Toward the optimal strategy for sustained weight loss in overweight cancer survivors: A systematic review of the literature

Meeke Hoedjes, Maartje M van Stralen, Sheena Tjon A Joe, Matti Rookus, Flora van Leeuwen, Susan Michie, Jacob C Seidell, Ellen Kampman

Research output: Contribution to journalReview articleScientificpeer-review

Abstract

Purpose: 

To gain more insight into the optimal strategy to achieve weight loss and weight loss maintenance in overweight and obese cancer survivors after completion of initial treatment, this systematic review aimed to provide an overview of the literature on intervention effects on weight, to describe intervention components used in effective interventions, to identify and synthesize behaviour change techniques (BCTs) and to assess the frequency with which these BCTs were used in effective interventions.

Methods: 

Six databases were searched for original research articles describing weight changes in adult overweight cancer survivors after participation in a lifestyle intervention initiated after completion of initial treatment. Two researchers independently screened the retrieved papers and extracted BCTs using the BCT Taxonomy version 1.

Results: 

Thirty-two papers describing 27 interventions were included. Interventions that were evaluated with a robust study design (n = 8) generally showed <5% weight loss and did not evaluate effects at ≥12 months after intervention completion. Effective interventions promoted both diet and physical activity and used the BCTs 'goal setting (behaviour)', 'action planning', 'social support (unspecified)' and 'instruction on how to perform the behaviour'.

Concluions: 

The results of this first review on intervention components of effective interventions could be used to inform intervention development and showed a need for future publications to report long-term effects, a detailed intervention description and an extensive process evaluation.

Implications for cancer survivors: 

This study contributed to increasing knowledge on the optimal strategy to achieve weight loss, which is recommended for overweight cancer survivors to improve health outcomes.

Original languageEnglish
Pages (from-to)360-385
JournalJournal of Cancer Survivorship
Volume11
Issue number3
DOIs
Publication statusPublished - Jun 2017

Fingerprint

Survivors
Neoplasms
Weights and Measures
Maintenance
Databases
Exercise

Keywords

  • Behavior Therapy/methods
  • Exercise/physiology
  • Humans
  • Neoplasms/mortality
  • Overweight/therapy
  • Survivors
  • Weight Loss/physiology

Cite this

Hoedjes, Meeke ; van Stralen, Maartje M ; Joe, Sheena Tjon A ; Rookus, Matti ; van Leeuwen, Flora ; Michie, Susan ; Seidell, Jacob C ; Kampman, Ellen. / Toward the optimal strategy for sustained weight loss in overweight cancer survivors : A systematic review of the literature. In: Journal of Cancer Survivorship. 2017 ; Vol. 11, No. 3. pp. 360-385.
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Toward the optimal strategy for sustained weight loss in overweight cancer survivors : A systematic review of the literature. / Hoedjes, Meeke; van Stralen, Maartje M; Joe, Sheena Tjon A; Rookus, Matti; van Leeuwen, Flora; Michie, Susan; Seidell, Jacob C; Kampman, Ellen.

In: Journal of Cancer Survivorship, Vol. 11, No. 3, 06.2017, p. 360-385.

Research output: Contribution to journalReview articleScientificpeer-review

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T1 - Toward the optimal strategy for sustained weight loss in overweight cancer survivors

T2 - A systematic review of the literature

AU - Hoedjes, Meeke

AU - van Stralen, Maartje M

AU - Joe, Sheena Tjon A

AU - Rookus, Matti

AU - van Leeuwen, Flora

AU - Michie, Susan

AU - Seidell, Jacob C

AU - Kampman, Ellen

PY - 2017/6

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N2 - Purpose: To gain more insight into the optimal strategy to achieve weight loss and weight loss maintenance in overweight and obese cancer survivors after completion of initial treatment, this systematic review aimed to provide an overview of the literature on intervention effects on weight, to describe intervention components used in effective interventions, to identify and synthesize behaviour change techniques (BCTs) and to assess the frequency with which these BCTs were used in effective interventions.Methods: Six databases were searched for original research articles describing weight changes in adult overweight cancer survivors after participation in a lifestyle intervention initiated after completion of initial treatment. Two researchers independently screened the retrieved papers and extracted BCTs using the BCT Taxonomy version 1.Results: Thirty-two papers describing 27 interventions were included. Interventions that were evaluated with a robust study design (n = 8) generally showed <5% weight loss and did not evaluate effects at ≥12 months after intervention completion. Effective interventions promoted both diet and physical activity and used the BCTs 'goal setting (behaviour)', 'action planning', 'social support (unspecified)' and 'instruction on how to perform the behaviour'.Concluions: The results of this first review on intervention components of effective interventions could be used to inform intervention development and showed a need for future publications to report long-term effects, a detailed intervention description and an extensive process evaluation.Implications for cancer survivors: This study contributed to increasing knowledge on the optimal strategy to achieve weight loss, which is recommended for overweight cancer survivors to improve health outcomes.

AB - Purpose: To gain more insight into the optimal strategy to achieve weight loss and weight loss maintenance in overweight and obese cancer survivors after completion of initial treatment, this systematic review aimed to provide an overview of the literature on intervention effects on weight, to describe intervention components used in effective interventions, to identify and synthesize behaviour change techniques (BCTs) and to assess the frequency with which these BCTs were used in effective interventions.Methods: Six databases were searched for original research articles describing weight changes in adult overweight cancer survivors after participation in a lifestyle intervention initiated after completion of initial treatment. Two researchers independently screened the retrieved papers and extracted BCTs using the BCT Taxonomy version 1.Results: Thirty-two papers describing 27 interventions were included. Interventions that were evaluated with a robust study design (n = 8) generally showed <5% weight loss and did not evaluate effects at ≥12 months after intervention completion. Effective interventions promoted both diet and physical activity and used the BCTs 'goal setting (behaviour)', 'action planning', 'social support (unspecified)' and 'instruction on how to perform the behaviour'.Concluions: The results of this first review on intervention components of effective interventions could be used to inform intervention development and showed a need for future publications to report long-term effects, a detailed intervention description and an extensive process evaluation.Implications for cancer survivors: This study contributed to increasing knowledge on the optimal strategy to achieve weight loss, which is recommended for overweight cancer survivors to improve health outcomes.

KW - Behavior Therapy/methods

KW - Exercise/physiology

KW - Humans

KW - Neoplasms/mortality

KW - Overweight/therapy

KW - Survivors

KW - Weight Loss/physiology

U2 - 10.1007/s11764-016-0594-8

DO - 10.1007/s11764-016-0594-8

M3 - Review article

VL - 11

SP - 360

EP - 385

JO - Journal of Cancer Survivorship

JF - Journal of Cancer Survivorship

SN - 1932-2259

IS - 3

ER -