A healthy diet and regular physical activity are important for general health and can help you stay a healthy weight. This information is for anyone with prostate cancer who wants to improve their general health. Your partner, family or friends might also find this page helpful.
We describe how a healthy diet and regular physical activity may help you manage the effects of prostate cancer and its treatment, and why staying a healthy weight may be very important.
We don’t recommend any set diet or exercise programme. Instead, we suggest some changes to improve your overall health, and that might help with your prostate cancer. We also have a page about which foods you should eat or avoid, if you have prostate cancer.
Diet and physical activity fact sheet
This fact sheet is for anyone with prostate cancer who wants to improve their general health.
Why is a healthy lifestyle important?
A healthy lifestyle can give you more control over your health and help you to improve it. Lots of things can affect your health, including the following.
Staying a healthy weight is one of the best things you can do for your overall health. It can lower your risk of many health problems, including heart disease, type-2 diabetes and some cancers. It may also be important for men with prostate cancer, as there is strong evidence that being overweight raises the risk of aggressive or advanced prostate cancer.
Being a healthy weight may mean your prostate cancer is less likely to spread after surgery or radiotherapy. Hormone therapy might also be less effective if you're very overweight. And staying a healthy weight may help you manage or reduce some of the side effects of treatments, such as urinary problems after surgery.
What if I'm underweight?
Being underweight can also affect your health. For example, underweight men have a higher risk of bone thinning. Some types of hormone therapy can also cause bone thinning, so men on hormone therapy may be particularly at risk of bone thinning if they are also underweight. And being underweight can also slow your recovery from treatments such as surgery.
If you're underweight and are struggling to put on weight, speak to your GP. They may check to see if you have any other health problems that could be causing your weight loss. They may also refer you to a dietitian to help you put on some weight.
How do I know if I'm a healthy weight?
Your body mass index (BMI) can be a good way to check if you're a healthy weight for your height. The NHS website has information about how to work out your BMI.
A BMI chart is not suitable for everyone. If you have a very muscular build, it may not be suitable. This is because your BMI only tells you if you’re carrying too much weight – it can’t tell the difference between fat and muscle.
Your BMI limit may also change depending on your ethnicity. For example, a lower BMI threshold is recommended for black African, African-Caribbean, South Asian and Chinese ethnic groups.
Another way to check if you’re a healthy weight is to measure the size of your waist, as carrying fat around your middle can raise the risk of heart disease, diabetes and other health problems. Wrap a tape measure around your body, half-way between the top of your hips and the bottom of your ribs. Don't suck your tummy in, just breathe out naturally.
For a man, if your waist size is 94cm (37 inches) or more, you have a higher risk of health problems. If it's 102cm (40 inches) or more, you're at very high risk of some serious health conditions and should speak to your GP. These are the guidelines for white European, black African, middle Eastern and East Mediterranean men.
For African Caribbean, South Asian, Chinese and Japanese men, if your waist size is 90cm (35.4 inches) or more, you’re at a very high risk of developing health problems.
Losing weight safely
It’s important to lose weight steadily by making healthy changes to your diet, and slowly increasing the amount of exercise you do. Try to avoid popular short-term diets that cause very quick weight loss. They often cut out important food groups or can be too low in calories. If you lose weight too quickly by not eating enough, your body might not get all the nutrients it needs. And if you don't keep eating healthily after losing weight, you may put the weight back on again. It’s always best to speak to your doctor or a dietitian before changing your diet.
Talk to your doctor if you’re worried about your weight – whether you want to lose or gain weight. They can help you think about suitable changes to your diet or types of physical activity. They may be able to refer you to a dietitian or exercise programme. You can also get more information from other organisations.
Remember – if you’re overweight, any weight loss is better than none. And once you’ve achieved your goal, it’s important to continue eating healthily and being active to keep the weight off.
A healthy diet is important for your overall health. It can help you stay a healthy weight and can lower your risk of health problems such as heart disease, type-2 diabetes and some cancers. A healthy diet can also help you recover if you’ve had prostate cancer surgery (radical prostatectomy).
You may have heard of certain foods or diets that might be helpful for men with prostate cancer, and some that might be harmful. Unfortunately, different studies have had different results, so we don't know for sure whether specific foods can affect the growth of prostate cancer or the risk of it spreading.
However, some changes to your diet may help reduce or manage some of the side effects of prostate cancer treatment. And some men with prostate cancer find that changing their diet helps them feel more in control.
