Physical exercise habits, lifestyle behaviors, and motivation to change among men with prostate cancer: a cross-sectional study

Bressi, Barbara; Iotti, C.; Cagliari, Maribel; Fugazzaro, Stefania; Cavuto, Silvio; Bergamaschi, F.; Moscato, Alfredo; Costi, Stefania

doi:10.1007/s00520-022-06911-z

Cited by 7 publications

(8 citation statements)

References 45 publications

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“…In contrast, observational evidence showed that a high proportion of women attributed diet (68%) to their breast cancer diagnosis in addition to external factors (ie, hormones) 28. Furthermore, in a sample of 40 men interviewed about their lifestyle behaviours following their PCa diagnosis, 60% were obese and 88% were not motivated to change their smoking, alcohol and/or their eating behaviour 29. These findings could be indicative of men’s preference to believe in causal factors that are outside their control, and reinforce the importance of lifestyle interventions at the time of diagnosis.…”

Section: Discussionmentioning

confidence: 96%

“…These barriers to regular walking have been cited by prostate and other patient populations. 29 34 35 Men were assessed for comorbidities prohibiting them from performing brisk walking before entering PrEvENT. Therefore, it could be speculated that the physical restrictions to brisk walking reported by men are indicative of their motivation to brisk walk when obstacles arise.…”

Section: Discussionmentioning

confidence: 99%

“…Barriers to brisk walking included weather conditions and a lack of time. These barriers to regular walking have been cited by prostate and other patient populations 29 34 35. Men were assessed for comorbidities prohibiting them from performing brisk walking before entering PrEvENT.…”

Section: Discussionmentioning

confidence: 99%

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Attitudes and adherence to changes in nutrition and physical activity following surgery for prostate cancer: a qualitative study

et al. 2022

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ObjectivesInterventions designed to improve men’s diet and physical activity (PA) have been recommended as methods of cancer prevention. However, little is known about specific factors that support men’s adherence to these health behaviour changes, which could inform theory-led diet and PA interventions. We aimed to explore these factors in men following prostatectomy for prostate cancer (PCa).Design, setting and participantsA qualitative study using semistructured interviews with men, who made changes to their diet and/or PA as part of a factorial randomised controlled trial conducted at a single hospital in South West England. Participants were 17 men aged 66 years, diagnosed with localised PCa and underwent prostatectomy. Interview transcripts underwent thematic analysis.ResultsMen were ambivalent about the relationship of nutrition and PA with PCa risk. They believed their diet and level of PA were reasonable before being randomised to their interventions. Men identified several barriers and facilitators to performing these new behaviours. Barriers included tolerance to dietary changes, PA limitations and external obstacles. Facilitators included partner involvement in diet, habit formation and brisk walking as an individual activity. Men discussed positive effects associated with brisk walking, such as feeling healthier, but not with nutrition interventions.ConclusionsThe facilitators to behaviour change suggest that adherence to trial interventions can be supported using well-established behaviour change models. Future studies may benefit from theory-based interventions to support adherence to diet and PA behaviour changes in men diagnosed with PCa.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

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Attitudes and adherence to changes in nutrition and physical activity following surgery for prostate cancer: a qualitative study

et al. 2022

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“…Access to the latest exercise medicine and nutrition services has been unfortunately further impacted by the COVID-19 pandemic due to personal isolation, physical distancing and changes to public transport and procedures within cancer care clinics 47. Moreover, changes in physical activity behaviour can be challenging in this group,48 49 with common barriers being treatment-related symptoms and lack of time 50. Therefore, telehealth exercise and nutrition interventions have the potential to overcome a number of these issues providing high-quality, effective and safe supportive care at a time and in a place of the patient’s choosing.…”

