title: Physical activity, sedentary behavior, and health-related quality of life in prostate cancer survivors in the health professionals follow-up study.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  Encouraging men to engage in non-vigorous activity and walking may be helpful for managing prostate cancer-related HRQOL.
authors: Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, 680 N. Lakeshore Drive, Suite 1400, Chicago, IL, 60611, USA, smphillips@northwestern.edu.
authors: Siobhan M
authors: SM
authors: Phillips
authors: Meir J
authors: MJ
authors: Stampfer
authors: June M
authors: JM
authors: Chan
authors: Edward L
authors: EL
authors: Giovannucci
authors: Stacey A
authors: SA
authors: Kenfield
mesh_terms: D000368:Aged; D015444:Exercise / Q000523:psychology*; D005500:Follow-Up Studies; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011471:Prostatic Neoplasms / Q000453:epidemiology* / Q000401:mortality; D011788:Quality of Life / Q000523:psychology*; D057185:Sedentary Behavior; D017741:Survivors