title: Perceptions of physically active men with prostate cancer on the role of physical activity in maintaining their quality of life: possible influence of androgen deprivation therapy.
abstract: OBJECTIVE
  The primary aim of this study was to examine the perceptions of older men with prostate cancer regarding their quality of life and physical activity post-diagnosis, and the potential benefits and risks associated with being physically active. A secondary aim was to gain some preliminary insight into how these perceptions may differ as a function of androgen deprivation therapy (ADT).
  
  
  METHODS
  Two focus groups were conducted, consisting of six ADT and eight non-ADT men, respectively. The probe questions used assessed the link between quality of life and physical activity as well as the benefits and risks associated with physical activity. Data were transcribed verbatim and themes identified using a general inductive thematic approach.
  
  
  RESULTS
  The primary themes identified were sexual health, 'plumbing' and non-urogenital side-effects, return to and increased levels of physical activity post-diagnosis, physical health/function and psychological benefits of physical activity as well as over-doing it and age-related risks of excessive physical activity. However, not all themes were present in both the ADT and the non-ADT sub-groups.
  
  
  CONCLUSIONS
  These results further highlight the link between physical activity and quality of life in prostate cancer survivors and how they use physical activity as a part of their survivorship process. Of particular interest was how several men on ADT used resistance training to counteract ADT-related side-effects affecting their masculinity. As the evidence for physical activity for prostate cancer survivorship is increasing, cancer clinicians and service providers should consider ways to better assist these men, especially those on ADT become more active.
authors.affiliation: Faculty of Health Sciences and Medicine, Bond University, Australia; Human Potential Centre, AUT University, Auckland, New Zealand; Faculty of Science, Health, Education and Engineering, University of the Sunshine Coast, Australia.
authors.forename: Justin W L
authors.initials: JW
authors.lastname: Keogh
authors.forename: Asmita
authors.initials: A
authors.lastname: Patel
authors.forename: Roderick D
authors.initials: RD
authors.lastname: MacLeod
authors.forename: Jonathan
authors.initials: J
authors.lastname: Masters
mesh_terms: D000368:Aged; D000726:Androgen Antagonists / Q000627:therapeutic use; D018931:Antineoplastic Agents, Hormonal / Q000627:therapeutic use; D001294:Attitude to Health; D016022:Case-Control Studies; D015444:Exercise / Q000523:psychology*; D017144:Focus Groups; D006801:Humans; D008019:Life Style; D059411:Lower Urinary Tract Symptoms / Q000209:etiology / Q000523:psychology; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D011471:Prostatic Neoplasms / Q000150:complications / Q000188:drug therapy / Q000523:psychology*; D036301:Qualitative Research; D011788:Quality of Life; D012735:Sexual Dysfunction, Physiological / Q000209:etiology / Q000523:psychology
chemical_list: D000726:Androgen Antagonists; D018931:Antineoplastic Agents, Hormonal
keywords: exercise; hormonal therapy; oncology; prostate cancer; survivorship