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

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'.

Conclusions: 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.

Keywords: Behaviour change techniques; Cancer survivors; Lifestyle intervention components; Weight loss maintenance.

Conflict of interest statement

Funding

This study was funded by the Dutch Cancer Society/Alpe D’HuZes (VUL 2011-5234).

Conflict of interest

Prof. Dr. Ellen Kampman received a grant from the Dutch Cancer Society/Alpe D’HuZes (VUL 2011-5234). Dr. Meeke Hoedjes is supported by this grant. Other than that, the authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Flow chart of inclusion and exclusion of publications derived from the database searches

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Source: PubMed

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