Frequency, Features, and Recommendations for Preventing Adverse Events in Supervised Exercise Programs for Pediatric Oncology Patients - Summary - MDSpire

Frequency, Features, and Recommendations for Preventing Adverse Events in Supervised Exercise Programs for Pediatric Oncology Patients

  • By

  • Gauß, Gabriele

  • Rueegg, Corina Silvia

  • Schindera, Christina

  • Meisegeier, Stefan

  • Stalf, Hannah

  • Sundermeier, Thorben

  • Maiwald, Michael

  • Dietrich, Melisa

  • Reus, Annika

  • Tomaskovic, Aleksandar

  • Götte, Miriam

  • March 31, 2026

  • 0 min

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Objective:

To assess adverse events (AEs) during supervised exercise sessions for pediatric oncology patients and provide recommendations for reducing AEs.

Key Findings:
  • 178 AEs documented across 74,083 supervised exercise sessions, equating to 1 AE per 416 sessions.
  • No life-threatening AEs were observed; 85% of AEs were judged as exercise-related.
  • Most common AE types included pain (53%), nausea/vomiting (20%), and circulatory problems (17%).
  • AEs were primarily triggered by physical (over)exertion (63%), medical treatments (44%), and fall-related incidents (23%).
Interpretation:

The study indicates a low incidence of generally low-grade AEs during supervised exercise sessions in pediatric oncology, emphasizing the importance of ongoing safety assessments.

Limitations:
  • Limited systematic assessment of AEs restricts the optimization of exercise safety.
  • Findings are based on a specific population and may not be generalizable.
Conclusion:

The study underscores the need for further prospective studies to refine and test evidence-based prevention strategies for AEs in pediatric oncology exercise programs.

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