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Title: Understanding factors influencing physical activity and exercise in lung cancer: a systematic review
Austin Authors: Granger, Catherine L ;Connolly, Bronwen;Denehy, Linda;Hart, Nicholas;Antippa, Phillip;Lin, Kuan-Yin;Parry, Selina M
Affiliation: Institute for Breathing and Sleep,Austin Health, Heidelberg, Victoria, Australia
Department of Physiotherapy, The University of Melbourne, Parkville, Victoria, Australia
Department of Physiotherapy, Royal Melbourne Hospital, Parkville, Victoria, Australia
Guy’s and St. Thomas’ NHS Foundation Trust and King’s College London, National Institute of Health Research Biomedical Research Centre, London, UK
Lane Fox Clinical Respiratory Physiology Research Centre, Guy’s and St. Thomas’ NHS Foundation Trust, London, UK
Centre of Human and Aerospace Physiological SciencesKing’s College London, London, UK
Division of Asthma, Allergy and Lung BiologyKing’s College London, London, UK
Department of Thoracic Surgery, Royal Melbourne Hospital, Parkville, Victoria, Australia
Issue Date: Mar-2017
Date: 2016-11-29
Publication information: Supportive Care in Cancer 2017; 25(3): 983-999
Abstract: PURPOSE: Despite evidence and clinical practice guidelines supporting physical activity (PA) for people with lung cancer, this evidence has not translated into clinical practice. This review aims to identify, evaluate and synthesise studies examining the barriers and enablers for patients with lung cancer to participate in PA from the perspective of patients, carers and health care providers (HCPs). METHODS: Systematic review of articles using electronic databases: MEDLINE (1950-2016), CINAHL (1982-2016), EMBASE (1980-2016), Scopus (2004-2016) and Cochrane (2016). Quantitative and qualitative studies, published in English in a peer-reviewed journal, which assessed the barriers or enablers to PA for patients with lung cancer were included. Registered-PROSPERO (CRD4201603341). RESULTS: Twenty-six studies (n = 9 cross-sectional, n = 4 case series, n = 11 qualitative) including 1074 patients, 23 carers and 169 HCPs were included. Barriers and enablers to PA were identified (6 major themes, 18 sub-themes): Barriers included patient-level factors (physical capability, symptoms, comorbidities, previous sedentary lifestyle, psychological influences, perceived relevance), HCP factors (time/knowledge to deliver information) and environmental factors (access to services, resources, timing relative to treatment). Enablers included anticipated benefits, opportunity for behaviour change and influences from HCPs and carers. CONCLUSION: This systematic review has identified the volume of literature demonstrating that barriers and enablers to PA in lung cancer are multidimensional and span diverse factors. These include patient-level factors, such as symptoms, comorbidities, sedentary lifestyle, mood and fear, and environmental factors. These factors should be considered to identify and develop suitable interventions and clinical services in attempt to increase PA in patients with lung cancer.
DOI: 10.1007/s00520-016-3484-8
Journal: Supportive Care in Cancer
PubMed URL:
Type: Journal Article
Subjects: Barriers
Lung cancer
Physical activity
Systematic review
Appears in Collections:Journal articles

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