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Novel Methods for Reporting of Exercise Dose and Adherence: An Exploratory Analysis
Tormod S Nilsen1, Jessica M Scott2,3, Meghan Michalski2
1Department of Physical Performance, The Norwegian School of Sport Sciences, Oslo, NORWAY.
Medicine and Science in Sports and Exercise
|January 10, 2018
Summary
Novel methods adapted from cancer drug trials can better report exercise adherence in cancer patients. These approaches offer valuable insights beyond traditional metrics for exercise tolerance.
Area of Science:
- Exercise oncology
- Cancer rehabilitation
- Clinical trial methodology
Background:
- Adherence to exercise treatment is crucial for cancer patients.
- Conventional metrics for exercise adherence may not fully capture tolerability.
- Oncology pharmacological trial methods offer potential for improved reporting.
Purpose of the Study:
- To evaluate the utility of oncology pharmacological trial methods for reporting exercise adherence in cancer patients.
- To compare conventional and exploratory adherence metrics in an exercise intervention for prostate cancer.
Main Methods:
- Retrospective analysis of a randomized trial involving 25 prostate cancer patients.
- 24-week aerobic training regimen (72 supervised treadmill sessions weekly).
- Assessment of adherence using conventional (lost to follow-up, attendance) and exploratory (discontinuation, dose modification, relative dose intensity) outcomes.
Main Results:
- Mean relative dose intensity was 77% ± 24%.
- Mean attendance was 79%, with 8% lost to follow-up.
- 24% discontinued training, 44% interrupted sessions, and 96% had dose reductions; 3% of sessions were terminated early.
Conclusions:
- Novel methods for reporting exercise adherence and tolerability provide valuable information.
- These advanced metrics offer deeper insights than conventional measures in cancer patients undergoing exercise treatment.
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