Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands.
Division of Physical Activity, Prevention and Cancer, German Cancer Research Center and National Center for Tumor Diseases Heidelberg, Heidelberg, Germany.
J Cancer Surviv. 2024 Aug;18(4):1264-1274. doi: 10.1007/s11764-023-01368-3. Epub 2023 Mar 30.
To support the development and implementation of exercise programming for people with prostate cancer (PC), we investigated their views on exercise.
Online survey with open recruitment. We collected data on clinical and sociodemographic variables, experiences with exercise advice, outcome expectations, and preferences. We explored determinants of (1) having been counselled about exercise and (2) preferring supervised exercise.
The survey was completed by 171 patients (mean age = 70 years, SD = 6.5) from all PC treatment pathways. Sixty-three percent of the respondents reported never having been informed about the potential benefits of exercise. Forty-nine percent preferred exercise to be supervised. Respondents generally reported a positive attitude towards exercise. Seventy-four percent indicated barriers to exercising, including fatigue and lack of access to specific programmes. Outcome expectations were generally positive but moderately strong. Receiving hormonal therapy and younger age were significantly associated with having received exercise advice. Being insured and having higher fatigue levels contributed significantly to the preference for supervised exercise.
Dutch people with PC report receiving insufficient effective exercise counselling. Yet, they are open to exercise and expect exercise to improve their health, although they experience various barriers that limit their ability to exercise.
The moderate outcome expectations for exercise of people with PC and their limited recall of exercise counselling highlight the need for better integration of exercise in clinical pathways. The lack of access to specific programming limits the use of evidence-based exercise programmes for people with PC.
为了支持前列腺癌（PC）患者的运动项目的制定和实施，我们调查了他们对运动的看法。
采用在线调查和公开招募的方式。我们收集了与临床和社会人口统计学变量、运动建议的经验、结果预期以及偏好相关的数据。我们探讨了以下两个方面的决定因素：（1）是否接受过运动建议，（2）是否更倾向于监督式运动。
共有来自所有 PC 治疗途径的 171 名患者（平均年龄=70 岁，标准差=6.5）完成了调查。63%的受访者表示从未被告知过运动的潜在益处。49%的受访者更倾向于监督式运动。受访者普遍对运动持积极态度。74%的人表示存在运动障碍，包括疲劳和缺乏特定项目的机会。结果预期总体上是积极的，但也比较强烈。接受激素治疗和年龄较轻与接受运动建议显著相关。有保险和较高的疲劳程度显著促进了对监督式运动的偏好。
荷兰 PC 患者报告接受的有效运动建议不足。然而，他们对运动持开放态度，并期望运动能改善他们的健康状况，尽管他们面临各种限制运动能力的障碍。
PC 患者对运动的中等结果预期以及他们对运动建议的记忆有限，这突出了在临床路径中更好地整合运动的必要性。缺乏特定编程的机会限制了 PC 患者对循证运动项目的使用。
