Table 1 Characteristics of studies included in the systematic review and meta-analysis.

From: The effects of physical activity interventions on self-esteem during and after cancer treatment: a systematic review and meta-analysis

Study characteristics

Population characteristics at baseline

Outcome

Authors and year

Country

Age

Sample size

[n (% male)]

Cancer-type

Time period

Method

Baseline

(mean ± SD)

Follow-up

(mean ± SD)

Randomized Controlled Trials [n = 14]

  Adams et al. 201834

Canada

43.7 ± 10.8

63 (100% male)

Walking: 35

CG: 28

Testicular cancer

After cancer treatment

The Rosenberg Self-Esteem Scale

Walking: 32.5 ± 5.5

CG: 36.0 ± 4.8

Walking: 34.5 ± 4.1

CG: 35.0 ± 5.0

  Boing et al. 202335

Brazil

18 years or older

52 (100% female)

Pilates: 18

Belly: 18

CG:16

Breast cancer

After cancer treatment

The Rosenberg Self-Esteem Scale

Pilates: 30.2 ± 1.1

Belly dance: 32 ± 1.4

CG: 30.1 ± 1.7

Pilates: 32.6 ± 1.2

Belly dance: 33 ± 0.9

CG: 32 ± 1.1

  Cadmus et al. 2009 136

USA

35–75

50 (100% female)

Sports/recreational activities: 25

CG: 25

Breast cancer

During cancer treatment

The Rosenberg Self-Esteem Scale

Sports/recreational activities: 34.8 ± 4.2

CG: 35.2 ± 3.8

Sports/recreational activities: 34.3 ± 4.9

CG: 34.5 ± 3.6

  Cadmus et al. 2009 236

USA

40–75

74 (100% female)

Sports/recreational activities: 37

CG: 37

Breast cancer

After cancer treatment

The Rosenberg Self-Esteem Scale

Sports/recreational activities: 34.2 ± 5.5

CG: 33.2 ± 5.7

Sports/recreational activities: 34.5 ± 5.2

CG: 33.4 ± 5.9

  Courneya et al. 200737

Canada

25–78

(Mean 49 years)

242 (100% female)

Resistance training: 82

Aerobic physical activity: 78

CG: 82

Breast cancer

During cancer treatment

The Rosenberg Self-Esteem Scale

Resistance training: 34.1 ± 4.2

Aerobic physical activity: 34.0 ± 5.1

CG: 34.1 ± 4.6

Resistance training: 34.7 ± 4.2

Aerobic physical activity: 34.5 ± 5.1

CG: 33.2 ± 5.5

  Fretta et al. 202138

Brazil

55.3 ± 11

34 (100% female)

Pilates: 18

CG: 16

Breast cancer

After cancer treatment

The Rosenberg Self-Esteem Scale

Pilates: 30.4 ± 5.1

CG: 30.5 ± 6.6

Pilates: 35.1 ± 3.8

CG: 33.1 ± 4.3

  Gokal et al. 201639

UK

18–75

50 (100% female)

Walking: 25

CG: 25

Breast cancer

During cancer treatment

The Rosenberg Self-Esteem Scale

Walking: 21.7 ± 4.4

CG: 20.4 ± 4.9

Walking: 23.8 ± 4.6

CG: 19.5 ± 4.2

  Kovačič et al. 201124

Slovenia

≥ 40

32 (100% female)

Yoga: 16

CG: 16

Breast cancer

During cancer treatment

The Rosenberg Self-Esteem Scale

Yoga: 21.3 ± 1.3

CG: 21.2 ± 1.4

Yoga: 23.7 ± 1.1

CG: 21.2 ± 1.7

  Leite et al. 202125

Brazil

55 ± 10

52 (100% female)

Belly dance: 18

Mat Pilates: 18

CG: 16

Breast cancer

After cancer treatment

The Rosenberg Self-Esteem Scale

Belly dance: 32.1 ± 1.3

Mat Pilates: 30.4 ± 1.2

CG: 31.9 ± 1.4

Belly dance: 33.3 ± 1.0

Mat Pilates:32.7 ± 1.0

CG: 32.2 ± 1.1

  Musanti 201240

USA

50.5 ± 7.5

55 (100% female)

