Can Exercise Adaptations Be Maintained in Men with Prostate Cancer Following Supervised Programmes? Implications to the COVID-19 Landscape of Urology and Clinical Exercise

Pedro Lopez; Dennis R. Taaffe; Robert U. Newton; Nigel Spry; Tom Shannon; Mark Frydenberg; Fred Saad; Daniel A. Galvão

European Urology Open Science (Oct 2020)

Can Exercise Adaptations Be Maintained in Men with Prostate Cancer Following Supervised Programmes? Implications to the COVID-19 Landscape of Urology and Clinical Exercise

Pedro Lopez,
Dennis R. Taaffe,
Robert U. Newton,
Nigel Spry,
Tom Shannon,
Mark Frydenberg,
Fred Saad,
Daniel A. Galvão

Affiliations

Pedro Lopez: Exercise Medicine Research Institute, Edith Cowan University, Perth, Western Australia, Australia; School of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia; Corresponding author. Exercise Medicine Research Institute, Edith Cowan University, 270 Joondalup Drive, Joondalup WA 6027, Australia. Tel. +61 416463228.
Dennis R. Taaffe: Exercise Medicine Research Institute, Edith Cowan University, Perth, Western Australia, Australia; School of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia
Robert U. Newton: Exercise Medicine Research Institute, Edith Cowan University, Perth, Western Australia, Australia; School of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia; School of Human Movement and Nutrition Sciences, University of Queensland, St. Lucia, Queensland, Australia
Nigel Spry: Exercise Medicine Research Institute, Edith Cowan University, Perth, Western Australia, Australia; School of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia; Faculty of Medicine, University of Western Australia, Nedlands, Western Australia, Australia
Tom Shannon: The Prostate Clinic, Hollywood Private Hospital, Nedlands, Western Australia, Australia
Mark Frydenberg: Department of Surgery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia
Fred Saad: Division of Urology and Urologic Oncology, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada
Daniel A. Galvão: Exercise Medicine Research Institute, Edith Cowan University, Perth, Western Australia, Australia; School of Medical and Health Sciences, Edith Cowan University, Perth, Western Australia, Australia

Journal volume & issue: Vol. 21
pp. 47 – 50

Abstract

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In this brief correspondence, we evaluate the potential impact of pivoting from face-to-face supervised to unsupervised home-based exercise programmes to contextualise the coronavirus disease 2019 (COVID-19) pandemic in prostate cancer patients. A meta-analysis was undertaken in fatigue, quality of life, and lean and fat mass outcomes in the four studies included. Our analysis indicates that unsupervised home-based exercise maintains patient-reported outcomes, except for fat mass. In summary, changing to unsupervised exercise is unlikely to provide further benefits on patient-reported and body composition outcomes, but may help maintain initial gains during physical distancing restrictions. Patient summary: We discuss the potential impacts of transitioning from face-to-face supervised to unsupervised home-based exercise programmes in prostate cancer patients during the coronavirus disease 2019 (COVID-19) pandemic. Our analysis suggests that patients are likely to maintain patient-reported and body composition benefits from current nonsupervised programmes; however, evolution of exercise delivery to prostate cancer patients is required to continue health and fitness improvement in this group.

Published in European Urology Open Science

ISSN: 2666-1683 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the genitourinary system. Urology; Medicine: Internal medicine: Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Website: https://www.journals.elsevier.com/european-urology-open-science

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