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Resistance Training Reduces Disability in Prostate Cancer Survivors on Androgen Deprivation Therapy: Evidence From a Randomized Controlled Trial
Open accessAbstract
Objectives To investigate whether functionally based resistance exercise could improve strength, physical function, and disability among prostate cancer survivors (PCS) on androgen deprivation therapy (ADT); and to explore potential mediators of changes in outcomes from exercise.Design Randomized controlled trial.Setting Academic medical center.Participants PCS (N=51; mean age, 70.2y) on ADT.Intervention PCS were randomized to moderate to vigorous intensity resistance training or stretching (placebo control) for 1 year.Main outcome measures Maximal leg press and bench press strength, objective and self-reported physical function, and self-reported disability. Hierarchical linear modeling was used to test for significant group × time differences adjusting for covariates.Results Retention in the study was 84%, and median attendance to supervised classes was 84% in the resistance group. No study-related injuries occurred. Maximal leg strength (P=.032) and bench press strength (P=.027) were improved after 1 year of resistance training, whereas little change occurred from stretching. Self-reported physical function improved with resistance training, whereas decreases occurred from stretching (P=.016). Disability lessened more with resistance training than stretching (P=.018). One-year change in leg press strength mediated the relation between groups (resistance or stretching) and 1-year change in self-reported disability (P<.05).Conclusions One year of resistance training improved muscle strength in androgen-deprived PCS. Strengthening muscles using functional movement patterns may be an important feature of exercise programs designed to improve perceptions of physical function and disability. Findings from this study contribute to the mounting evidence that exercise should become a routine part of clinical care in older men with advanced prostate cancer.
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“neuromuscular contributions explain up to 50% of variation in muscle strength in older adults, thus resistance training in the setting of ADT or deconditioning may still effectively improve muscle strength in the absence of gains in muscle mass(97).”
From Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable (2019) · cites this paper as [97]
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Metadata
- Authors
- Winters-Stone, K. M., Dobek, J. C., Bennett, J. A., Dieckmann, N. F., Maddalozzo, G. F., Ryan, C. W., & Beer, T. M.
- Affiliations
- Oregon Health & Science University (US)
- Oregon State University (US)
- Venue
- Archives of Physical Medicine and Rehabilitation
- Publisher
- Elsevier BV
- Published
- 2015-01
- Volume
- 96
- Issue
- 1
- Pages
- 7-14
- ISSN
- 0003-9993 (ISSN-L)
- PMC
- PMC4433162
- OpenAlex
- W1984991116
- Cited by
- 126
- References
- 51
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 13 · 2023: 10 · 2022: 11 · 2021: 13 · 2020: 12 · 2019: 9 · 2018: 14 · 2017: 14 · 2016: 8 · 2015: 9
- FWCI
- 4.98
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Archives of Physical Medicine and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (P30CA069533)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Oncology › Cancer-related cognitive impairment studies
- Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
- Keywords
- resistance training, prostate cancer survivors, androgen deprivation therapy, disability, physical function, muscle strength, leg press strength, bench press strength, stretching, exercise intervention, older men, advanced prostate cancer, mediation analysis
- MeSH terms
- Academic Medical Centers, Aged, Androgen Antagonists, Disability Evaluation, Health Status, Humans, Male, Middle Aged, Prostatic Neoplasms, Quality of Life, Muscle, Skeletal, Muscle Strength, Resistance Training
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