Perceptions of physically active men with prostate cancer on the role of physical activity in maintaining their quality of life: possible influence of androgen deprivation therapy

Keogh, Justin W L; Patel, Asmita; MacLeod, Rod; Masters, Jonathan

doi:10.1002/pon.3363

Cited by 23 publications

(58 citation statements)

References 18 publications

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“…Overall, there was a high level of agreement of masculine themes identified from these reviewed studies. This strengthens previous exercise and masculinity theories and provides credibility to the emergent subthemes developed in this review. Across all exercise interventions, a sense of community was created.…”

Section: Discussionsupporting

confidence: 84%

Exercise interventions and their effect on masculinity, body image, and personal identity in prostate cancer—A systematic qualitative review

et al. 2019

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Objective Men with prostate cancer face various body composition and psychosocial challenges following diagnosis. Movement‐based interventions such as exercise may represent novel strategies to improve these important biopsychosocial changes. This systematic qualitative review aimed to examine the various exercise interventions and their effect on male perception of masculinity, body image, and personal identity. Methods A systematic search across nine electronic databases was conducted in July 2017 and repeated in August 2018. Eligible studies included qualitative works examining masculinity, body image, or personal identity within an exercise intervention. Thematic content analysis allowed for qualitative synthesis across numerous studies. Results Six studies met eligibility criteria for inclusion. Four interventions used multimodal aerobic and resistance training, one incorporated aerobic exercise through football practice, and one utilized a home‐based aerobic plus yoga program. Exercise was implicated to improve masculinity through creation of a safe community, allowed for refocusing on valued male traits, provided a source of distraction, and offered a means of establishing control over one's illness. Exercise also facilitated a process of self‐reflection secondary to changes in physique and helped to re‐establish male self‐efficacy. Conclusions Regardless of prostate cancer stage, treatment status, or prior androgen deprivation therapy exposure, both aerobic or aerobic and resistance training exerted positive effects on perceived feelings of masculinity, body image, and personal identity.

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Section: Discussionsupporting

confidence: 84%

Exercise interventions and their effect on masculinity, body image, and personal identity in prostate cancer—A systematic qualitative review

et al. 2019

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“…Participants noted specific benefits in terms of their physical fitness [38,40,41,44,46,48,50,52,53,54,58,59,64,65,69], overall energy levels [32,33,35,37,38,40,42,43,44,46,48,50,54,56,57,58,59,62,65,66,67], physical strength [32,35,42,43,44,46,49,50,51,54,56,57,59,60,61,62,66,68,69], flexibility [38,39,49,56,67], weight/body composition [42,43,53,54,62,69,70], sleep quality [40,…”

Section: Resultsmentioning

confidence: 99%

“…Physical activity fostered a range of positive self-perceptions. Participants used specific terms such as ‘proud’, ‘accomplished’, and ‘confident’ to describe how they felt about themselves after physical activity [32,33,34,35,36,38,39,40,44,46,52,54,55,56,57,58,59,60,62,63,65,66,67,69,70]. They also expressed more general positive feelings.…”

Section: Resultsmentioning

confidence: 99%

Physical Activity and Quality of Life in Cancer Survivors: A Meta-Synthesis of Qualitative Research

Burke

Wurz

Bradshaw

et al. 2017

Cancers

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Qualitative research on the impact of physical activity on quality of life (QoL) in adults diagnosed with cancer is accumulating. However, the field of physical activity and cancer survivorship lack a synthesis of this research to reliably understand the implications for future research and practice. The aim of this meta-synthesis was to identify, appraise, and synthesize qualitative research on cancer survivors’ perspectives of the impact of physical activity on their QoL. Seven electronic databases were searched for original studies published in English, and reference lists of relevant studies were hand-searched to identify additional studies. Forty studies met eligibility criteria and were included in this meta-synthesis. Study characteristics and major findings were extracted, and findings were summarized, compared, and synthesized. Themes identified in this review revealed that physical activity positively impacted four dimensions of cancer survivors’ QoL: physical (e.g., managing the physical consequences of cancer and its treatment), psychological (e.g., evoking positive self-perceptions), social (e.g., feeling understood by others), and spiritual (e.g., redefining life purpose). This meta-synthesis corroborates conclusions from reviews of quantitative research and illustrates that physical activity can be used to improve QoL in adult cancer survivors, regardless of diagnosis (i.e., stage, cancer type) and treatment status. It also provides detailed insight into specific aspects within each dimension of QoL impacted by physical activity from cancer survivors’ perspectives, which is important for understanding the meaning and utility of physical activity for them. However, more research is needed to further develop the qualitative evidence base in order to better understand how physical activity impacts on QoL experiences in men, young adults, and adults diagnosed with less common types of cancer at different points along cancer trajectory (i.e., diagnosis, treatment, post-treatment, palliation).

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“…There is growing evidence demonstrating that physical activity (PA), be it aerobic, resistance (strength) or a combination thereof produces physical and psychosocial benefits [7,11,16] that counteract many of the adverse effects of common cancer treatments [8,17]. Such research has led professional organisations, including the American Cancer Society, to develop position statements outlining the importance of PA and recommending that physically inactive patients become more active.…”

Section: Introductionmentioning

confidence: 99%

Benefits and Barriers of Cancer Practitioners Discussing Physical Activity with their Cancer Patients

et al. 2015

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Our aim was to synthesise the existing empirical literature and theoretical perspectives on the physical activity promotion practices and determinants of cancer clinicians and health professionals. We conducted a narrative review of theory and evidence to develop practice recommendations for improving the promotion of physical activity to cancer patients. Surveyed health professionals were aware of many benefits of physical activity for their cancer patients, although only ~40% promoted physical activity to selected cancer patients. Walking was most commonly promoted form of PA, with this promoted to assist patients control their weight and cardiovascular health risk. Barriers to promotion of physical activity included lack of time and knowledge of PA and behaviour change skills. Health professionals appear interested in promoting PA to their cancer patients, yet encounter several barriers. Further research is warranted to assist health professionals improve their PApromotion. An adapted reflective-impulsive model of social behaviour shows promise for assisting health professionals overcome barriers and provides an evidence-based theoretical framework for improving communication with patients. Universities, hospitals and/or healthcare accreditation organisations also have important roles to play in assisting health professionals improve their promotion of physical activity to patients.

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Perceptions of physically active men with prostate cancer on the role of physical activity in maintaining their quality of life: possible influence of androgen deprivation therapy

Cited by 23 publications

References 18 publications

Exercise interventions and their effect on masculinity, body image, and personal identity in prostate cancer—A systematic qualitative review

Exercise interventions and their effect on masculinity, body image, and personal identity in prostate cancer—A systematic qualitative review

Physical Activity and Quality of Life in Cancer Survivors: A Meta-Synthesis of Qualitative Research

Benefits and Barriers of Cancer Practitioners Discussing Physical Activity with their Cancer Patients

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