Exercise adherence in men with prostate cancer undergoing androgen deprivation therapy: a systematic review and meta-analysis.

Toohey, Kellie; Hunter, Maddison; Paterson, Catherine; Mortazavi, Reza; Singh, Benjamin

Abstract

Androgen deprivation therapy (ADT) for prostate cancer treatment is associated with adverse physiological changes; however, exercise can improve outcomes. This systematic review and meta-analysis aimed to determine exercise intervention adherence and its effects on physiological outcomes in men diagnosed with prostate cancer undergoing ADT. Uniquely, this review incorporated a meta-aggregation of qualitative data, providing perspectives from the men’s experiences. A systematic review and meta-analysis were completed following PRISMA guidelines. Databases (CINAHL, Cochrane, PubMed) were searched for studies using "prostate cancer", "exercise intervention", and "androgen deprivation therapy". Quantitative randomised controlled trials describing adherence to exercise interventions were selected, with qualitative articles selected based on descriptions of experiences around participation. Subgroup meta-analyses of adherence, exercise mode, and intervention duration were completed for quality of life, aerobic fitness, fatigue, and strength. In total, 644 articles were identified, with 29 (n = 23 quantitative; n = 6 qualitative) articles from 25 studies included. Exercise had no effects (p < 0.05) on quality of life and fatigue. Significant effects (all p < 0.05) were observed for aerobic fitness, and upper- and lower-body strength. Adherence to exercise-based interventions was 80.38%, with improvements observed in aerobic fitness and strength. Subgroup analysis revealed exercise adherence impacted fatigue and strength, with greater improvements observed in programs >12-weeks.

Citation

TOOHEY, K., HUNTER, M., PATERSON, C., MORTAZAVI, R. and SINGH, B. 2022. Exercise adherence in men with prostate cancer undergoing androgen deprivation therapy: a systematic review and meta-analysis. Cancers [online], 14(10), article 2452. Available from: https://doi.org/10.3390/cancers14102452

• Journal Article Type: Article
• Acceptance Date: May 12, 2022
• Online Publication Date: May 16, 2022
• Publication Date: May 31, 2022
• Deposit Date: Jun 9, 2022
• Publicly Available Date: Jun 9, 2022
• Journal: Cancers
• Electronic ISSN: 2072-6694
• Publisher: MDPI
• Peer Reviewed: Peer Reviewed
• Volume: 14
• Issue: 10
• Article Number: 2452
• DOI: https://doi.org/10.3390/cancers14102452
• Keywords: Prostate cancer; Androgen deprivation therapy; Exercise; Adherence
• Public URL: https://rgu-repository.worktribe.com/output/1682005
• Additional Information: This accompanying file contains the supplementary table at the end of the main article.