Physical activity is any type of body movement that uses energy. It doesn’t have to be a sport or going to the gym – it could be walking, swimming or gardening. We don't know for sure if physical activity can help slow the growth of prostate cancer, but we do know that it's important for your overall health and wellbeing. It helps to prevent many health problems such as heart disease and type-2 diabetes, and can help you stay a healthy weight.
Being active can also help with some of the side effects of treatment. For example, physical activity can help manage fatigue and sexual problems. It can also help maintain muscle strength and help you stay a healthy weight. Being a healthy weight may help to lower your risk of advanced prostate cancer.
Physical activity can also help support your emotional and mental wellbeing. It can lift your mood and make you feel happier in your day to day life, as well as helping you cope with feelings of anxiety or depression.
We don’t know if alcohol has any specific effect on men with prostate cancer. But we do know that drinking too much alcohol can make you put on weight and cause other health problems, such as heart disease, liver disease and some cancers.
The government recommends that men should not regularly drink more than 14 units of alcohol per week. That’s equal to six pints of average-strength beer or ten small glasses of average-strength wine. Try to spread this out over the week and have some alcohol-free days.
Speak to your doctor or nurse about whether it’s okay to drink alcohol while you’re having prostate cancer treatment. If you have urinary problems, try to drink less alcohol. Alcohol can irritate the bladder and make urinary problems worse. It could also affect your ability to get an erection. There are lots of tips on drinking less alcohol and getting support the NHS Website.
How many units of alcohol are in a drink?
- A pint of lower-strength lager, beer or cider (3.6 per cent alcohol) contains 2-3 units.
- A 175ml glass of wine (12 per cent alcohol) contains about 2 units.
- A 25ml measure of spirit (40 per cent alcohol) contains 1 unit.
Smoking can cause health problems such as heart disease, stroke and some types of cancer. It may also be harmful for men with prostate cancer.
Some research suggests that smoking makes prostate cancer more likely to grow and spread to other parts of the body (advanced prostate cancer). And the more you smoke, the greater the risk.
Smoking may also make prostate cancer more likely to come back after surgery or radiotherapy, and heavy smoking may mean you’re more likely to die from prostate cancer. But the good news is that if you stop smoking, your risk should start to drop – and after 10 years it could be as low as for men who have never smoked.
Stopping smoking can also help with the side effects of prostate cancer treatment. For example, you may be less likely to get certain urinary problems after radiotherapy. And stopping smoking may help to protect your bone health if you're having hormone therapy.
There’s lots of support available to help you stop smoking. For information about stopping smoking, talk to your doctor or visit the NHS website.
How can I eat more healthily?
If you decide to improve your diet, remember that food is an enjoyable and often social part of life. You should still be able to enjoy your meals and occasional treats.
A healthy diet doesn’t need to be boring. In fact, it’s good to eat a variety of different foods so that you get a range of nutrients. You could try some new foods to add more variety to your meals. For example, you could try a new fruit or vegetable each week.
Set yourself realistic goals and start by making small changes that you feel comfortable with. Trying to make lots of big changes all at once can be difficult, and you may find it hard to keep them going over time.
Try to cut down on unhealthy foods and drinks, such as those high in sugar, saturated fat, salt, red and processed meat, and those with added flavouring or preservatives. Look at the labels on packaged foods to find out how many calories (energy), and how much fat, salt and sugar are in them. You can then compare different products to find the healthiest ones. Remember that low-fat foods aren’t always the best option – some may still be high in sugar or calories.
If you want help to improve your diet, ask your doctor to refer you to a dietitian, they can help you make healthy changes to what you eat. They can also give you advice if you have special dietary needs or other health problems that could be affected by your diet, such as diabetes.
Fruit and vegetables
Fruit and vegetables are an important part of a healthy diet and a good source of vitamins, minerals and fibre. Eating lots of fruit and vegetables helps to lower your risk of health problems, including heart disease and some cancers. It can also help you lose weight or stay a healthy weight.
Aim to eat at least five portions (400g) of fruit and vegetables each day. They can be fresh, frozen, dried or tinned with no added sugar or salt. Try to choose tinned fruit in natural juice rather than syrup. One portion of fresh, canned or frozen fruit and vegetables is roughly 80g in weight. One Portion of dried fruit is 30g and should be kept to mealtimes. Try to eat a variety of fruits and vegetables of different colours each day, as they contain different nutrients.
Five portions may sound like a lot, but if you try to include one or two portions in each meal, and choose fruit as snacks, this should be enough. The NHS website has lots of examples of single servings.
Starchy foods are the main source of carbohydrates – they give you energy and help you to feel full for longer, so it’s important to include some starchy foods every day in your diet. Aim to have a portion at each meal.
