The views of patients with metastatic prostate cancer towards physical activity: a qualitative exploration
- 634 Downloads
Patients with metastatic cancer can experience debilitating symptoms, which may influence attitudes towards and engagement in physical activity. This study aimed to examine the attitudes of patients living with metastatic prostate cancer towards physical activity.
Materials and methods
Semi-structured interviews were completed with male patients living with metastatic prostate cancer. Interviews included eight questions related to patients’ attitudes towards physical activity. Content analysis was conducted on the transcribed interview data. Twenty men with metastatic prostate cancer (mean age 71 ± 8.5 years; body mass index 30.19 ± 5.37 kg/cm2) and associated bone metastases (55% with > 2 regions affected) participated in the study.
Men’s views towards physical activity were coded into the following major themes: (1) barriers to physical activity, (2) benefits of physical activity, (3) a reduction in physical activity levels post diagnosis and (4) social support for physical activity. Symptoms of metastatic prostate cancer and treatment side effects including pain and fatigue negatively influenced activity participation. In addition, many generic barriers to physical activity were described such as bad weather and a lack of suitable facilities for exercising in rural areas.
Men living with metastatic prostate cancer have unique needs regarding physical activity related to symptoms of both their cancer and cancer treatment. There is a need to increase prompts that encourage those with metastatic prostate cancer to maintain/increase physical activity levels post diagnosis. Given the individualised needs of this patient group, referral to a cancer exercise specialist should be considered for prescription of tailored physical activity programmes.
Clinicaltrials.gov NLM Identifier: NCT02453139
KeywordsPhysical activity Advanced cancer Metastases Qualitative Exercise
The authors would like to acknowledge the assistance and support of the Wellcome Trust/HRB Clinical Research Facility at St. James’ Hospital in providing a dedicated environment for the conduct of high quality clinical research activities.
A researcher on this paper (GS) was supported by funding attained through the World Cancer Research Fund [WCRF: 2013/1003, TCD: Award 12799 Project 202370].
Compliance with ethical standards
Ethical approval was granted by Saint James’s Hospital/Adelaide Meath National Children’s Hospital research ethics committee.
Conflict of interest
The authors declare that they have no conflict of interest.
- 1.Oldervoll LM, Loge JH, Lydersen S, Paltiel H, Asp MB, Nygaard UV, Oredalen E, Frantzen TL, Lesteberg I, Amundsen L, Hjermstad MJ, Haugen DF, Paulsen O, Kaasa S (2011) Physical exercise for cancer patients with advanced disease: a randomized controlled trial. Oncologist 16(11):1649–1657. https://doi.org/10.1634/theoncologist.2011-0133 CrossRefPubMedPubMedCentralGoogle Scholar
- 6.Bourke L, Gilbert S, Hooper R, Steed LA, Joshi M, Catto JW, Saxton JM, Rosario DJ (2014) Lifestyle changes for improving disease-specific quality of life in sedentary men on long-term androgen-deprivation therapy for advanced prostate cancer: a randomised controlled trial. Eur Urol 65(5):865–872. https://doi.org/10.1016/j.eururo.2013.09.040 CrossRefGoogle Scholar
- 17.Irwin ML, Crumley D, McTiernan A, Bernstein L, Baumgartner R, Gilliland FD, Kriska A, Ballard-Barbash R (2003) Physical activity levels before and after a diagnosis of breast carcinoma: the Health, Eating, Activity, and Lifestyle (HEAL) study. Cancer 97(7):1746–1757. https://doi.org/10.1002/cncr.11227 CrossRefPubMedPubMedCentralGoogle Scholar
