 2

Fitbit data quantity and quality varied between patients. (A) Total number of days of Fitbit data synced (n = 80 patients); (B) Total number of weeks on study separated by the number of weeks with ≥5 days of synced data (black) and the number of weeks with <5 days of synced data (gray). Bars show the mean ± standard deviation, n = 80 patients.

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