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Barriers and facilitators related to undertaking physical activities among men with prostate cancer: a scoping review



Prostate cancer (PC) and its treatments lead to significant acute, chronic, or latent adverse effects that result in declines in patients’ physical functions, quality of life and reduced sense of masculinities. Robust evidence shows that physical activity (PA) can improve many health outcomes in men with PC; however, less is known about the facilitators, preferences, and barriers to PA engagement in this population. The purpose of this scoping review is to document the nature and extent of literature related to these aspects of PA participation among men with PC.


We conducted a scoping review of PA among men with PC. Databases searched included Medline, CINAHL, Embase, Rehabilitation & Sports Medicine Source, and SportDiscus from inception to June 30, 2020. Multiple reviewers were used in all screening and data abstractions.


The search yielded 2788 individual citations after duplicates were removed. Following title and abstract screening, 129 underwent full-text review, and 46 articles were included. Quantitative data related to our research question showed that structured group exercise was the most commonly reported facilitator/preference among men with PC, whereas treatment-related effects and lack of time are the most common barriers. In terms of qualitative data, the most prominent theme noted related to masculinities and gender-specific needs within the context of having PC.


Men with PC have unique facilitators and barriers concerning PA. More work is needed from the research and clinical practice perspectives to enable this population to engage and remain in regular PA.

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Fig. 1


  1. 1.

    Altekruse SF, Kosary CL, Krapcho M, Neyman N, Aminou R, Waldron W, et al. (eds). SEER Cancer Statistics Review, 1975–2007, National Cancer Institute. Bethesda, MD,, based on November 2009 SEER data submission, posted to the SEER web site, 2010.

  2. 2.

    Thorsen L, Courneya KS, Stevinson C, Fosså SD. A systematic review of physical activity in prostate cancer survivors: outcomes, prevalence, and determinants. Support Care Cancer 2008;16:987–97. Epub 2008 Feb 15. PMID: 18274783.

    PubMed  Google Scholar 

  3. 3.

    Olesen RD, Franch J, Sander L Effects of 12 weeks of supervised endurance and strength training on muscle strength, physical fitness and body composition in prostate cancer patients undergoing Androgen Deprivation Therapy. In: SCANDINAVIAN JOURNAL OF UROLOGY. TAYLOR & FRANCIS LTD 2-4 PARK SQUARE, MILTON PARK, ABINGDON OR14 4RN, OXON; 2019. p. 34–4.

  4. 4.

    Hart NH, Galvao DA, Newton RU. Exercise medicine for advanced prostate cancer. Curr Opin Supportive Palliat Care. 2017;11:247–57.

    Google Scholar 

  5. 5.

    Friedenreich CM, Wang Q, Neilson HK, Kopciuk KA, McGregor SE, Courneya KS. Physical activity and survival after prostate cancer. Eur Urol. 2016;70:576–85.

    PubMed  Google Scholar 

  6. 6.

    Bourke L, Smith D, Steed L, Hooper R, Carter A, Catto J, et al. Exercise for men with prostate cancer: a systematic review and meta-analysis. Eur Urol. 2016;69:693–703.

    PubMed  Google Scholar 

  7. 7.

    Oldervoll LM, Loge JH, Lydersen S, Paltiel H, Asp MB, Nygaard UV, et al. Physical exercise for cancer patients with advanced disease: a randomized controlled trial. Oncologist. 2011;16:1649–57.

  8. 8.

    Galvão DA, Spry NA, Taaffe DR, Newton RU, Stanley J, Shannon T. et al. Changes in muscle, fat and bone mass after 36 weeks of maximal androgen blockade for prostate cancer. BJU Int. 2008;102:44–7.

    PubMed  Google Scholar 

  9. 9.

    Galvao DA, Taaffe DR, Spry N, Newton RU. Exercise can prevent and even reverse adverse effects of androgen suppression treatment in men with prostate cancer. Prostate Cancer Prostatic Dis. 2007;10:340.

    CAS  PubMed  Google Scholar 

  10. 10.

    Ashton RE, Tew GA, Robson WA, Saxton JM, Aning JJ. Cross-sectional study of patient-reported fatigue, physical activity and cardiovascular status in men after robotic-assisted radical prostatectomy. Supportive Care Cancer. 2019;27:4763–70.

    Google Scholar 

  11. 11.

