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Strategies to promote regular exercise in adolescent and young adult cancer survivors

机译：促进青少年和年轻的成年癌症幸存者定期锻炼的策略

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Adolescents and young adults (AYAs) diagnosed with cancer are at increased risk for current and future health problems and premature death. Given the known risks for increased mortality and morbidity, fostering the development of exercise behaviors that may target the specific late effects experienced by AYA cancer survivors is crucial for healthy aging. Exercise is particularly important in the mitigation of late effects as it alters metabolic pathways that ultimately influence the development of chronic diseases associated with cancer treatment in AYAs. Despite the importance of exercise, a large proportion of AYA survivors do not meet recommended guidelines for exercise. The current review summarizes the beneficial effects of exercise in AYA survivors, evaluates strategies utilized in interventions that have been developed to address exercise engagement, and provides recommendations for psychosocial strategies on how to improve these behaviors in this population. A total of nine empirical articles examining exercise interventions in AYAs with a history of cancer were included for review. While several exercise strategies appear promising, more research is needed to evaluate long-term influence of strategies on exercise engagement, as well as the interactions these strategies have on AYA exercise maintenance and health outcomes as they continue into adulthood. Future interventions should evaluate key psychosocial strategies to increase both short- and long-term exercise adherence as well as overall health benefits.
机译：被诊断出患有癌症的青少年（AYAs）现在和将来的健康问题和过早死亡的风险增加。鉴于已知的增加死亡率和发病率的风险，促进运动行为的发展可能针对AYA癌症幸存者所经历的特定后期影响，对于健康衰老至关重要。运动在减轻后期影响方面尤其重要，因为它改变了最终影响AYAs癌症治疗相关慢性疾病发展的代谢途径。尽管锻炼很重要，但大部分AYA幸存者仍未达到建议的锻炼准则。本篇综述总结了运动对AYA幸存者的有益影响，评估了为解决运动参与而开发的干预措施中使用的策略，并就如何改善这些人群的行为提供了心理社会策略建议。总共有9篇对有癌症病史的AYA中进行运动干预的经验性文章进行了综述。尽管几种运动策略似乎很有希望，但仍需要更多研究来评估这些策略对运动参与的长期影响，以及这些策略持续到成年后对AYA运动维持和健康结局的相互作用。未来的干预措施应评估关键的社会心理策略，以增加短期和长期的运动依从性以及整体健康益处。

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