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Associations between self‐reported physical activity, quality of life, and emotional well‐being in men with prostate cancer on active surveillance
Author(s) -
Papadopoulos Efthymios,
Alibhai Shabbir M. H.,
Doré Isabelle,
Matthew Andrew G.,
Tomlinson George A.,
Nesbitt Michael,
Finelli Antonio,
Trachtenberg John,
Santa Mina Daniel
Publication year - 2020
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.5375
Subject(s) - discontinuation , prostate cancer , medicine , quality of life (healthcare) , physical activity , odds ratio , longitudinal study , demography , cancer , gerontology , physical therapy , pathology , nursing , sociology
Objective The relationship between physical activity (PA) and quality of life (QOL) relative to active treatment for prostate cancer (PCa) has been well‐studied; however, little is known about this relationship during active surveillance (AS). Moreover, whether PA is associated with better emotional well‐being (EWB) in men with low‐risk PCa requires further investigation. Accordingly, we examined the association between self‐reported PA and the average change in QOL and EWB over time during AS. Methods A total of 630 men on AS were included in this retrospective, longitudinal study from AS initiation until AS discontinuation. Generalized estimated equations were used to determine the association between self‐reported PA (independent variable) and QOL and EWB (dependent variables) over time, adjusting for participants' age. Results QOL was higher over time in active ( β ^ (95%CI) = 1.14 (0.11, 2.16), P = .029) and highly active participants ( β ^ (95%CI) = 1.62 (0.58, 2.67), P = .002) compared to their inactive counterparts. Highly active participants had 55% greater odds of experiencing high EWB relative to inactive participants (OR (95%CI) = 1.55 (1.11, 2.16), P = .010). In men with low EWB at baseline (median = 3 months after diagnosis), the highest levels of PA (>1000 metabolic equivalent‐minutes per week) were associated with high EWB over time (OR (95%CI) = 2.17 (1.06, 4.46), P = .034). Conclusions These data further support the importance of PA as a supportive care strategy for men on AS. Our findings suggest that engaging in higher volumes of PA post‐diagnosis may be beneficial particularly for men exhibiting low emotional well‐being early on during AS.