    Courneya KS, Friedenreich CM. Relationship between exercise pattern across the cancer experience and current quality of life in colorectal cancer survivors. J Altern Complement Med. 1997;3:215–26.

  12. 12.

    Clifford BK, Mizrahi D, Sandler CX, Barry BK, Simar D, Wakefield CE, et al. Barriers and facilitators of exercise experienced by cancer survivors: a mixed methods systematic review. Supportive Care Cancer. 2018;26:685–700.

    Google Scholar 

  13. 13.

    Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151:264–9.

    PubMed  Google Scholar 

  14. 14.

    Pham MT, Rajić A, Greig JD, Sargeant JM, Papadopoulos A, McEwen SA. A scoping review of scoping reviews: advancing the approach and enhancing the consistency. Res Synth methods. 2014;5:371–85.

    PubMed  PubMed Central  Google Scholar 

  15. 15.

    Grudniewicz A, Nelson M, Kuluski K, Lui V, Cunningham HV, Nie JX, et al. Treatment goal setting for complex patients: protocol for a scoping review. BMJ Open. 2016;6:e011869.

    PubMed  PubMed Central  Google Scholar 

  16. 16.

    Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100:126.

    CAS  PubMed  PubMed Central  Google Scholar 

  17. 17.

    Levac D, Colquhoun H, O’Brien KK. Scoping studies: advancing the methodology. Implement Sci. 2010;5:69.

    PubMed  PubMed Central  Google Scholar 

  18. 18.

    Milne J, Oberle K. Enhancing rigor in qualitative description. J Wound Ostomy Cont Nurs. 2005;32:413–20.

    Google Scholar 

  19. 19.

    Berglund G, Petersson L-M, Eriksson KR, Häggman M. “Between men”: patient perceptions and priorities in a rehabilitation program for men with prostate cancer. Patient Educ counseling. 2003;49:285–92.

    Google Scholar 

  20. 20.

    Beydoun N, Bucci JA, Chin YS, Spry N, Newton R, Galvão DA. Prospective study of exercise intervention in prostate cancer patients on androgen deprivation therapy. J Med Imaging Radiat Oncol. 2014;58:369–76.

    PubMed  Google Scholar 

  21. 21.

    Bourke L, Sohanpal R, Nanton V, Crank H, Rosario DJ, Saxton JM. A qualitative study evaluating experiences of a lifestyle intervention in men with prostate cancer undergoing androgen suppression therapy. Trials. 2012;13:208.

    PubMed  PubMed Central  Google Scholar 

  22. 22.

    Chipperfield K, Fletcher J, Millar J, Brooker J, Smith R, Frydenberg M, et al. Factors associated with adherence to physical activity guidelines in patients with prostate cancer. Psycho-Oncol. 2013;22:2478–86.

    Google Scholar 

  23. 23.

    Courneya KS, Segal RJ, Reid RD, Jones LW, Malone SC, Venner PM, et al. Three independent factors predicted adherence in a randomized controlled trial of resistance exercise training among prostate cancer survivors. J Clin Epidemiol. 2004;57:571–9.

    PubMed  Google Scholar 

  24. 24.

    Forbes CC, Blanchard CM, Mummery WK, Courneya KS. A comparison of physical activity preferences among breast, prostate, and colorectal cancer survivors in Nova Scotia, Canada. J Phys Act Health. 2015;12:823–33.

    PubMed  Google Scholar 

  25. 25.

    Fox L, Cahill F, Burgess C, Peat N, Rudman S, Kinsella J, et al. Real world evidence: a quantitative and qualitative glance at participant feedback from a free-response survey investigating experiences of a structured exercise intervention for men with prostate cancer. Biomed Res Int. 2017;2017:3507124. Epub 2017 Jul 3. PMID: 28758113; PMCID: PMC5512116.

    CAS  PubMed  PubMed Central  Google Scholar 

  26. 26.

    Hughes S, Egger S, Carle C, Smith DP, Chambers S, Kahn C, et al. Factors associated with the use of diet and the use of exercise for prostate cancer by long-term survivors. PloS ONE. 2019;14:e0223407.

    CAS  PubMed  PubMed Central  Google Scholar 

  27. 27.

    Langelier DM, Cormie P, Bridel W, Grant C, Albinati N, Shank J, et al. Perceptions of masculinity and body image in men with prostate cancer: the role of exercise. Supportive Care Cancer. 2018;26:3379–88.

