title: Compliance to exercise-oncology guidelines in prostate cancer survivors and associations with psychological distress, unmet supportive care needs, and quality of life.
abstract: OBJECTIVE
  The purpose of this study was to determine prevalence of Australian prostate cancer survivors meeting contemporary exercise-oncology guidelines and identify associations with distress, unmet supportive care needs, and quality of life.
  
  
  METHODS
  A population-based cohort of 463 prostate cancer survivors who were on 10.8 months post-curative therapy was assessed for compliance with current exercise guidelines for cancer survivors, motivational readiness for physical activity, psychological distress, unmet supportive care needs, and quality of life.
  
  
  RESULTS
  Only 57 men (12.3%) reported sufficient exercise levels (150 min of moderate intensity or 75 min of strenuous exercise per week and twice weekly resistance exercise), 186 (40.2%) were insufficiently active, and 220 (47.5%) were inactive. Among inactive men, 99 (45.0%) were in the contemplation or preparation stage of motivation readiness. Inactive men had higher global distress (p = 0.01) and Brief Symptom Inventory-Anxiety (p < 0.05) than those who were insufficiently active. Total Supportive Care Needs and International Prostate Cancer Symptom scores were higher in inactive than insufficiently and sufficiently active men (p < 0.05). Lack of physical activity contributed to poorer quality of life.
  
  
  CONCLUSIONS
  Only a small proportion of Australian prostate cancer survivors met contemporary exercise-oncology recommendations despite increasing recognition of exercise to improve patient outcomes. Strategies are urgently required to increase prostate cancer survivors' participation in aerobic and resistance exercise training.Copyright © 2015 John Wiley & Sons, Ltd.
authors.affiliation: Edith Cowan University Health and Wellness Institute, Edith Cowan University, Perth, Australia.
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Galvão
authors.affiliation: Edith Cowan University Health and Wellness Institute, Edith Cowan University, Perth, Australia.
authors.forename: Robert U
authors.initials: RU
authors.lastname: Newton
authors.affiliation: Edith Cowan University Health and Wellness Institute, Edith Cowan University, Perth, Australia.|University of Queensland Centre for Clinical Research, University of Queensland, Brisbane, Australia.|Department of Urology, Royal Brisbane and Women's Hospital, Brisbane, Australia.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Gardiner
authors.affiliation: Psycho-Oncology Research Group, Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, University of NSW, Sydney, Australia.
authors.forename: Afaf
authors.initials: A
authors.lastname: Girgis
authors.affiliation: Department of Public Health, Temple University, Philadelphia, USA.
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Lepore
authors.affiliation: Cancer Council Queensland, Brisbane, Australia.
authors.forename: Anna
authors.initials: A
authors.lastname: Stiller
authors.affiliation: Menzies Health Institute of Queensland, Griffith University, Brisbane, Australia.
authors.forename: Stefano
authors.initials: S
authors.lastname: Occhipinti
authors.affiliation: Edith Cowan University Health and Wellness Institute, Edith Cowan University, Perth, Australia.|University of Queensland Centre for Clinical Research, University of Queensland, Brisbane, Australia.|Cancer Council Queensland, Brisbane, Australia.|Menzies Health Institute of Queensland, Griffith University, Brisbane, Australia.|Prostate Cancer Foundation of Australia, Sydney, Australia.
authors.forename: Suzanne K
authors.initials: SK
authors.lastname: Chambers