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

Windsor 2004.

Study characteristics
Methods Study design: RCT
Number randomized: 66; 33 to the exercise group and 33 to the control group
Study start and stop dates: December 2001 to December 2002
Length of intervention: to end of radiation therapy
Length of follow‐up: 4 weeks' post‐treatment
Participants Type cancer: prostate cancer; 51 of 65 patients had tumors classified as T1 to T2
Time since cancer diagnosis: not reported
Time in active treatment: not begun
Inclusion criteria:
  • on outpatient waiting list for radical conformal radiation therapy for localized prostate carcinoma


Eligibility criteria related to interest or ability, or both, to exercise:
  • none


Exclusion criteria:
  • physical frailty owing to age

  • comorbidity, such as unstable or severe angina, recent myocardial infarction, or dementia cardiac pacemaker


Gender: male
Current age, mean (SD) years:
  • exercise group: 68.3 (0.9, 52 to 82) years

  • control group: 69.3 (1.3, 52 to 82) years


Age at cancer diagnosis: not reported
Ethnicity/race: not reported
Education level: not reported
SES: not reported
Employment status: not reported
Comorbidities: not reported
Past exercise history: not reported
On hormone therapy, receiving adjuvant hormone therapy for high‐risk tumors, n (%):
  • exercise group: 9 (27%)

  • control group: 10 (30%)

Interventions 33 participants assigned to the exercise intervention, including:
  • home‐based continuous walking


Type exercise (aerobic/anaerobic): aerobic
Intensity of the experimental exercise intervention: target HR of 60% to 70% calculated maximum HR
Frequency: 3 days per week
Duration of individual sessions: 30 minutes
Duration of exercise program: to end of therapy
Total number of exercise sessions: varied
Format: individual
Facility: home
Professionally led: unclear
Adherence: all patients in the exercise group recorded at least 1.5 hours of aerobic exercise at the recommended percentage maximum HR per week throughout radiation therapy
33 participants assigned to control group, including:
  • discouraged from performing normal activities and were advised to rest and take things easy if they became fatigued


Contamination of control group: none, the control group showed a small, nonsignificant decline in hours of reported aerobic activity per week during radiation therapy
Outcomes No primary outcome was identified. Outcomes included:
  • fatigue, assessed using the BFI

  • resting HR

  • exercise HR, assessed using the shuttle test

  • physical activity, assessed using the SPAQ


Outcomes were measured at baseline; after 5, 10, 15, and 20 fractions of radiation therapy; and at follow‐up 4 weeks after the completion of treatment:
  • exercise group: n = 32 at all time points

  • control group: n = 33 at all time points


Subgroup analysis: none
Adverse events: none reported
Notes Country: UK
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) Low risk "Patients were randomized to trial group by telephone call to the Scottish Cancer Therapy Network randomization line…" 
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 Allocation to the intervention was not concealed from the study personnel
Incomplete outcome data (attrition bias)
All outcomes High risk 1 participant in the exercise group withdrew and was not included in the analysis
Selective reporting (reporting bias) Low risk There appears to be no selective reporting of outcomes
Other bias High risk Baseline tests performed after randomization