    Google Scholar 

  28. 28.

    Santa Mina D, Alibhai SM, Matthew AG, Guglietti CL, Pirbaglou M, Trachtenberg J, et al. A randomized trial of aerobic versus resistance exercise in prostate cancer survivors. J Aging Phys Act. 2013;21:455–78.

    PubMed  Google Scholar 

  29. 29.

    Schmidt ML, Østergren P, Cormie P, Ragle A-M, Sønksen J, Midtgaard J. “Kicked out into the real world”: prostate cancer patients’ experiences with transitioning from hospital-based supervised exercise to unsupervised exercise in the community. Supportive Care Cancer. 2019;27:199–208.

    Google Scholar 

  30. 30.

    Stone CR, Courneya KS, McGregor SE, Li H, Friedenreich CM. Determinants of changes in physical activity from pre-diagnosis to post-diagnosis in a cohort of prostate cancer survivors. Supportive Care Cancer. 2019;27:2819–28.

    Google Scholar 

  31. 31.

    Trinh L, Arbour-Nicitopoulos KP, Sabiston CM, Alibhai SM, Jones JM, Berry SR, et al. A qualitative study exploring the perceptions of sedentary behavior in prostate cancer survivors receiving androgen-deprivation therapy. Oncol Nurs Forum. 2015;42:398–406.

  32. 32.

    Bøhn SH, Fosså SD, Wisløff T, Thorsen L. Physical activity and associations with treatment-induced adverse effects among prostate cancer patients. Support Care Cancer. 2019;27:1001–11. Epub 2018 Aug 9. PMID: 30094728.

    PubMed  Google Scholar 

  33. 33.

    Cormie P, Turner B, Kaczmarek E, Drake D, Chambers SK A qualitative exploration of the experience of men with prostate cancer involved in supervised exercise programs. Oncol Nurs Forum. 2015;42:24–32.

  34. 34.

    Craike MJ, Livingston PM, Botti M. An exploratory study of the factors that influence physical activity for prostate cancer survivors. Supportive Care Cancer. 2011;19:1019–28.

    Google Scholar 

  35. 35.

    Craike M, Gaskin CJ, Courneya KS, Fraser SF, Salmon J, Owen PJ, et al. Predictors of adherence to a 12-week exercise program among men treated for prostate cancer: ENGAGE study. Cancer Med. 2016;5:787–94.

    PubMed  PubMed Central  Google Scholar 

  36. 36.

    Culos-Reed SN, Dew M, Shank J, Langelier DM, McDonough M. Qualitative evaluation of a community-based physical activity and yoga program for men living with prostate cancer: survivor perspectives. Glob Adv Health Med. 2019;8:2164956119837487.

    CAS  PubMed  PubMed Central  Google Scholar 

  37. 37.

    Deimling GT, Sterns S, Bowman KF, Kahana B. Functioning and activity participation restrictions among older adult, long-term cancer survivors. Cancer Investig. 2007;25:106–16.

    Google Scholar 

  38. 38.

    Galvão DA, Newton RU, Girgis A, Lepore SJ, Stiller A, Mihalopoulos C, et al. Randomized controlled trial of a peer led multimodal intervention for men with prostate cancer to increase exercise participation. Psycho-Oncol. 2018;27:199–207.

    Google Scholar 

  39. 39.

    Hackshaw-McGeagh LE, Sutton E, Persad R, Aning J, Bahl A, Koupparis A, et al. Acceptability of dietary and physical activity lifestyle modification for men following radiotherapy or radical prostatectomy for localised prostate cancer: a qualitative investigation. BMC Urol. 2017;17:94.

    PubMed  PubMed Central  Google Scholar 

  40. 40.

    Halbert CH, Jefferson MS, Drake R, Lilly M, Savage SJ, Nahhas GJ, et al. Social and clinical determinants of physical activity in prostate cancer survivors. Supportive Care Cancer. 2020;29:459.

  41. 41.

    Hunt-Shanks TT, Blanchard CM, Baker F, Hann D, Roberts CS, McDonald J, et al. Exercise use as complementary therapy among breast and prostate cancer survivors receiving active treatment: examination of exercise intention. Integr Cancer therapies. 2006;5:109–16.

    Google Scholar 

  42. 42.

    Martin E, Bulsara C, Battaglini C, Hands B, Naumann FL. Breast and prostate cancer survivor responses to group exercise and supportive group psychotherapy. J Psychosoc Oncol. 2015;33:620–34.

