Adapted Physical Activity for Children Treated With Cancer and Insulin Sensitivity

Study Overview
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Brief Summary
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The main objective of this study is to evaluate the evolution of the sensitivity to insulin, a hormone that acts on sugar in the body, as well as other metabolic, motor and nutritional elements of children with cancer, according to the practice of intense physical activities or stretching. In view of the scientific work on this subject, it is expect to observe that the practice of intense physical activities will improve the results of the children in the metabolic, motor and nutritional evaluations, compared to the stretching program.

Detailed Description
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The protocol consists of 6 months of intense physical activity and stretching programs for children with solid cancer or haematological disease, starting at diagnosis. Evaluations will be performed at the first, third and sixth month of the programs and then six and eighteen months after they are stopped. The physical activity sessions will take place in the hospital during hospitalizations or by videoconference when the children are at home. The sessions are adapted to the needs, desires and abilities of the children and will take place two to three times a week. They will be mediated by various activities such as soccer, rugby, darts, muscle strengthening. Inclusion lasts two years.

Official Title
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Adapted Physical Activity for Children Treated With Cancer and Insulin Sensitivity

Conditions
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Pediatric Cancer

Intervention / Treatment
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* Other: Adapted Physical Activity Strong


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age between 5 and 18 years old; have a solid cancer or hematological disease; be treated for the first time in pediatric oncology and hematology department; have an estimated life expectancy at diagnosis of more than 6 months. Exclusion Criteria: present a physical and/or psychological impossibility to follow an adapted physical activity program; have a pre-existing heart disease that is not suitable for adapted physical activities; have a known type 1 diabetes have an obesity defined by a body mass index greater than or equal to the International Obesity Task Force 25 threshold

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Prospective randomized pilot study studying the parameters of two groups receiving physical activity management over a period of 6 months
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Adapted physical activity Strong<br> | Other: Adapted Physical Activity Strong<br>* Children will practice physical activities combining aerobics and muscle strengthening. They will follow a 30-minute (for prepubescent children) or 60-minute (for pubescent children) Strong adapted physical activity session 2 to 3 times a week during hospitalization periods or by videoconference at home when they are not hospitalized.<br>|
| Active Comparator: Adapted physical activity Soft<br> | Other: Adapted Physical Activity Strong<br>* Children will practice physical activities combining aerobics and muscle strengthening. They will follow a 30-minute (for prepubescent children) or 60-minute (for pubescent children) Strong adapted physical activity session 2 to 3 times a week during hospitalization periods or by videoconference at home when they are not hospitalized.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Insulin Sensitivity | Homeostasis Model Assessment of Insulin Resistance | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pediatric cancers, exercise, insulin sensibility, metabolic syndrome