Zopf, Eva M., Bloch, Wilhelm, Machtens, Stefan, Zumbe, Juergen, Ruebben, Herbert, Marschner, Stefan, Kleinhorst, Christian, Schulte-Frei, Birgit, Herich, Lena, Felsch, Moritz, Predel, Hans-Georg, Braun, Moritz and Baumann, Freerk T. (2015). Effects of a 15-Month Supervised Exercise Program on Physical and Psychological Outcomes in Prostate Cancer Patients Following Prostatectomy: The ProRehab Study. Integr. Cancer Ther., 14 (5). S. 409 - 419. THOUSAND OAKS: SAGE PUBLICATIONS INC. ISSN 1552-695X

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Abstract

Purpose. Despite advanced medical treatment options, many prostate cancer patients are still confronted with unfavorable physical and psychological burdens. Physical exercise has proven to be beneficial for prostate cancer patients, yet specific exercise offers are rare. The ProRehab Study aimed to evaluate the exercise program offered in rehabilitative prostate cancer sports groups in Germany and determine whether it is beneficial for patients following prostatectomy. Methods. Eighty-five prostate cancer patients were recruited for a multicenter, 2-armed, nonrandomized controlled trial 6 to 12 weeks after prostatectomy. The intervention group (n = 56) took part in a 15-month supervised multimodal exercise program. Exercise sessions took place once a week for 60 minutes at a moderate intensity (3.84-4.84 MET-hour). The control group (n = 29) received no intervention. Outcomes included aerobic fitness, activity levels, quality of life, disease- and treatment-related adverse effects, such as urinary incontinence and erectile dysfunction, and relapse-relevant blood values. Intention-to-treat analysis was performed. Results. A significant between-group difference was observed in the urinary symptom score (P = .027). Physical fitness, urinary incontinence, physical, role, emotional, and social functioning, as well as further disease- and treatment-related side effects (dyspnea, urinary, and bowel symptoms) significantly improved within the intervention group. Erectile dysfunction and physical activity levels improved similarly in both groups. Conclusions. The presented data hint at the potential of rehabilitative sports groups for prostate cancer patients. However, according to the current state of the art, exercise intensity and volume may need to be increased to enhance the effects. A number of shorter studies (8-24 weeks) have proven significant between-group differences in quality of life, incontinence, and fitness outcomes when patients exercised 2 to 3 times per week. This is the first exercise intervention study with prostate cancer patients that was conducted over 15 months. Further studies are necessary to investigate whether prostate cancer patients recover sooner when receiving a supervised exercise program.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Zopf, Eva M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bloch, WilhelmUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Machtens, StefanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zumbe, JuergenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ruebben, HerbertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Marschner, StefanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kleinhorst, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schulte-Frei, BirgitUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Herich, LenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Felsch, MoritzUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Predel, Hans-GeorgUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Braun, MoritzUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Baumann, Freerk T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-394727
DOI: 10.1177/1534735415583552
Journal or Publication Title: Integr. Cancer Ther.
Volume: 14
Number: 5
Page Range: S. 409 - 419
Date: 2015
Publisher: SAGE PUBLICATIONS INC
Place of Publication: THOUSAND OAKS
ISSN: 1552-695X
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
QUALITY-OF-LIFE; PELVIC FLOOR REHABILITATION; RADICAL PROSTATECTOMY; URINARY-INCONTINENCE; AEROBIC EXERCISE; CONTROLLED-TRIAL; MEN; CONTINENCE; IMPLEMENTATION; QUESTIONNAIREMultiple languages
Oncology; Integrative & Complementary MedicineMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/39472

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