Aerobic physical activity: 12

Resistance training: 17

Combined physical activity: 13

CG*: 13

Breast cancer

After cancer treatment

The Rosenberg Self-Esteem Scale

Aerobic physical activity: 23 ± 6.6

Resistance training: 25.3 ± 3.2

Combined physical activity: 24.4 ± 4.8

CG*: 25.7 ± 4.0

Aerobic physical activity: 21.7 ± 4.4

Resistance training: 26.4 ± 2.6

Combined physical activity: 23.6 ± 1.2

CG*: 26.3 ± 3.9

  Rastogi et al. 202041

USA

54.4 ± 11.2

48 (96% female)

Combined physical activity: 26

CG: 22

Breast and colorectal cancer

After cancer treatment

The Rosenberg Self-Esteem Scale

Combined physical activity: 22.6 ± 3.4

CG: 20.2 ± 3.7

Combined physical activity: 23 ± 4.2

CG: 20.2 ± 4.7

  Saultier et al. 202123

France

10.4 ± 0.5

70 (42.5% female)

Combined physical activity: 37

CG :33

Various cancer types

During cancer treatment

Self-esteem with the “Physical Self-Inventory—Very

Short Form” (PSI-VSF)

Combined physical activity: 4.4 ± 0.2

CG: 4.6 ± 0.1

Combined physical activity: 5.0 ± 0.1

CG: 4.8 ± 0.1

  Van Dijk-Lokkart et al. 201642

Netherlands

8–18

68 (46.7% female)

Combined physical activity:30

CG: 38

Various cancer types

During cancer treatment

Global Self-worth with the Dutch versions of the Self Perception Profile for children and adolescents

Combined physical activity: 61.4 ± 29.6

CG: 61.3 ± 28.6

Combined physical activity: 73 ± 25.6

CG: 64.7 ± 33.1

  Wurz et al. 201943

Canada

32.3 ± 7.8

16 (85.7% female)

Combined physical activity: 7

GC: 9

Various malignancy disease types

After cancer treatment

The Rosenberg Self-Esteem Scale

Combined physical activity: 29.1 ± 2.2

CG: 28.1 ± 5.5

Combined physical activity: 29.5 29.5 ± 2.3

CG: 28.56 ± 5.8

Quasi-Experimental studies [n = 2]

  Carminatti et al. 201944

Brazil

54.5 ± 8.3

19 (100% female)

Belly: 11

CG: 8

Breast cancer

During cancer treatment

The Rosenberg Self-Esteem Scale

Belly: 29 ± 1

CG: 32 ± 1

Belly: 32 ± 2

CG: 32 ± 1

  Rosenberg et al. 201445

USA

30.6

199 (82.9% female)

Outdoor adventure 1: 87

Outdoor adventure 2: 41

CG: 71

Various malignancy disease types

After cancer treatment

Self-esteem with the Psychological Screening Inventory-2

Outdoor adventure 1: 52.2 ± 10.3

Outdoor adventure 2: 52.3 ± 9.8

CG: 53.8 ± 11.2

Outdoor adventure 1: 50.4 ± 8.9

Outdoor adventure 2: 51.9 ± 10.2

CG: 55 ± 10.2

Uncontrolled trials [n = 12]

  Barrio et al. 201246

Spain

49.1 ± 9.4

31 (100% female)

Breast cancer

Women affected by breast cancer

The Rosenberg Self-Esteem Scale

Self-esteem 1: 1.8 ± 0.6

Self-esteem 2: 1.9 ± 0.8

Self-esteem 1: 1.5 ± 0.6

Self-esteem 2: 1.5 ± 0.6

  Caru et al. 202047

Canada

12.1 ± 3.6

16 (50% female)

N Total: 16

N Male:8

N Female: 8

Various cancer types

During cancer treatment

Self-esteem with the Physical Self-Perception Profile (PSPP)

Total: 5.3 ± 0.5

Male: 5.1 ± 0.4

Female: 5.4 ± 0.5

Total: 5.7 ± 0.5

Male: 5.8 ± 0.5

Female: 5.6 ± 0.5

  Caru et al. 202148

Canada

12.1 ± 3.6

16 (50% female)

Boys: 8

Girls: 8

Various malignancy disease types

During cancer treatment

Self-esteem with the Physical Self-Perception Profile (PSPP)

Total: 5.8 ± 0.5

Boys: 5.6 ± 0.5

Girls: 5.9 ± 0.4

Total: 5.3 ± 0.5

Boys: 5.1 ± 0.4

Girls: 5.4 ± 0.5

  Courneya et al. 201449

Canada

˃ 18 years old

301 (100% female)

