The effect of an online exercise programme on bone health in paediatric cancer survivors (iBoneFIT): study protocol of a
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STUDY PROTOCOL
Open Access
The effect of an online exercise programme on bone health in paediatric cancer survivors (iBoneFIT): study protocol of a multi-centre randomized controlled trial Jose J. Gil-Cosano1†, Esther Ubago-Guisado1†, Maria J. Sánchez2,3,4,5, Maria J. Ortega-Acosta6, Maria E. Mateos7,8, Ana I. Benito-Bernal9, Francisco J. Llorente-Cantarero8,10,11, Francisco B. Ortega1, Jonatan R. Ruiz1, Idoia Labayen12, Vicente Martinez-Vizcaino13,14, Dimitris Vlachopoulos15, Manuel Arroyo-Morales16,17,18, Manuel Muñoz-Torres19,20,21, Juan F. Pascual-Gázquez6, Maria C. Vicho-González7 and Luis Gracia-Marco1*
Abstract Background: New approaches on paediatric cancer treatment aim to maintain long-term health. As a result of radiotherapy, chemotherapy or surgery, paediatric cancer survivors tend to suffer from any chronic health condition. Endocrine dysfunction represents one of the most common issues and affects bone health. Exercise is key for bone mass accrual during growth, specifically plyometric jump training. The iBoneFIT study will investigate the effect of a 9-month online exercise programme on bone health in paediatric cancer survivors. This study will also examine the effect of the intervention on body composition, physical fitness, physical activity, calcium intake, vitamin D, blood samples quality of life and mental health. Methods: A minimum of 116 participants aged 6 to 18 years will be randomized into an intervention (n = 58) or control group (n = 58). The intervention group will receive an online exercise programme and diet counselling on calcium and vitamin D. In addition, five behaviour change techniques and a gamification design will be implemented in order to increase the interest of this non-game programme. The control group will only receive diet counselling. Participants will be assessed on 3 occasions: 1) at baseline; 2) after the 9 months of the intervention; 3) 4 months following the intervention. The primary outcome will be determined by dual energy X-ray absorptiometry (DXA) and the hip structural analysis, trabecular bone score and 3D-DXA softwares. Secondary outcomes will include anthropometry, body composition, physical fitness, physical activity, calcium and vitamin D intake, blood samples, quality of life and mental health. (Continued on next page)
* Correspondence: [email protected] † Jose J. Gil-Cosano and Esther Ubago-Guisado contributed equally to this work. 1 PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Sport and Health University Research Institute (iMUDS), Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18071 Granada, Spain Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide
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