- 19.Hartsell WF, Scott CB, Bruner DW, Scarantino CW, Ivker RA, Roach M 3rd, Suh JH, Demas WF, Movsas B, Petersen IA, Konski AA, Cleeland CS, Janjan NA, DeSilvio M (2005) Randomized trial of short- versus long-course radiotherapy for palliation of painful bone metastases. J Natl Cancer Inst 97(11):798–804. https://doi.org/10.1093/jnci/dji139 CrossRefPubMedPubMedCentralGoogle Scholar
- 20.Fizazi K, Beuzeboc P, Lumbroso J, Haddad V, Massard C, Gross-Goupil M, Di Palma M, Escudier B, Theodore C, Loriot Y, Tournay E, Bouzy J, Laplanche A (2009) Phase II trial of consolidation docetaxel and samarium-153 in patients with bone metastases from castration-resistant prostate cancer. J Clin Oncol Off J Am Soc Clin Oncol 27(15):2429–2435. https://doi.org/10.1200/JCO.2008.18.9811 CrossRefGoogle Scholar
- 22.Ferriolli E, Skipworth RJ, Hendry P, Scott A, Stensteth J, Dahele M, Wall L, Greig C, Fallon M, Strasser F, Preston T, Fearon KC (2012) Physical activity monitoring: a responsive and meaningful patient-centered outcome for surgery, chemotherapy, or radiotherapy? J Pain Symptom Manag 43(6):1025–1035. https://doi.org/10.1016/j.jpainsymman.2011.06.013 CrossRefGoogle Scholar
- 23.van Waart H, Stuiver MM, van Harten WH, Geleijn E, Kieffer JM, Buffart LM, de Maaker-Berkhof M, Boven E, Schrama J, Geenen MM, Meerum Terwogt JM, van Bochove A, Lustig V, van den Heiligenberg SM, Smorenburg CH, Hellendoorn-van Vreeswijk JA, Sonke GS, Aaronson NK (2015) Effect of low-intensity physical activity and moderate- to high-intensity physical exercise during adjuvant chemotherapy on physical fitness, fatigue, and chemotherapy completion rates: results of the PACES randomized clinical trial. J Clin Oncol 33(17):1918–1927. https://doi.org/10.1200/JCO.2014.59.1081 CrossRefGoogle Scholar
- 25.Mock V, Dow KH, Meares CJ, Grimm PM, Dienemann JA, Haisfield-Wolfe ME, Quitasol W, Mitchell S, Chakravarthy A, Gage I (1997) Effects of exercise on fatigue, physical functioning, and emotional distress during radiation therapy for breast cancer. Oncol Nurs Forum 24(6):991–1000Google Scholar
- 26.Segal RJ, Reid RD, Courneya KS, Sigal RJ, Kenny GP, Prud’Homme DG, Malone SC, Wells GA, Scott CG, Slovinec D’Angelo ME (2009) Randomized controlled trial of resistance or aerobic exercise in men receiving radiation therapy for prostate cancer. J Clin Oncol 27(3):344–351. https://doi.org/10.1200/JCO.2007.15.4963 CrossRefGoogle Scholar
- 29.Jones LW, Courneya KS, Fairey AS, Mackey JR (2004) Effects of an oncologist’s recommendation to exercise on self-reported exercise behavior in newly diagnosed breast cancer survivors: a single-blind, randomized controlled trial. Ann Behav Med 28(2):105–113. https://doi.org/10.1207/s15324796abm2802_5 CrossRefGoogle Scholar
- 32.Glaser AW, Fraser LK, Corner J, Feltbower R, Morris EJ, Hartwell G, Richards M, Wagland R (2013) Patient-reported outcomes of cancer survivors in England 1-5 years after diagnosis: a cross-sectional survey. BMJ Open 3(4):e002317. https://doi.org/10.1136/bmjopen-2012-002317 CrossRefPubMedPubMedCentralGoogle Scholar
- 36.Segal RJ, Reid RD, Courneya KS, Malone SC, Parliament MB, Scott CG, Venner PM, Quinney HA, Jones LW, D'Angelo ME, Wells GA (2003) Resistance exercise in men receiving androgen deprivation therapy for prostate cancer. J Clin Oncol 21(9):1653–1659. https://doi.org/10.1200/JCO.2003.09.534 CrossRefPubMedPubMedCentralGoogle Scholar
- 37.Galvao DA, Nosaka K, Taaffe DR, Spry N, Kristjanson LJ, McGuigan MR, Suzuki K, Yamaya K, Newton RU (2006) Resistance training and reduction of treatment side effects in prostate cancer patients. Med Sci Sports Exerc 38(12):2045–2052. https://doi.org/10.1249/01.mss.0000233803.48691.8b CrossRefGoogle Scholar
- 43.Trost SG, Owen N, Bauman AE, Sallis JF, Brown W (2002) Correlates of adults’ participation in physical activity: review and update. Med Sci Sports Exerc 34(12):1996–2001. https://doi.org/10.1249/01.MSS.0000038974.76900.92 CrossRefGoogle Scholar