    PubMed  Google Scholar 

  43. 43.

    Martin E, Battaglini C, Hands B, Naumann FL. Higher-intensity exercise helps cancer survivors remain motivated. J Cancer Survivorship. 2016;10:524–33.

    Google Scholar 

  44. 44.

    Min J, Yoo S, Kim M-J, Yang E, Hwang S, Kang M, et al. Exercise participation, barriers, and preferences in Korean prostate cancer survivors. Ethn Health. 2019;24:1–13. Epub ahead of print.

  45. 45.

    Ottenbacher A, Sloane R, Snyder DC, Kraus W, Sprod L, Demark-Wahnefried W. Cancer-specific concerns and physical activity among recently diagnosed breast and prostate cancer survivors. Integr Cancer Therapies. 2013;12:206–12.

    Google Scholar 

  46. 46.

    Ottenbacher AJ, Day RS, Taylor WC, Sharma SV, Sloane R, Snyder DC, et al. Exercise among breast and prostate cancer survivors—what are their barriers? J Cancer Survivorship. 2011;5:413–9.

    Google Scholar 

  47. 47.

    Williams F, Imm KR, Colditz GA, Housten AJ, Yang L, Gilbert KL, et al. Physician role in physical activity for African-American males undergoing radical prostatectomy for prostate cancer. Supportive Care Cancer. 2017;25:1151–8.

    Google Scholar 

  48. 48.

    Weller S, Oliffe JL, Campbell KL. Factors associated with exercise preferences, barriers and facilitators of prostate cancer survivors. Eur J Cancer Care. 2019;28:e13135.

    Google Scholar 

  49. 49.

    Blanchard CM, Courneya KS, Rodgers WM, Murnaghan DM. Determinants of exercise intention and behavior in survivors of breast and prostate cancer: an application of the theory of planned behavior. Cancer Nurs. 2002;25:88–95.

    PubMed  Google Scholar 

  50. 50.

    Bourke L, Turner R, Greasley R, Sutton E, Steed L, Smith D, et al. A multi-centre investigation of delivering national guidelines on exercise training for men with advanced prostate cancer undergoing androgen deprivation therapy in the UK NHS. PloS ONE. 2018;13:e0197606.

    PubMed  PubMed Central  Google Scholar 

  51. 51.

    Bruun DM, Krustrup P, Hornstrup T, Uth J, Brasso K, Rørth M, et al. “All boys and men can play football”: a qualitative investigation of recreational football in prostate cancer patients. Scand J Med Sci sports. 2014;24:113–21.

    PubMed  Google Scholar 

  52. 52.

    Er V, Lane JA, Martin RM, Persad R, Chinegwundoh F, Njoku V, et al. Barriers and facilitators to healthy lifestyle and acceptability of a dietary and physical activity intervention among African Caribbean prostate cancer survivors in the UK: a qualitative study. BMJ Open. 2017;7:e017217.

    PubMed  PubMed Central  Google Scholar 

  53. 53.

    Harrington JM, Schwenke DC, Epstein DR Exercise preferences among men with prostate cancer receiving androgen-deprivation therapy. Clin J Oncol Nursing. 2013;17:358.

  54. 54.

    Henriksson A, Arving C, Johansson B, Igelström H, Nordin K. Perceived barriers to and facilitators of being physically active during adjuvant cancer treatment. Patient Educ Counseling. 2016;99:1220–6.

    Google Scholar 

  55. 55.

    Keogh JW, Patel A, MacLeod RD, Masters J. Perceptions of physically active men with prostate cancer on the role of physical activity in maintaining their quality of life: possible influence of androgen deprivation therapy. Psycho-Oncol. 2013;22:2869–75.

    Google Scholar 

  56. 56.

    Keogh JW, Patel A, MacLeod RD, Masters J. Perceived barriers and facilitators to physical activity in men with prostate cancer: possible influence of androgen deprivation therapy. Eur J Cancer Care. 2014;23:263–73.

    CAS  Google Scholar 

  57. 57.

    Rørth M, Tjørnhøj-Thomsen T, Cormie P, Oliffe JL, Midtgaard J. Attitudes and experiences of men with prostate cancer on risk in the context of injuries related to community-based football—a qualitative study. J Aging Phys Act. 2019;27:205–12.

