Adapted Physical Activity for Children Treated With Cancer and Insulin Sensitivity

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.

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