Standard aerobic exercise: 96

High standard dose: 101

Combined physical activity: 104

Breast cancer

During cancer treatment

The Rosenberg Self-Esteem Scale

Standard aerobic exercise: 33.5 ± 4.3

High standard dose: 34.3 ± 5.2

Combined physical activity: 34.0 ± 5.2

Standard aerobic exercise: 34.8 ± 2.8

High standard dose: 34.5 ± 2.8

Combined physical activity: 33.9 ± 2.8

  Ho, Rainbow et al. 200550

Hong Kong

50.2 ± 7.1

Dance: 22

Various cancer types

During cancer treatment

The Rosenberg Self-Esteem Scale

Dance: 16.7 ± 3.3

Dance: 18.2 ± 3.6

  Morielli et al. 201651

Canada

57.5

18 (33.3% female)

Total: 18

Rectal cancer

During cancer treatment

The Rosenberg Self-Esteem Scale

Total During NACRT6: 4.9 ± 1

Total Post-NACRT/pre-surgery: 4.8 ± 1

  Muller et al. 201652

Germany

10.7 ± 4.3

150 (49% female)

Total: 150

N Leukemia/ lymphoma = 86

N Brain tumor = 38

N Sarcoma = 26

Various cancer types

After cancer treatment

Self-esteem with the KINDL questionnaire

Total: 67 ± 17.7

Total: 69 ± 17.1

  Osypiuk et al. 202053

USA

54 ± 10.2

21 (100% female)

Qigong: 21

Breast cancer

After cancer treatment

The Rosenberg Self-Esteem Scale

Qigong :21.7 ± 6.1

Qigong: 23.7 ± 5.5

  Rey-Barth et al. 202254

France

52

(Range 46–55)

14 (100% female)

Aerobic physical activity: 14

Breast cancer

After cancer treatment

The Rosenberg Self-Esteem Scale

Aerobic physical activity: 30.4 ± 6.6

Aerobic physical activity: 32.6 ± 5.5

  Speed-Andrews et al. 201055

Canada

54.8 ± 5.3

17 (100% female)

Yoga: 17

Breast cancer

After cancer treatment

The Rosenberg Self-Esteem Scale

Yoga: 31.5 ± 5.7

Yoga: 33.8 ± 5.6

  Török et al. 200656

Hungary

15.6 ± 1.5

52

(57.7% female)

Therapeutic recreation camping: 44

Various malignancy disease types

During cancer treatment

The Rosenberg Self-Esteem Scale

Therapeutic recreation camping: 27.2 ± 3.6

Therapeutic recreation camping: 28.3 ± 4.1

  Vallet et al. 201557

France

14.3 ± 2.9

11 (36.4% female)

Combined physical activity: 11

Various cancer types

During cancer treatment

Self-esteem with the physical self-inventory (PSI-6)

Combined physical activity: 6.2 ± 2.1

Combined physical activity: 7.7 ± 1.8

Observational studies [n = 5]

  Awick et al. 201758

USA

56.2 ± 9.3

370 (100% female)

Total: 370

Breast cancer

After cancer treatment

The Rosenberg Self-Esteem Scale

Total: 40.5 ± 6

Total: 40.5 ± 5.6

  Belanger et al. 201359

Canada

38.2 ± 5.6

588 (43.7% female)

No sport participation: 397

Sport participation: 191

Young adult cancer

After cancer treatment

The Rosenberg Self-Esteem Scale

No sport participation: 31.7 ± 5.8

Sport participation: 34.4 ± 4.8

N/A

  Deisenroth et al. 201660

Germany

11.4 ± 4.1

40 (57.5% female)

Total: 40

Various cancer types

During cancer treatment

Self-esteem with the KINDL questionnaire

Total: 52.4 ± 20.9

N/A

  Patsou et al. 201861

Greece

51.7 ± 7.3

171 (100% male)

Low fitness: 89

CG: 82

Breast cancer

After cancer treatment

Self-esteem with the Greek version of the Self-Esteem Scale

IG: 41.61 ± 3.30

CG: 32.67 ± 6.07

N/A

  Ranft et al. 201762

Germany

30

(Range 9–69)

909 (44.4% female)

Survivors: 613

CG: 296

Ewing Sarcoma

After cancer treatment

The Rosenberg Self-Esteem Scale

Survivors: 23.2

CG: 24

N/A