    PubMed  Google Scholar 

  58. 58.

    Sheill G, Guinan E, Neill LO, Hevey D, Hussey J. The views of patients with metastatic prostate cancer towards physical activity: a qualitative exploration. Supportive Care Cancer. 2018;26:1747–54.

    CAS  Google Scholar 

  59. 59.

    Wright-St Clair VA, Malcolm W, Keogh JW. The lived experience of physically active older prostate cancer survivors on androgen deprivation therapy. Aging Male. 2014;17:57–62.

    PubMed  Google Scholar 

  60. 60.

    Kornblum AV Qualitative Examination of Exercise Adhereance in Prostate Cancer Survivors. York University; 2012.

  61. 61.

    Corbett T, Cheetham T, Müller AM, Slodkowska-Barabasz J, Wilde L, Krusche A, et al. Exploring cancer survivors’ views of health behaviour change:“Where do you start, where do you stop with everything?”. Psycho-Oncol. 2018;27:1816–24.

    Google Scholar 

  62. 62.

    Geraerts I, Van Poppel H, Devoogdt N, Laenen A, De Groef A, Van, et al. Progression and predictors of physical activity levels after radical prostatectomy. BJU Int. 2014;114:185–92.

    PubMed  Google Scholar 

  63. 63.

    McIntosh M, Opozda M, Galvão DA, Chambers SK, Short CE. Identifying the exercise-based support needs and exercise programme preferences among men with prostate cancer during active surveillance: a qualitative study. Eur J Oncol Nurs. 2019;41:135–42.

    PubMed  Google Scholar 

  64. 64.

    Barnett F, Yau M, Gray M. The efficacy of a group-based exercise and sexuality education program for prostate cancer survivors. Rehabilitation Oncol. 2014;32:45–51.

    Google Scholar 

  65. 65.

    Alexis O, Worsley AJ. A meta-synthesis of qualitative studies exploring men’s sense of masculinity post–prostate cancer treatment. Cancer Nurs. 2018;41:298–310.

    PubMed  Google Scholar 

  66. 66.

    Hunt K, McCann C, Gray CM, Mutrie N, Wyke S. “You’ve got to walk before you run”: positive evaluations of a walking program as part of a gender-sensitized, weight-management program delivered to men through professional football clubs. Health Psychol. 2013 Jan;32:57–65.

    PubMed  Google Scholar 

  67. 67.

    Pinnock C, O’Brien B, Marshall VR. Older men’s concerns about their urological health: a qualitative study. Aust N Z J Public Health. 1998;22:368–73.

    CAS  PubMed  Google Scholar 

  68. 68.

    Kirkman M, Young K, Evans S, Millar J, Fisher J, Mazza D, et al. Men’s perceptions of prostate cancer diagnosis and care: insights from qualitative interviews in Victoria, Australia. BMC Cancer. 2017;17:704.

    PubMed  PubMed Central  Google Scholar 

  69. 69.

    Kannan A, Kirkman M, Ruseckaite R, Evans SM. Prostate care and prostate cancer from the perspectives of undiagnosed men: a systematic review of qualitative research. BMJ Open. 2019;9:e022842. 28.

    PubMed  PubMed Central  Google Scholar 

  70. 70.

    Spendelow JS, Joubert HE, Lee H, Fairhurst BR. Coping and adjustment in men with prostate cancer: a systematic review of qualitative studies. J Cancer Survivorship. 2018;12:155–68.

    Google Scholar 

  71. 71.

    Farrington AP, Wilson G, Limbrick H, Swainston K The lived experience of adjustment to prostate cancer. Psychol Men Masculinities. 2019:1–11.

  72. 72.

    Cushman MA, Phillips JL, Wassersug R. The language of emasculation: Implications for cancer patients. Int J Men’s Health. 2010;9:3.

    Google Scholar 

  73. 73.

    Hedestig O, Sandman P-O, Tomic R, Widmark A. Living after external beam radiotherapy of localized prostate cancer: a qualitative analysis of patient narratives. Cancer Nurs. 2005;28:310–7.

    PubMed  Google Scholar 

  74. 74.

    Langelier DM, D’Silva A, Shank J, Grant C, Bridel W, Culos-Reed SN. Exercise interventions and their effect on masculinity, body image, and personal identity in prostate cancer—a systematic qualitative review. Psycho-Oncol. 2019;28:1184–96.

    Google Scholar 

  75. 75.

