Effectiveness of exercise intervention on improving psychological effects in prostate cancer patients

INTERVENTION: Two arms in intervention group: Arm 1: Group exercise Arm 2: Individual exercise Both arms will be subjected to identical exercise interventions which is Moderate to vigorous physical Activity (MVPA); 60 minutes of MVPA, 3 days per week until completion of radiation treatment but no more than eight (8) months. They will start the exercise program within a month of hormone injection. Aerobic training target will be 60‐85% maximum heart rate and will be calculated for each participant from estimated maximum heart rate minus age. Resistance training intensity will be manipulated from 6‐12 RM, using 1‐4 sets per exercise to support strength gains. Exercise sessions involve aerobic/light impact activity and resistance/light impact activity. The program will alternate each week. Week 1: *2 sessions of aerobic/light impact activity *1 session of resistance/light impact activity Week 2: *1 session of aerobic/light impact activity *2 sessions of resistance/light impact activity The exercise sessions will be performed and supervised by an accredited Exercise physiologist for both arms. In arm 1 (group) will have 2‐10 participants. The exercise physiologist will monitor adherence by registering attendance for each session. CONDITION: Prostate Cancer anxiety depression distress fatigue PRIMARY OUTCOME: Exercise assessment completed by exercise physiologist ; Cardiovascular fitness is measured using the 6minute walking test. SF‐36 Quality of Life Questionnaire ; SECONDARY OUTCOME: Post intervention interview to collect data to identify what aspect provides greater support exercise alone or group exercise. ; ; Prostate distress screening questionnaire to assess psychological distress/ fatigue ; Journal title: The validity of the distress therometer in prostate cancer populations ; Authors: Suzanne K. Chambers et al INCLUSION CRITERIA: * Newly diagnosed localised prostate cancer * All participants to be able to walk 400 meters completed at pre‐assessment by exercise physiologist * Provide written consent * Able to start exercise program within one month of Eligard hormone treatment * Obtain medical clearance prior to participating in the intervention All participants must be scheduled to undergo radiotherapy in combination with Eligard hormone treatment