Factors associated with adherence to physical activity guidelines in patients with prostate cancer

Chipperfield, Kelly Maree; Fletcher, Jane; Millar, Jeremy; Brooker, Joanne; Smith, Robin; Frydenberg, Mark; Oh, Tracy; Burney, Susan

doi:10.1002/pon.3310

Cited by 52 publications

(49 citation statements)

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“…Their study, however, analyzed sedentary, elderly patients, and it is possible that smaller changes might prove to be clinically relevant for larger PCaPs cohorts. Moreover, physical performance is an important factor for PCaPs to maintain HRQoL [77–80]. Therefore, an increase in physical performance seems to be directly related to the patients’ ability to at least maintain if not to improve HRQoL.…”

Section: Discussionmentioning

confidence: 99%

Effects of resistance exercise in prostate cancer patients: a meta-analysis

Kéilani

Hasenoehrl

Baumann

et al. 2017

Support Care Cancer

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PurposeThe aim of the present meta-analysis was to quantify effects of resistance exercise (RE) on physical performance and function, body composition, health-related quality of life (HRQoL), and fatigue in patients with prostate cancer.MethodsTrial data were obtained from the databases PubMed, MEDLINE, EMBASE, SCOPUS, and the Cochrane Library as of inception to 31st of December 2016. Thirty-two trials with 1199 patients were included. Results that were measured by using the same assessment method in five or more of the original studies were pooled in a meta-analysis.ResultsPooled studies showed significant improvements of muscular strength in the upper and lower body (95% CI [2.52, 7.97] kg; p < 0.001 and 95% CI [10.51, 45.88] kg; p = 0.008, respectively) after RE. Furthermore, significant improvements were seen for body composition (body fat percentage 95% CI [−0.79, −0.53] %; p < 0.001; lean body mass 95% CI [0.15, 1.84] %; p = 0.028; trunk fat mass 95% CI [−0.73, −0.08] kg; p = 0.024). Additionally, the improvement of the 400-m walk time was significant (95% CI [−21.55, −14.65] s; p < 0.001). Concerning fatigue and HRQoL, there were not sufficient data for analysis.ConclusionsRE seems to be a promising approach in order to counteract loss of muscle mass, muscle strength, and physical performance in patients suffering from prostate cancer and its treatment-related side effects. RE should play part in interdisciplinary cancer rehabilitation and care of this patient group. Nevertheless, further research should investigate RE further to determine which protocols are the most pragmatic, yet yielding best patient outcomes.

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Section: Discussionmentioning

confidence: 99%

Effects of resistance exercise in prostate cancer patients: a meta-analysis

Kéilani

Hasenoehrl

Baumann

et al. 2017

Support Care Cancer

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“…Increasing age, comorbid conditions, cancer stage, side effects of treatment, and limited access to targeted programs and facilities have been identified as factors that influence participation in exercise for men living with the condition 8–12. Furthermore, men lack the confidence in their ability to be physically active and do not have knowledge about appropriate exercise levels 12,14,15…”

Section: Introductionmentioning

confidence: 99%

“…One strategy is for clinicians to encourage exercise as part of patients' clinical care through a referral to an exercise program that is tailored to individual capabilities. Research has highlighted the importance of cancer clinician endorsement of physical activity recommendations to improving physical activity levels in men with prostate cancer,12 with cancer survivors increasingly looking for lifestyle advice, such as exercise, to improve their health outcomes 14. A recent study of men with prostate cancer suggested that encouragement from clinicians and referral to an exercise specialist were likely to give men more confidence to participate in physical activity 12.…”

Section: Introductionmentioning

confidence: 99%

Effects of a clinician referral and exercise program for men who have completed active treatment for prostate cancer: A multicenter cluster randomized controlled trial (ENGAGE)

