title: The effect of meeting physical activity guidelines for cancer survivors on quality of life following radical prostatectomy for prostate cancer.
abstract: OBJECTIVE
  Recent literature has shown that preoperative physical activity (PA) can positively influence surgical outcomes. It is unknown whether the effect of meeting PA guidelines for cancer survivors can impact quality of life following radical prostatectomy for prostate cancer.
  
  
  METHODS
  We reviewed our institutional database of prostate cancer outcomes and included patients that underwent radical prostatectomy and completed the Godin-Shephard Leisure Time Exercise Questionnaire (GLTEQ), the Patient-Oriented Prostate Utility Scale (PORPUS), the International Prostate Symptom Score (IPSS), and the five-item International Index of Erectile Function (IIEF). Participants were categorized as meeting or not meeting the American College of Sports Medicine physical activity guidelines for cancer survivors (150 min of moderate intensity or 75 min of vigorous intensity PA per week). Radical prostatectomy outcomes were measured preoperatively and at 6 and 26-weeks postoperatively.
  
  
  RESULTS
  From June 2008 to August 2012, 509 men underwent curative, nerve-sparing radical prostatectomy for prostate cancer and completed the GLTEQ, of whom 46% met the PA guidelines. Prior to surgery, men that met the PA guidelines reported higher quality of life (p < 0.001) and erectile function (p = 0.049) than men that did not meet the guidelines. Quality of life at all postoperative timepoints was higher for men that met the PA guidelines after adjusting for age, preoperative body mass index, and surgical approach (p = 0.02). Men that met the PA guidelines were 19% less likely to be incontinent at 6 weeks postoperatively (p = 0.028).
  
  
  CONCLUSIONS
  PA volume may be a useful marker at predicting postoperative recovery of quality of life and urinary incontinence following radical prostatectomy.
  
  
  CONCLUSIONS
  Cancer survivors should be encouraged to meet PA guidelines prior to surgery in an effort to attenuate the decline in HRQOL and facilitate recovery.
authors: Kinesiology Program, The University of Guelph-Humber, Room GH-308-G, 207 Humber College Boulevard, Toronto, ON, Canada, M9W 5L7, daniel.santamina@guelphhumber.ca.
authors: Daniel
authors: D
authors: Santa Mina
authors: Crissa L
authors: CL
authors: Guglietti
authors: Shabbir M H
authors: SM
authors: Alibhai
authors: Andrew G
authors: AG
authors: Matthew
authors: Robin
authors: R
authors: Kalnin
authors: Nora
authors: N
authors: Ahmad
authors: Uri
authors: U
authors: Lindner
authors: John
authors: J
authors: Trachtenberg
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D017410:Practice Guidelines as Topic; D011446:Prospective Studies; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000401:mortality / Q000523:psychology* / Q000601:surgery*; D011788:Quality of Life; D017741:Survivors