J Cancer Surviv DOI 10.1007/s11764-016-0594-8
REVIEW
Toward the optimal strategy for sustained weight loss in overweight cancer survivors: a systematic review of the literature Meeke Hoedjes 1 & Maartje M. van Stralen 1 & Sheena Tjon A Joe 2 & Matti Rookus 3 & Flora van Leeuwen 3 & Susan Michie 4 & Jacob C. Seidell 1 & Ellen Kampman 1,5
Received: 5 September 2016 / Accepted: 20 December 2016 # The Author(s) 2017. This article is published with open access at Springerlink.com
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
* Meeke Hoedjes
[email protected]
1
Department of Health Sciences and the EMGO+ Institute for Health and Care Research, VU University Amsterdam, De Boelelaan 1085, 1081 HV Amsterdam, The Netherlands
2
Department of Dietetics, Netherlands Cancer Institute, Amsterdam, The Netherlands
3
Department of Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands
4
Department of Clinical, Educational and Health Psychology, UCL Centre for Behaviour Change, University College London, London, UK
5
Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands
study design (n = 8) generally showed 5 years ago: 137.2 (SD 78.8) months; n = 16 N = 697 100% female I: 348 Mean age: 56 (9) Mean time since treatment: 2.02 (0.55) years C: 349 Mean age: 56 (9) Mean time since treatment: 2.18 (0.55) years N = 1760* 100% female C: N = 760* Mean age: 54.5 (SD 8.4) Mean time since diagnosis: 25.3
Sample characteristics
24 months PA + diet (ENERGY)
4 years Diet only Women’s Healthy Eating and Living (WHEL) Study
14%
12 months Diet only
Intervention duration; type (name)
I: 13.8% C: 17.8%
22.8%
Dropout rate
No
No
No
Follow up after the end of the intervention
BMI: I: 30.7 (4.8) C: 31.0 (5.5) Weight: I:
