title: Group-based exercise in daily clinical practice to improve physical fitness in men with prostate cancer undergoing androgen deprivation therapy: study protocol.
abstract: Level 1 evidence supports the use of supervised exercise to mitigate the adverse effects of androgen deprivation therapy (ADT) in men with prostate cancer. The data, however, have been generated in controlled research settings and might not be transferable to daily clinical practice. This article describes the design of an ongoing prospective observational study to evaluate the potential benefits of exercise in daily clinical practice.
  
  
  
  Men diagnosed with prostate cancer starting or already receiving ADT at our facility are invited to participate in a 12-week exercise programme implemented as the standard of care. Exclusion criteria are opioid-demanding treatment for skeletal pain, an Eastern Cooperative Oncology Group (ECOG) performance status above 2 or the inability to perform floor and machine exercises independently. The intervention consists of an initial educational session of 1½ hours followed by 12 weeks of group-based supervised training two times a week. The focus of the exercise is progressive resistance training in combination with aerobic training. Participants are measured at baseline, after 12 weeks and after 24 weeks as part of the programme. Primary endpoints of this study are changes in physical fitness evaluated by the 30 s Chair-Stand Test and Graded Cycling Test with Talk Test. Secondary endpoints include changes in quality of life, body composition and safety of exercise. Inclusion started in August 2014, with 169 participants being included by December 2015.
  
  
  
  The study has been reviewed by the Scientific Ethical Committee of the Capital Region of Denmark (reference number H-3-2013-FSP39). The results of the study will be published in peer-reviewed international journals and will be presented at national and international conferences and symposiums.
  
  
  
  NCT02631681; Pre-results.
authors.affiliation: Department of Urology, Herlev and Gentofte University Hospital, Herlev, Denmark Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
authors.forename: Peter
authors.initials: P
authors.lastname: Østergren
authors.affiliation: Department of Rehabilitation, Herlev and Gentofte University Hospital, Herlev, Denmark.
authors.forename: Anne-Mette
authors.initials: AM
authors.lastname: Ragle
authors.affiliation: Department of Urology, Herlev and Gentofte University Hospital, Herlev, Denmark.
authors.forename: Henrik
authors.initials: H
authors.lastname: Jakobsen
authors.affiliation: Department of Haematology, Herlev and Gentofte University Hospital, Herlev, Denmark.
authors.forename: Tobias Wirenfeldt
authors.initials: TW
authors.lastname: Klausen
authors.affiliation: Department of Rehabilitation, Herlev and Gentofte University Hospital, Herlev, Denmark.
authors.forename: Anders
authors.initials: A
authors.lastname: Vinther
authors.affiliation: Department of Urology, Herlev and Gentofte University Hospital, Herlev, Denmark Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
authors.forename: Jens
authors.initials: J
authors.lastname: Sønksen
mesh_terms: D000726:Androgen Antagonists / Q000008:administration & dosage* / Q000009:adverse effects; D018931:Antineoplastic Agents, Hormonal / Q000008:administration & dosage* / Q000009:adverse effects; D001823:Body Composition; D003718:Denmark / Q000453:epidemiology; D005081:Exercise Therapy; D005221:Fatigue / Q000139:chemically induced* / Q000503:physiopathology; D006801:Humans; D008297:Male; D053580:Muscle Strength; D018482:Muscle, Skeletal; D064797:Physical Conditioning, Human / Q000379:methods; D010809:Physical Fitness; D011446:Prospective Studies; D011471:Prostatic Neoplasms / Q000097:blood / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D011788:Quality of Life; D016896:Treatment Outcome
chemical_list: D000726:Androgen Antagonists; D018931:Antineoplastic Agents, Hormonal
keywords: REHABILITATION MEDICINE