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. 2012 Aug 15;2012(8):CD008465. doi: 10.1002/14651858.CD008465.pub2

Monga 2007.

Study characteristics
Methods Study design: RCT
Number randomized: 30; not clear how many originally randomized to the exercise or control groups
Study start and stop dates: not reported
Length of intervention: 8 weeks
Length of follow‐up: to end of the intervention
Participants Type cancer: prostate cancer
Time since cancer diagnosis: not reported
Time in active treatment: not reported
Inclusion criteria:
  • first time cancer diagnosis

  • ambulatory

  • able to complete self‐report measures,


Eligibility criteria related to interest or ability, or both, to exercise:
  • inability to exercise


Exclusion criteria:
  • concurrently receiving chemotherapy

  • major health problems (uncontrolled hypertension, i.e. seated systolic blood pressure > 160 mmHg or seated diastolic blood pressure > 90 mmHg, uncontrolled insulin‐dependent diabetes mellitus, severe arthritis, and obvious cognitive dysfunction)

  • recent history of sudden onset of shortness of breath on exertion or a recent history of dizziness, blurred vision, or fainting spells

  • recent history of unstable angina, coronary artery disease, myocardial infarction, or cardiac failure

  • bone, back, or neck pain of recent origin


Gender: male
Current age, mean (SD, range) years:
  • exercise group: 68.0 (4.2, 62 to 77) years

  • control group: 70.6 (5.3, 64 to 80) years


Age at cancer diagnosis: not reported
Ethnicity/race: n, (%)
  • exercise group: white, 3 (27%); black, 7 (64%); Hispanic, 1(9%)

  • control group: white, 4 (40%); black, 5 (50%); Hispanic, 1 (10%)


Education level, years education, mean (SD) years:
  • exercise group: 12.4 (3.3) years

  • control group: 11.6 (2.8) years


SES: not reported
Employment status: not reported
Comorbidities, n (%):
  • exercise group: hypertension, 5 (45%); diabetes mellitus, 3 (27%); cardiovascular disease, 2 (18%); chronic obstructive pulmonary disease, 2 (11%)

  • control group: hypertension, 3 (30%); diabetes mellitus, 3 (30%); cardiovascular disease, 2 (20%); chronic obstructive pulmonary disease, 1 (10%)


Past exercise history: not reported
On hormone therapy: not reported
Weight, mean (SD) lb:
  • exercise group: 177.3 (29.1) lb

  • control group: 80.1 (28.8) lb

Interventions 11 participants assigned to the exercise intervention had data (unclear how many originally assigned to exercise group), including:
  • 10‐minute warm‐up, a 30‐minute aerobic segment consisting of walking on a treadmill, and a 5‐to 10‐minute cool down period


Type exercise (aerobic/anaerobic): aerobic
Intensity of the experimental exercise intervention: not reported, instructed to maintain target HR
Frequency: 3 times per week
Duration of individual sessions: 50 minutes
Duration of exercise program: 8 weeks
Total number of exercise sessions: 24 sessions
Format: unclear
Facility: facility
Professionally led by a staff kinesiotherapist and supervised by a physician
Adherence: not reported
10 participants assigned to control group with data (unclear how many originally assigned to control group), including:
  • standard care


Contamination of control group: not reported
Outcomes No primary outcome was identified. Outcomes included:
  • cardiovascular fitness assessed using the modified Bruce treadmill test

  • flexibility, assessed using the modified sit‐and‐reach test

  • strength, assessed by measuring the time it takes to stand up and sit down 5 times from an armless chair

  • fatigue, assessed using the PFS

  • global HRQoL, assessed by using the FACT‐P and the FACT‐G questionnaire

  • depression, assessed using the BDI


Outcomes were measured at baseline and end of the intervention at 8 weeks:
  • exercise group: n = 11 at baseline, n = 11 at 8 weeks

  • control group: n = 10 at baseline n = 10 at 8 weeks


Subgroup analysis: none
Adverse events: none reported
Notes Country: US
Funding: none reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk The generation of the random sequence was not described
Allocation concealment (selection bias) Unclear risk Whether the treatment assignment was concealed from study personnel and participants was not described
Blinding of participants and personnel (performance bias)
All outcomes High risk Owing to the nature of the intervention, it was not possible to conceal allocation to the intervention from the participants
Blinding of outcome assessment (detection bias)
All outcomes High risk Study personnel and outcome assessors were not masked or blinded to the study interventions
Incomplete outcome data (attrition bias)
All outcomes High risk 9 participants withdrew, but data not provided on these 9 participants 
Selective reporting (reporting bias) Low risk There is no evidence of selective reporting of outcomes
Other bias Low risk The trial appears to be free of other problems that could put it at a high risk of bias