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. 2021 Jun 16;29(11):7111–7126. doi: 10.1007/s00520-021-06334-2

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