Sintetizando a Literatura Sobre Atividade Física Entre Crianças e Adolescentes Afetados Por Câncer: Evidências Para as Diretrizes Internacionais de Exercício Para a Oncologia Pediátrica (IPOEG))

A atividade física (AF), incluindo exercícios, é segura e benéfica para crianças e adolescentes com câncer. Ainda não foram feitos esforços  para reunir a amplitude da revisão e artigos experimentais que exploram os efeitos da AF nesta coorte. Assim, foi realizada uma revisão de artigos de revisão e relatórios experimentais sobre os efeitos da AF em crianças e adolescentes afetados pelo câncer. Os artigos foram identificados por meio de literatura anterior, pesquisa sistemática, varredura de lista de referência, engajamento das partes interessadas e atualização do banco de dados. Os dados foram extraído, agrupados, e avaliados quanto à qualidade (revisões) ou risco de viés (artigos experimentais) e resumidos narrativamente. Um total de 1.380 artigos foram identificados; 20 revisões e 69 experimentais artigos foram incluídos. Os artigos exploraram o comportamento de AF, exame físico, resultados psicossociais, cognitivos e “outros”. Melhorias, nenhuma mudança ou resultados mistos foram relatados na maioria de resultados explorados. Dois eventos adversos relacionados ao AF (por exemplo, uma lesão tratável, fadiga) foram descritos. Os artigos incluídos foram muito variados em qualidade e risco de viés. As descobertas confirmam que AF para crianças e adolescentes afetados pelo câncer é um campo em franco crescimento. Pesquisa mais acurada, com foco em resultados prioritários, adotando projetos de estudo apropriados, e obedecendo aos padrões de relatórios são necessários. Abordando estas lacunas haverá uma melhor compreensão dos efeitos da AF.. No entanto, a literatura confirma que mover-se mais é benéfico e seguro para crianças e adolescentes afetados pelo câncer.

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