    Brunet J, Taran S, Burke S, Sabiston CM. A qualitative exploration of barriers and motivators to physical activity participation in women treated for breast cancer. Disabil Rehabilitation. 2013;35:2038–45.

    Google Scholar 

  76. 76.

    Öster I, Hedestig O, Johansson M, Klingstedt N, Lindh J. Sharing experiences in a support group: men’s talk during the radiotherapy period for prostate cancer. Palliat Support Care. 2013;11:331–9.

    PubMed  Google Scholar 

  77. 77.

    Steginga SK, Pinnock C, Gardner M, Gardiner RAF, Dunn J. Evaluating peer support for prostate cancer: the Prostate Cancer Peer Support Inventory. BJU Int. 2005;95:46–50.

    PubMed  Google Scholar 

  78. 78.

    Gray RE, Fitch M, Davis C, Phillips C. Interviews with men with prostate cancer about their self-help group experience. J Palliat Care. 1997;13:15–21.

    CAS  PubMed  Google Scholar 

  79. 79.

    Bethancourt HJ, Rosenberg DE, Beatty T, Arterburn DE. Barriers to and facilitators of physical activity program use among older adults. Clin Med Res. 2014;12:10–20.

    PubMed  PubMed Central  Google Scholar 

  80. 80.

    Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W, Galvão DA, Pinto BM, et al. American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc. 2010;42:1409–26.

    PubMed  Google Scholar 

  81. 81.

    Peeters C, Stewart A, Segal R, Wouterloot E, Scott CG, Aubry T. Evaluation of a cancer exercise program: patient and physician beliefs. Psycho-Oncology. 2009;18:898–902.

    CAS  PubMed  Google Scholar 

  82. 82.

    Hardcastle SJ, Maxwell-Smith C, Kamarova S, Lamb S, Millar L, Cohen PA. Factors influencing non-participation in an exercise program and attitudes towards physical activity amongst cancer survivors. Supportive Care Cancer. 2018;26:1289–95.

    Google Scholar 

  83. 83.

    Spellman C, Craike M, Livingston P. Knowledge, attitudes and practices of clinicians in promoting physical activity to prostate cancer survivors. Health Educ J. 2014;73:566–75.

    Google Scholar 

  84. 84.

    Diefenbach MA, Dorsey J, Uzzo RG, Hanks GE, Greenberg RE, Horwitz E. et al. Decision-making strategies for patients with localized prostate cancer. Semin Urol Oncol. 2002;20:55–62.

    PubMed  Google Scholar 

  85. 85.

    Ungar N, Tsiouris A, Haussmann A, Herbolsheimer F, Wiskemann J, Steindorf K, et al. To rest or not to rest—Health care professionals’ attitude toward recommending physical activity to their cancer patients. Psycho-Oncol. 2019;28:784–91.

    Google Scholar 

  86. 86.

    Jones LW, Courneya KS, Fairey AS, Mackey JR. Effects of an oncologist’s recommendation to exercise on self-reported exercise behavior in newly diagnosed breast cancer survivors: a single-blind, randomized controlled trial. Ann Behav Med. 2004;28:105–13.

    PubMed  Google Scholar 

  87. 87.

    Tsiouris A, Ungar N, Haussmann A, Sieverding M, Steindorf K, Wiskemann J. Health care professionals’ perception of contraindications for physical activity during cancer treatment. Front Oncol. 2018;8:98.

    PubMed  PubMed Central  Google Scholar 

  88. 88.

    Fisher A, Wardle J, Beeken RJ, Croker H, Williams K, Grimmett C. Perceived barriers and benefits to physical activity in colorectal cancer patients. Supportive Care Cancer. 2016;24:903–10.

    Google Scholar 

  89. 89.

    Granger CL, Connolly B, Denehy L, Hart N, Antippa P, Lin K-Y, et al. Understanding factors influencing physical activity and exercise in lung cancer: a systematic review. Supportive Care Cancer. 2017;25:983–99.

    Google Scholar 

  90. 90.

    Tuso P. Strategies to increase physical activity. Perm J. 2015;19:84.

    PubMed  PubMed Central  Google Scholar 

  91. 91.

    Baumann FT, Zopf EM, Bloch W. Clinical exercise interventions in prostate cancer patients-a systematic review of randomized controlled trials. Support Care Cancer. 2012;20:221–33.