Section: Discussionmentioning

confidence: 99%

Weight loss for overweight and obese patients with prostate cancer: a study protocol of a randomised trial comparing clinic-based versus Telehealth delivered EXercise and nutrition intervention (the TelEX trial)

et al. 2022

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IntroductionObese men with prostate cancer have an increased risk of biochemical recurrence, metastatic disease and mortality. For those undergoing androgen deprivation therapy (ADT), substantial increases in fat mass are observed in the first year of treatment. Recently, we showed that a targeted supervised clinic-based exercise and nutrition intervention can result in a substantial reduction in fat mass with muscle mass preserved in ADT-treated patients. However, the intervention needs to be accessible to all patients and not just those who can access a supervised clinic-based programme. The purpose of this study was to evaluate the efficacy of telehealth delivered compared with supervised clinic-based delivered exercise and nutrition intervention in overweight/obese patients with prostate cancer.Methods and analysisA single-blinded, two-arm parallel group, non-inferiority randomised trial will be undertaken with 104 overweight/obese men with prostate cancer (body fat percentage ≥25%) randomly allocated in a ratio of 1:1 to a telehealth-delivered, virtually supervised exercise and nutrition programme or a clinic-based, face-to-face supervised exercise and nutrition programme. Exercise will consist of supervised resistance and aerobic exercise performed three times a week plus additional self-directed aerobic exercise performed 4 days/week for the first 6 months. Thereafter, for months 7–12, the programmes will be self-managed. The primary endpoint will be fat mass. Secondary endpoints include lean mass and abdominal aortic calcification, anthropometric measures and blood pressure assessment, objective measures of physical function and physical activity levels, patient-reported outcomes and blood markers. Measurements will be undertaken at baseline, 6 months (post intervention), and at 12 months of follow-up. Data will be analysed using intention-to-treat and per protocol approaches.Ethics and disseminationEthics approval has been obtained from the Edith Cowan University Human Research Ethics Committee (ID: 2021–02157-GALVAO). Outcomes from the study will be published in academic journals and presented in scientific and consumer meetings.Trial registration numberACTRN12621001312831.

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“…In this regard, we investigated the lifestyle of patients recently diagnosed with prostate cancer, their perceived barriers and facilitators to physical exercise, and motivation to change towards healthier lifestyle 27. Therefore, based on previous research and our descriptive study, we developed a structured experimental physical exercise intervention that combines supervised and unsupervised exercise with a step-down approach.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and safety of physical exercise in men with prostate cancer receiving androgen deprivation therapy and radiotherapy: a study protocol

et al. 2022

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IntroductionAndrogen deprivation therapy (ADT) and radiotherapy (RT) increase survival in selected patients with prostate cancer. Nevertheless, the side effects of these therapies are associated with an increased risk of accidental falls and fractures and a decreased quality of life. Preliminary evidence suggests that physical exercise can be a valid strategy to reduce the side effects of ADT and RT in men with prostate cancer. Despite this knowledge, most patients with prostate cancer are insufficiently active, and there is a lack of data on the safety and adherence to the recommended dose of physical exercise. This study protocol is designed to examine the feasibility and safety of a multicomponent experimental physical exercise intervention targeting psychophysical and cognitive functions and the quality of life in this population.Methods and analysisThis is a pilot feasibility study. Twenty-five men currently treated with ADT and RT for prostate cancer will be invited to participate in a 20-week, multicomponent physical exercise intervention, including supervised and unsupervised exercise sessions and meeting the current recommendation for exercise in cancer. The primary outcomes are physical exercise feasibility (recruitment, adherence and drop-out rates) and safety (adverse events related and unrelated to the intervention). The secondary outcomes are muscle strength, balance, fatigue, symptoms of anxiety and depression, cognitive function, quality of life, and patient satisfaction. We will also record the number of accidental falls and fractures occurring during the intervention and at 1 year of follow-up.Ethics and disseminationThe study has received ethics approval from The Area Vasta Nord Local Ethics Committee (Province of Reggio Emilia, 23 June 2020, Number 520/2020/SPER/IRCCSRE). Recruitment began in September 2020 and will be completed in September 2021. The results will be disseminated through scientific journals and conference presentations.Trial registration numberNCT04500080.

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Physical exercise habits, lifestyle behaviors, and motivation to change among men with prostate cancer: a cross-sectional study

Cited by 7 publications

References 45 publications

Attitudes and adherence to changes in nutrition and physical activity following surgery for prostate cancer: a qualitative study

Attitudes and adherence to changes in nutrition and physical activity following surgery for prostate cancer: a qualitative study

Weight loss for overweight and obese patients with prostate cancer: a study protocol of a randomised trial comparing clinic-based versus Telehealth delivered EXercise and nutrition intervention (the TelEX trial)

Feasibility and safety of physical exercise in men with prostate cancer receiving androgen deprivation therapy and radiotherapy: a study protocol

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