Can Exercise Adaptations Be Maintained in Men with Prostate Cancer Following Supervised Programmes? Implications to the COVID-19 Landscape of Urology and Clinical Exercise.

In this brief correspondence, we evaluate the potential impact of pivoting from face-to-face supervised to unsupervised home-based exercise programmes to contextualise the coronavirus disease 2019 (COVID-19) pandemic in prostate cancer patients. A meta-analysis was undertaken in fatigue, quality of life, and lean and fat mass outcomes in the four studies included. Our analysis indicates that unsupervised home-based exercise maintains patient-reported outcomes, except for fat mass. In summary, changing to unsupervised exercise is unlikely to provide further benefits on patient-reported and body composition outcomes, but may help maintain initial gains during physical distancing restrictions.

We discuss the potential impacts of transitioning from face-to-face supervised to unsupervised home-based exercise programmes in prostate cancer patients during the coronavirus disease 2019 (COVID-19) pandemic. Our analysis suggests that patients are likely to maintain patient-reported and body composition benefits from current nonsupervised programmes; however, evolution of exercise delivery to prostate cancer patients is required to continue health and fitness improvement in this group.

European urology open science. 2020 Oct 02 [Epub]

Pedro Lopez, Dennis R Taaffe, Robert U Newton, Nigel Spry, Tom Shannon, Mark Frydenberg, Fred Saad, Daniel A Galvão

Exercise Medicine Research Institute, Edith Cowan University, Perth, Western Australia, Australia., The Prostate Clinic, Hollywood Private Hospital, Nedlands, Western Australia, Australia., Department of Surgery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia., Division of Urology and Urologic Oncology, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.