    PubMed  Google Scholar 

  92. 92.

    Singh F, Newton RU, Baker MK, Spry NA, Taaffe DR, Thavaseelan J, et al. Feasibility of presurgical exercise in men with prostate cancer undergoing prostatectomy. Integr Cancer Therapies. 2017;16:290–9.

    Google Scholar 

  93. 93.

    Macaulay M, Broadbridge J, Gage H, Williams P, Birch B, Moore KN, et al. A trial of devices for urinary incontinence after treatment for prostate cancer. BJU Int. 2015;116:432–42.

    PubMed  Google Scholar 

  94. 94.

    Wildes TM, Fiala MA. Falls in older adults with multiple myeloma. Eur J Haematol. 2018;100:273–8.

    PubMed  PubMed Central  Google Scholar 

  95. 95.

    Taaffe DR, Newton RU, Spry N, Joseph D, Chambers SK, Gardiner RA, et al. Effects of different exercise modalities on fatigue in prostate cancer patients undergoing androgen deprivation therapy: a year-long randomised controlled trial. Eur Urol. 2017;72:293–9.

    PubMed  Google Scholar 

  96. 96.

    Horgan S, O’Donovan A. The impact of exercise during radiation therapy for prostate cancer on fatigue and quality of life: a systematic review and meta-analysis. J Med Imaging Radiat Sci. 2018;49:207–19.

    PubMed  Google Scholar 

  97. 97.

    Exercise and Physical Activity [Internet]. National Institute on Aging. [cited 2020 Oct 29]. Available from:

  98. 98.

    Resnick MJ, Koyama T, Fan KH, Albertsen PC, Goodman M, Hamilton AS, et al. Long-term functional outcomes after treatment for localized prostate cancer. N. Engl J Med. 2013;368:436–45. PMID: 23363497; PMCID: PMC3742365.

    CAS  PubMed  PubMed Central  Google Scholar 

  99. 99.

    Cancer Research UK. About prostate cancer 2016. - Google Search [Internet]. [cited 2019 Sep 24]. Available from:

  100. 100.

    Mohile S, Dumontier C, Mian H, Loh KP, Williams GR, Wildes TM, et al. Perspectives from the Cancer and Aging Research Group: Caring for the vulnerable older patient with cancer and their caregivers during the COVID-19 crisis in the United States. J Geriatr Oncol. 2020;11:753–60.

    PubMed  PubMed Central  Google Scholar 

  101. 101.

    Finne E, Glausch M, Exner A-K, Sauzet O, Stoelzel F, Seidel N. Behavior change techniques for increasing physical activity in cancer survivors: a systematic review and meta-analysis of randomized controlled trials. Cancer Manag Res. 2018;10:5125.

    PubMed  PubMed Central  Google Scholar 

  102. 102.

    Hallward L, Patel N, Duncan LR. Behaviour change techniques in physical activity interventions for men with prostate cancer: a systematic review. J health Psychol. 2020;25:105–22.

    PubMed  Google Scholar 

  103. 103.

    Strategy for Patient-Oriented Research—Patient Engagement Framework. Canadian Institutes of Health Research Web stie. Available at: Accessed 21 Aug 2017.

  104. 104.

    Richman EL, Kenfield SA, Stampfer MJ, Paciorek A, Carroll PR, Chan JM. Physical activity after diagnosis and risk of prostate cancer progression: data from the cancer of the prostate strategic urologic research endeavor. Cancer Res. 2011;71:3889–95.

    CAS  PubMed  PubMed Central  Google Scholar 

  105. 105.

    Kenfield SA, Stampfer MJ, Giovannucci E, Chan JM. Physical activity and survival after prostate cancer diagnosis in the health professionals follow-up study. J Clin Oncol. 2011;29:726–32.

    PubMed  PubMed Central  Google Scholar 

  106. 106.

    Galvão DA, Nosaka K, Taaffe DR, Spry N, Kristjanson LJ, McGuigan MR, et al. Resistance training and reduction of treatment side effects in prostate cancer patients. Med Sci Sports Exerc. 2006;38:2045–52. PMID: 17146309.

    PubMed  Google Scholar 

  107. 107.

    Galvão DA, Taaffe DR, Spry N, Joseph D, Newton RU. Combined resistance and aerobic exercise program reverses muscle loss in men undergoing androgen suppression therapy for prostate cancer without bone metastases: a randomized controlled trial. J Clin Oncol. 2010;28:340–7.

