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Review Article | Open Access

What is the Role of Resistance Training in Supporting Patients with Head and Neck Cancer Receiving Radiotherapy Treatment? A Systematic Review

Egoitz Mojas1 ( ), Garazi Angulo1, Aitor Coca2, Arkaitz Castañeda-Babarro1, Jon Cacicedo3,4,5
AFD Salud, Department of Physical Activity and Sport Sciences, Faculty of Education and Sport, University of Deusto, Av. De las Universidades 24, 48007 Bizkaia, Spain
Department of Physical Activity and Sport Sciences, Faculty of Health Sciences, Euneiz University, La Biosfera Ibilbidea, 6, 01013 Vitoria-Gasteiz, Spain
Radiation Oncology Department, Cruces University Hospital, Osakidetza, Barakaldo, Spain
Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
Department of Surgery, Radiology and Physical Medicine of the University of the Basque Country (UPV/EHU), Barakaldo, Spain
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Abstract

Purpose

The aim of this review was to collect data on physical exercise programs in patients with HNC and to analyze the compliance with the Frecuency, Intensity, Time and Type (FITT) and progressive overload principles.

Methods

The search strategy identified 1318 articles through February 2022. After deduplication, title and abstract review, and full-text review, 15 studies met all the inclusion criteria. The inclusion criteria were randomized controlled trials (RCTs) with interventions involving at least 10 patients, and the intervention protocol included, at least, programmed strength exercise.

Results

Physical exercise programs were performed only during and after treatment, with durations varying from 6 to 12 weeks. Only 5 studies (33.3%) detailed all the characteristics concerning FITT and progressive overload principles. In addition, 10 trials measured the changes in body composition and physical function. In contrast, 6 studies included nutritional recommendations or follow-up.

Conclusion

It has been proven that physical exercise programs may help people with head and neck cancer improve their body composition, strength, and quality of life. To examine the dose/response effects of physical activity more precisely, further information regarding FITT principles and the progression of the load undertaken in the treatments is required. Finally, it is necessary to investigate the optimal time to start a physical exercise program and its impact on survival.

Keywords

Head and neck cancerPhysical exerciseFITTStrength trainingAerobic trainingTreatment

References

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Journal of Science in Sport and Exercise
Volume 7 Issue 1,
February 2025
Pages 1-13
DOI: 10.1007/s42978-023-00264-7

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Mojas E, Angulo G, Coca A, et al. What is the Role of Resistance Training in Supporting Patients with Head and Neck Cancer Receiving Radiotherapy Treatment? A Systematic Review. Journal of Science in Sport and Exercise, 2025, 7(1): 1-13. https://doi.org/10.1007/s42978-023-00264-7

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Received: 30 May 2023
Accepted: 30 October 2023
Published: 09 January 2024
© The Author(s) 2024

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