Tuesday, June 28, 2011

The role of exercise in prostate cancer management ? THE "NEW ...

Posted on by Sitemaster


Prostate cancer patients in general, but most especially men receiving androgen deprivation therapy (ADT), experience symptoms? and side effects of treatment that make it difficult to maintain their independence and quality of life. A recent review states that exercise may offset many of the side effects of ADT as well as those of the cancer itself.

Keogh and Mcleod conducted a systematic review of the English-language literature and were able to identify 12 training studies designed to evaluate whether exercise could reduce symptoms and improve quality of life for prostate cancer patients and which met the inclusion and exclusion criteria for their review.

The key findings of the review can be listed a follows:

  • Grade A level evidence exists for the benefits of exercise in improving muscular endurance, aerobic endurance, and overall quality of life, and for reducing fatigue in prostate cancer patients.
  • Grade B level evidence further suggests that exercise may improve prostate cancer patients? muscle mass, muscular strength, functional performance (walking and sit to stand speed), and their health-related, social and physical quality of life.
  • The effects identified appear to be greater for group-based as compared to home-based exercise initiatives, especially if the programs are designed to include resistance training.

The authors conclude that most prostate cancer patients should be encouraged to exercise regularly by their clinicians and and by their significant others. To the extent that this is possible, such exercise should be group-based and should include some resistance training.

Keogh and Mcleod also suggest that research on the impact of exercise on prostate cancer outcomes and quality of life should directly compare group- and home-based exercise, as well as resistance, aerobic, and combined resistance and aerobic training to discover which are the most effective forms of exercise for this population and what factors affect initiation and adherence to such programs.

The ?New? Prostate Cancer InfoLink has long encouraged regular exercise for prostate cancer patients. Such regular exercise may well have very specific impact on quality of life and recovery from specific types of treatment (e.g., resistance training during and after radiation therapy, all types of exercise for men on ADT). However, it is also a truism that regular exercise is also associated with improvements in cardiovascular function, which is also likely to impact overall quality and quantity of life.

Of course prostate cancer patients are also strongly encouraged to discuss proposed exercise regimens with their doctors ? particularly if strenuous exercise is being considered. And men who have received a radical prostatectomy as first-line treatment for prostate cancer need to be cautious about excessive exercise too soon after their surgery because of the risk for inguinal hernia and other associated problems.

Source: http://prostatecancerinfolink.net/2011/06/27/the-role-of-exercise-in-prostate-cancer-management/

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