Physical activity, sedentary behavior, and health-related quality of life in prostate cancer survivors in the health professionals follow-up study
Open accessAbstract
Purpose Many prostate cancer survivors experience compromised health-related quality of life (HRQOL) as a result of prostate cancer. We examined relationships between types and intensities of activity and sedentary behavior and prostate cancer-related HRQOL, overall, and by demographic, disease, and treatment characteristics.Methods Associations between post-diagnosis activity and sedentary behavior and HRQOL domains (urinary incontinence, urinary irritation/obstruction, bowel, sexual, and vitality/hormonal) were prospectively examined in men diagnosed with non-metastatic prostate cancer in the Health Professionals Follow-up Study (n = 1917) using generalized linear models.Results After adjusting for potential confounders, higher duration of total, non-vigorous, and walking activity was associated with higher vitality/hormonal functioning scores (p-trends, <0.0001). Effects were small (d = 0.16-0.20) but approached clinical significance for men in the highest vs. lowest activity categories. Survivors who walked ≥ 90 min/week at a normal pace, or faster, reported higher hormone/vitality scores (p = 0.001) than men walking <90 min at an easy pace. Weightlifting was associated with increased urinary incontinence (p-trend, 0.02). Total activity was associated with higher hormone/vitality functioning in men who were ≥ 5 years post-treatment, had more advanced disease (Gleason score ≥ 7), and had ≥ 1 comorbid condition. No relationships were observed between vigorous activity or sedentary behavior and HRQOL.Conclusions Increased duration of non-vigorous activity and walking post-diagnosis was positively associated with better hormone/vitality functioning. Specifically, engaging in ≥ 5 h of non-vigorous activity or ≥ 3 h of walking per week may be beneficial.Implications for cancer survivors Encouraging men to engage in non-vigorous activity and walking may be helpful for managing prostate cancer-related HRQOL.
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American College of Sports Medicine recommends cancer survivors participate in aerobic activities with minimum intensity of 150 minutes per week.
“The American College of Sports Medicine has recommended that cancer survivors participate in aerobic activities with a minimum intensity of 150 minutes per week [68].”
From Empowerment in the treatment of fatigue in breast cancer patients (2021) · cites this paper as [68]
The Discussion (page unavailable) mentions physical activity recommendations but does not identify the American College of Sports Medicine or state a 150-minute-per-week aerobic activity recommendation. Searches for the organization, the duration, and equivalent guideline wording found no passage in our copy that verifies the attributed recommendation. (LLM, conf=0.72)
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- Authors
- Phillips, S. M., Stampfer, M. J., Chan, J. M., Giovannucci, E. L., & Kenfield, S. A.
- Affiliations
- Northwestern University (US)
- Brigham and Women's Hospital (US)
- University of California, San Francisco (US)
- Harvard University (US)
- Corresponding author
- Phillips, Siobhan M.
- Venue
- Journal of Cancer Survivorship
- Published
- 2015-04-16
- Volume
- 9
- Issue
- 3
- Pages
- 500-511
- ISSN
- 1932-2259 (ISSN-L)
- 1932-2267
- PMC
- PMC4537833
- OpenAlex
- W2004311961
- Cited by
- 42
- References
- 52
- Citations by year
- 2026: 2 · 2025: 3 · 2023: 2 · 2022: 1 · 2021: 5 · 2020: 6 · 2019: 7 · 2018: 4 · 2017: 5 · 2016: 6 · 2015: 1
- FWCI
- 2.33
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Cancer Survivorship (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Cancer Institute (NCI UM1 CA167552, P01CA087969, NIH R01 CA133891, R01CA133891, UM1CA167552, P30CA060553)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Prostate Cancer Diagnosis and Treatment
- Keywords
- prostate cancer survivors, health-related quality of life, physical activity, sedentary behavior, walking, weightlifting, vitality, hormone function, urinary incontinence, Health Professionals Follow-up Study
- MeSH terms
- Aged, Follow-Up Studies, Health Personnel, Humans, Male, Middle Aged, Prostatic Neoplasms, Quality of Life, Exercise, Survivors, Sedentary Behavior
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