    PubMed  Google Scholar 

  108. 108.

    Gilbert SM, Kuo YF, Shahinian VB. Prevalent and incident use of androgen deprivation therapy among men with prostate cancer in the United States. Urol Oncol. 2011;29:647–53.

    CAS  PubMed  Google Scholar 

  109. 109.

    Faris JE, Smith MR. Metabolic sequelae associated with androgen deprivation therapy for prostate cancer. Curr Opin Endocrinol Diabetes Obes. 2010;17:240–6.

    CAS  PubMed  PubMed Central  Google Scholar 

  110. 110.

    Sharifi N, Gulley JL, Dahut WL. Androgen deprivation therapy for prostate cancer. JAMA 2005;294:238–44.

    CAS  PubMed  Google Scholar 

  111. 111.

    Alibhai SM, Gogov S, Allibhai Z. Long-term side effects of androgen deprivation therapy in men with non-metastatic prostate cancer: a systematic literature review. Crit Rev Oncol Hematol. 2006;60:201–15.

    PubMed  Google Scholar 

  112. 112.

    Walker LM, Tran S, Robinson JW. Luteinizing hormone-releasing hormone agonists: a quick reference for prevalence rates of potential adverse effects. Clin Genitourin Cancer. 2013;11:375–84.

    PubMed  Google Scholar 

  113. 113.

    Lam T, Cheema B, Hayden A, Lord S, Gurney H, Gounden S, et al. Androgen deprivation in prostate cancer: benefits of home-based resistance training. Sports Med - Open. 2020;6:59.

    PubMed  PubMed Central  Google Scholar 

  114. 114.

    Teleni T, Chan RJ, Chan A, Isenring E, Vela I, Inder W, et al. Exercise improves quality of life in androgen deprivation therapy-treated prostate cancer: systematic review of randomised controlled trials. Endocr Relat Cancer. 2016;23:101–12.

    CAS  PubMed  Google Scholar 

  115. 115.

    Taaffe DR, Newton RU, Spry N, Joseph D, Chambers SK, Gardiner RA, et al. Effects of different exercise modalities on fatigue in prostate cancer patients undergoing androgen deprivation therapy: a year-long randomised controlled trial. Eur Urol 2017;72:293–99.

  116. 116.

    Moe EL, Chadd J, McDonagh M, Valtonen M, Horner-Johnson W, Eden K, et al. Exercise interventions for prostate cancer survivors receiving hormone therapy: systematic review. Transl J Am Coll Sports Med. 2017;2:1–9.

    Google Scholar 

  117. 117.

    Gardner JR, Livingston PM, Fraser SF. Effects of exercise on treatment-related adverse effects for patients with prostate cancer receiving androgen-deprivation therapy: a systematic review. J Clin Oncol. 2013;32:335–46.

    PubMed  Google Scholar 

  118. 118.

    Cheung AS, Zajac JD, Grossmann M. Muscle and bone effects of androgen deprivation; current and emerging therapies. Endocr Relat Cancer. 2014;21:371–94.

    Google Scholar 

  119. 119.

    Schmitz KH, Campbell AM, Stuiver MM, Pinto BM, Schwartz AL, Morris GS. et al. Exercise is medicine in oncology: engaging clinicians to help patients move through cancer. CA Cancer J Clin. 2019;69:468–84.

    PubMed  PubMed Central  Google Scholar 

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Schroder Sattar’s research is supported by a Recruitment and Retention Fund by the College of Nursing, University of Saskatchewan.

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Conception and design: SS, KH, DSM, DC, AMJ, CR, OS, SA Literature search: CB Data analysis: SS, KH, EF, SK DSM, AK Data interpretation: SS, KH, CB, SK, EF, DSM, SA, MT Manuscript preparation: SS, KH, CB, EF, DSM, SA, Manuscript review: SS, KH, CB, EP, SK, DSM, MT, AK, AMJ, DC, CR, OS, SA Manuscript approval: SS, KH, CB, EP, SK, DSM, MT, AK, AMJ, DC, CR, OS, SA.

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Correspondence to S. Sattar.

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Sattar, S., Haase, K.R., Bradley, C. et al. Barriers and facilitators related to undertaking physical activities among men with prostate cancer: a scoping review. Prostate Cancer Prostatic Dis 24, 1007–1027 (2021).

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