Social cognitive outcomes are associated with improvements in mobility performance following lifestyle intervention in prostate cancer patients undergoing androgen deprivation therapy

Abstract

ObjectiveTo compare the effects of an exercise and dietary intervention with those of standard-of-care management upon change in lift and carry performance and mobility-related self-efficacy beliefs and explore associations in prostate cancer patients undergoing androgen deprivation therapy.Methods32 prostate cancer patients (Mage = 66.2 years;SD= 7.8) undergoing androgen deprivation therapy were randomly assigned to a 3-month exercise and dietary lifestyle intervention (n= 16) or standard-of-care management (n= 16). Outcome assessments were obtained at baseline, 2- and 3-month follow-up.ResultsThe lifestyle intervention resulted in significantly greater improvements in lift and carry performance (p= 0.01) at 2 Months (d= 1.01; p < 0.01) and 3 Months (d= 0.95; p < 0.01) and superior improvements in mobility-related self-efficacy at 2 Months (d= 0.38) and 3 Months (d= 0.58) relative to standard-of-care. Mobility-related self-efficacy (r= -.66;p= 0.006) and satisfaction with function (r= -.63;p= 0.01) were significantly correlated with lift and carry performance at 3 Months.ConclusionsThe exercise and dietary lifestyle intervention yielded superior improvements in lift and carry performance and mobility-related self-efficacy relative to standard-of-care and key social cognitive outcomes were associated with more favorable mobility performance.