Table 2.
Intervention characteristics
| Excercise intervention | Nutrition | |||||||
|---|---|---|---|---|---|---|---|---|
| Study | Frequency | Intensity | Type | Timing | Nutrition | Intervention group | Supervision | Usual care group |
| Baumann 2010 [27] | Daily | 80% of watt max | Aerobic and | During hospitalization | Aerobic exercise: 10–20 min on a bicycle ergometer at 80% of achieved watt load in a WHO-endurance test. During aplasia twice daily, after engraftment once daily | Yes | Supervised low intensity passive and active mobilization consisting of gymnastics, massages, extensions and coordination training, 5 days a week | |
| ADL training | Other components: ADL training consisting of walking, stepping and stretching, 20 min daily | |||||||
| Coleman 2012 [29] | 3 to 4 times a week | 65–80% max. heart rate | Aarobic | Before hospitalization | Aerobic exercise: walking at 65–80% of maximum heart rate, 3–4 days a week | No | Recommendation to walk 20 min three times a week | |
| 80% of 1RM | Strength | Strength training: training extremities at 80% of 1RM, 3–4 days a week | ||||||
| Other components: stretching exercises for hamstrings, shoulder rotation, calves, hip flexors and triceps; daily | ||||||||
| Hacker 2011 [33] | 3 times a week | Goal: Borg scale 13 | Strength | After hospitalization | Strength training: progressive resistance training using elastic resistance bands and body weight for resistance, 3 times a week. Intensity somewhat hard (Borg scale 13) | Partly | Recommendations regarding rest, physical activity and exercise from HSCT physician | |
| Hacker 2017 [34] | 3 times a week | Goal: Borg scale 13 | Strength | During and after | Strength training: progressive resistance using elastic resistance bands and body weight for resistance. Intensity somewhat hard (Borge scale 13, 3 times a week) | Partly | Two visits a week to discuss hospital experience during hospitalization. Standardized 1-on-1 education intervention, once a week after discharge, for 6 weeks | |
| hospitalization | Other components: active range of motion exercises; as many as possible, 2 times a week | |||||||
| Jabbour 2019 [36] | 30–35 kcal and 1.5 g protein | Main intervention: advise on a diet high in energy and protein: 30–35 cal and 1.5 g of protein per kg adjusted weight, once a month | n/a | Advise on food safety guidelines at discharge | ||||
| Per kg adjusted weight | Other components: advise on food safety guidelines. Encouragement to exercise: 150 min of moderate intensity activity through-out the week and muscle-Strengthening activities 2 or more days a week | |||||||
| Knols 2011 [37] | 2 times a week | 50–80% max. heart rate | Aerobic | After hospitalization | Aerobic exercise: ergometer-cycling: 50–80% of estimated maximum heart rate, 2 times a week | Yes | Usual care | |
| Strength | Strength training: progressive resistance training with dumbbells | |||||||
| Koutoukidis 2020 [38] | 3 times a week | 50–75% max. heart rate | Aerobic | During and after hospitalization | Aerobic exercise: training on treadmill walking, cycle ergometer, cross-trainer or stepper at 50–75% of predicted maximum heart rate, 3 times a week | Partly | Asked to maintain usual lifestyle | |
| max. 10 repetions | Strength | Strength training: resistance exercise using weightlifting equipment, body weight or resistance bands: progressed by 10 repetition maximum | ||||||
| Pahl 2020 [40] | Daily | Goal: Borg scale 14–16 | Strength | During hospitalization | Strength training: whole body vibration training of the legs, 20 min daily. Intensity goal of Borg scale 14 to16 | Yes | Supervised mobilization of the spine and stretching of the whole body sitting or lying in bed or standing in front of it for 20 min daily | |
| Persoon 2017 [41] | 2 times a week (13 weeks); | 30–65% of MSEC | Aerobic | During and after hospitalization | Aerobic exercise: interval training on a bicycle ergometer: 2 × 8 min at 30–65% of MSEC | Yes | Not specifically motivated to exercise, but not restricted | |
| Later 1 time a week | 65–80% of 1RM; | Strength | Strength training: resistance exercises 10 per set at 65–80% of 1RM, later 20 per set at 35–40% of 1RM. Twice weekly, from week 13 onwards once weekly | |||||
| Later 35–40% of 1RM | Other components: five motivating counseling sessions | |||||||
| Ren 2020 | 1.5 g/kg/day and | Main intervention: ingestion of 1.5 g/kg/day blended protein (50% whey, 50% soy) per day | n/a | Given standardized dietary recommendations: 35 kcal/kg/d and 1,5 g/kg/d protein | ||||
| 35 kcal/kg/day | Other components: given standardized dietary recommendations: 35 kcal/kg/d and 1,5 g/kg/d protein | |||||||
| Santa Mina 2020 [46] | 3 times a week | 60–80% of heart rate | Aerobic | Before, during and | Aerobic exercise: training using stationary cycle, treadmill, elliptical machine or briskly walking at 60–80% of heart rate reserve for 10–15 min | Partly | Standard physiotherapy to maintain ability to perform activities of daily living. At 100 days post-discharge offered the same program as rehabilitation in intervention group | |
| Individually modified to maintain | Strength | after hospitalization | Strength training: resistance training using free weights and/or resistance bands. Prehabilitation and | |||||
| Sufficient training stimulus | posthabilitation for 30–45 min, inpatient 10–30 min. Both three times a week | |||||||
| Wiskemann 2011 [47, 48] | 3 times a week | Goal: Borg scale 12–14 | Aerobic | Before, during and | Aerobic exercise: endurance training: (Nordic) walking, bicycling, jogging for 15–40 min at Borg scale 12–14. Three times a week | No | Physiotherapy offered up to 3 sessions a week during hospitalization (standard care) | |
| 2 times a week | Goal: Borg scale 14–16 | Strength | after hospitalization | Strength training: exercises for the upper and lower extremities with and without stretch bands: 8–20 reps, 2–3 sets: at Borg scale 14–16. Two times a week | ||||
| Other components: weekly phone calls for questions and to review adherence | ||||||||
| Wood 2020 [49] | 3 to 4 times a week | 80% max. heart rate | Aerobic | Before hospitalization untill SCT | Aerobic training: interval training: walking, jogging, running, cycling, elliptical or stair climbing, 5 min warm up followed by five 2-min intervals targeting 80% of maximum heart rate and 3-min low-intensity recovery intervals. 3–4 times a week | No | Weekly scripted calls, not provided with motivational message. Wore Fitbit | |
| Other components: individual counseling, weekly motivational phone calls and Fitbit step reminders |
ADL activities of daily living, n/a not applicable, 1RM one repetition maximum, MSEC maximal short excercise capacity, SCT stem cell transplantation