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Exercise Oncology...what say you?

Prostate Cancer | Last Active: Aug 10 4:35pm | Replies (77)

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Profile picture for northoftheborder @northoftheborder

I'm not skeptical at all — I think it's very promising. And thanks for sharing the link to the lit review. They're a little more cautious than you, but do think the research trends are very promising (and I agree; we're really not disagreeing here, except on the level of confidence which we apply to a causal link):

"the clinical studies included in this review have yielded conflicting results. Some authors have found no correlation between engaging in physical exercise and the risk of tumor progression. Specifically, two RCTs failed to demonstrate a link between PA and PSA kinetics. However, after observing the participants of the Prostate Cancer Lifestyle Trial for two years, it was noted that the rate of definitive treatment was significantly lower among active men compared to the control group (5% vs. 27%, p = 0.005). "

… and …

"To accurately assess the impact of exercise on the risk of PCa progression in patients managed with AS, further randomized clinical trials with extended follow-up periods, incorporating the use of wearable devices for daily PA measurement, are warranted."

In other words, it looks like we're onto something here, so let's tighten up the methodologies and keep pushing ahead. If I were betting, I'd bet that the evidence will keep accumulating until they decide to make physical activity a core part of cancer treatment rather than a secondary recommendation.

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Replies to "I'm not skeptical at all — I think it's very promising. And thanks for sharing the..."

...well I guess I just have to chalk up my amazing clinical data to magic (see above for details)....how could I have been so naive to believe, and actually implement, the protocol of a randomized clinical trial and obtain the exact results that they demonstrated 🙂

...hey....were talking physician research here...I don't think I've ever read a study that didn't have all sorts of caveats, disclaimer statements and "further study is necessary", etc., etc.....ad nauseam.....

In today's world, attorneys have the last say in everything published, especially in the area of medical research....it's fully expected...

Unfortunately the patient is the one that has to evaluate the options and the risks presented.

I find it interesting that many seem to want to ask their doctor what they would recommend to their own father, brother, son...as if they seem to know that most doctors must go with "national organization guidelines", SOC, etc., etc.; whether their doctor thinks the "one size fits all" is really the best for every patient...or not...