Livingston

Craike

Salmon

et al. 2015

Cancer

101

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BACKGROUNDThe purpose of this study was to determine the efficacy of a clinician referral and exercise program in improving exercise levels and quality of life for men with prostate cancer.METHODSThis was a multicenter cluster randomized controlled trial in Melbourne, Australia comprising 15 clinicians: 8 clinicians were randomized to refer eligible participants (n = 54) to a 12-week exercise program comprising 2 supervised gym sessions and 1 home-based session per week, and 7 clinicians were randomized to follow usual care (n = 93). The primary outcome was self-reported physical activity; the secondary outcomes were quality of life, anxiety, and symptoms of depression.RESULTSA significant intervention effect was observed for vigorous-intensity exercise (effect size: Cohen's d, 0.46; 95% confidence interval [CI], 0.09-0.82; P = .010) but not for combined moderate and vigorous exercise levels (effect size: d, 0.08; 95% CI, −0.28 to 0.45; P = .48). Significant intervention effects were also observed for meeting exercise guidelines (≥150 min/wk; odds ratio, 3.9; 95% CI, 1.9-7.8; P = .002); positive intervention effects were observed in the intervention group for cognitive functioning (effect size: d, 0.34; 95% CI, −0.02 to 0.70; P = .06) and depression symptoms (effect size: d, −0.35; 95% CI, −0.71 to 0.02; P = .06). Eighty percent of participants reported that the clinician's referral influenced their decision to participate in the exercise program.CONCLUSIONSThe clinician referral and 12-week exercise program significantly improved vigorous exercise levels and had a positive impact on mental health outcomes for men living with prostate cancer. Further research is needed to determine the sustainability of the exercise program and its generalizability to other cancer populations. Cancer 2015;121:2646–2654. © 2015 American Cancer Society.

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“…Adherence to PA guidelines for prostate CPS has been reported to vary between 29 and 47% [29, 30, 59, 64, 65] and is even lower in colorectal CPS: 20–40% [29–31, 51, 64, 66, 67]. PA levels are known to decline during treatment and do not reach pre-treatment levels after completing treatment [21, 68].…”

Section: Step 1: Needs Assessmentmentioning

confidence: 99%

Development of a computer-tailored physical activity intervention for prostate and colorectal cancer patients and survivors: OncoActive

et al. 2017

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BackgroundCancer and cancer treatment coincide with substantial negative physical, psychological and psychosocial problems. Physical activity (PA) can positively affect the negative effects of cancer and cancer treatment and thereby increase quality of life in CPS. Nevertheless, only a minority of CPS meet PA guidelines. We developed the OncoActive (OncoActief in Dutch) intervention: a computer-tailored PA program to stimulate PA in prostate and colorectal CPS, because to our knowledge there are only a few PA interventions for these specific cancer types in the NetherlandsMethodsThe OncoActive intervention was developed through systematic adaptation of a proven effective, evidence-based, computer-tailored PA intervention for adults over fifty, called Active Plus. The Intervention Mapping (IM) protocol was used to guide the systematic adaptation. A literature study and interviews with prostate and colorectal CPS and health care professionals revealed that both general and cancer-specific PA determinants are important and should be addressed. Change objectives, theoretical methods and applications and the actual program content were adapted to address the specific needs, beliefs and cancer-related issues of prostate and colorectal CPS. Intervention participants received tailored PA advice three times, on internet and with printed materials, and a pedometer to set goals to improve PA. Pre- and pilot tests showed that the intervention was highly appreciated (target group) and regarded safe and feasible (healthcare professionals). The effectiveness of the intervention is being evaluated in a randomized controlled trial (RCT) (n = 428), consisting of an intervention group and a usual care waiting-list control group, with follow-up measurements at three, six and twelve months. Participants are recruited from seventeen hospitals and with posters, flyers and calls in several media.DiscussionUsing the Intervention Mapping protocol resulted in a systematically adapted, theory and evidence-based intervention providing tailored PA advice to prostate and colorectal CPS. If the intervention turns out to be effective in increasing PA, as evaluated in a RCT, possibilities for nationwide implementation and extension to other cancer types will be explored.Trial registrationThe study is registered in the Dutch Trial Register (NTR4296) on November 23rd 2013 and can be accessed at http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4296.

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Factors associated with adherence to physical activity guidelines in patients with prostate cancer

Abstract: Meeting NPAGA is associated with higher QoL and psychosocial well-being in men with PCa. These findings contribute important information for targeting PA interventions to PCa survivors.

Cited by 52 publications

References 45 publications

Effects of resistance exercise in prostate cancer patients: a meta-analysis

Effects of resistance exercise in prostate cancer patients: a meta-analysis

Effects of a clinician referral and exercise program for men who have completed active treatment for prostate cancer: A multicenter cluster randomized controlled trial (ENGAGE)

Development of a computer-tailored physical activity intervention for prostate and colorectal cancer patients and survivors: OncoActive

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