Starchy foods include cereals, potatoes, bread, rice, pasta, plantain, sweet potato and yam. Choose wholegrain (for example, whole rolled oats, corn, quinoa, granary bread, brown rice) and other high-fibre options (for example, potatoes with their skins on, pulses and beans) where possible. As a general rule, a portion of starchy food is about the size of your fist.
Protein is an important part of a healthy diet. It helps to build and repair body tissue, maintain muscle mass. Protein also helps make new cells, such as blood cells and hormones. If you are having treatment for prostate cancer, you should aim to eat between 1 and 1.5g of protein / kg of body weight a day. Foods high in protein include beans, pulses, fish, eggs and meat. Aim to have 2-3 portions of protein a day.
If you eat red meat, try to eat no more than 3 portions per week, which is about 350-500g of cooked red meat (700g to 750g before cooking) a week. This includes beef, pork and lamb. You should also try to avoid processed meat and meat cooked at very high temperatures, as this can increase your risk of bowel and stomach cancer. Processed meat is meat that has been preserved by smoking, curing or salting, or with preservatives. It includes ham, bacon and some sausages (for example hot dogs, salami and pepperoni).
You could choose white meat such as chicken with the skin removed or fish instead. Or you could eat beans, peas or lentils, which are lower in fat and higher in fibre than meat.
Dairy and dairy alternatives
Dairy foods are high in calcium. Calcium is important for strong bones and your overall health, so you need some in your diet – around 700mg per day. Some studies suggest that eating a lot of calcium might increase the risk of your prostate cancer growing and spreading. Other studies have found no link, but it may be an idea to avoid eating more than 1500mg of calcium – the amount in about 1.6 litres of milk – a day.
If you’re on hormone therapy, you’ll need extra calcium to protect your bones. This is because hormone therapy can cause bone thinning, which means your bones are more likely to break if you fall over. Men on hormone therapy should aim for 1200-1500mg of calcium (about 2-3 portions of dairy) each day. This is still a safe amount.
Choose lower-fat options such as skimmed or 1% fat milk and reduced-fat cheese. There have been some studies that suggest high-fat dairy foods might increase the risk of your prostate cancer growing and spreading, but others have found no link.
Non-dairy sources of calcium include soya products with added calcium such as plant-based milk and yoghurt, green leafy vegetables, and fish where you eat the bones such as sardines.
If you don’t think there’s enough calcium in your diet, speak to your doctor or nurse about taking calcium supplements.
How much calcium is there in different foods?
- Semi-skimmed milk (200ml) – 245mg of calcium
- Plain low-fat yoghurt (150g) – 245mg of calcium
- Cheddar cheese (30g) – 205mg of calcium
- Tinned sardines with bones (100g) – 500mg of calcium
- Kale (95g) – 145mg of calcium
- Tofu (100g) – 110mg of calcium
- Kidney beans (60g) – 45mg of calcium
- Broccoli (85g) – 35mg of calcium
- Non-dairy alternatives, such as soya milk – varies- choose one with added calcium.
You need to eat some fat for your body to function properly. But eating too much fat can make you put on weight, which raises your risk of being diagnosed with aggressive or advanced prostate cancer. There are also different types of fat – saturated fat and unsaturated fat. Unsaturated fats are thought to be healthier than saturated fats.
Unsaturated fats are found in plant foods such as olive oil, vegetable oils, rapeseed oil, avocados, nuts and seeds, and in oily fish such as salmon, mackerel and sardines.
Saturated fats are found in meat, cakes, biscuits, pastries, butter, and high-fat dairy products such as cheese. You should aim to eat no more than 30g of saturated fat a day.
Replacing animal fats with vegetable oils may help men with prostate cancer to live for longer. There is also some research that suggests eating lots of saturated fat might be linked with an increased risk of prostate cancer coming back after surgery, and of developing advanced prostate cancer. But we need more research to know for sure whether this is the case, as other studies haven’t found a link.
Ways to eat less total fat and saturated fat
- Replace fatty snacks such as crisps and biscuits with healthier options such as fruit.
- Avoid sausages, burgers and processed meat such as ham or bacon.
- Eat less red meat and remove any visible fat. Try eating chicken or fish instead.
- Remove any skin from chicken or turkey. The skin contains lots of saturated fat.
- Add less oil, butter or other cooking fats when you cook.
- Grill, bake, poach or steam food instead of frying or roasting.
- Choose rapeseed or vegetable oil for cooking and olive oil for salad dressings.
- Choose tomato-based sauces instead of creamy ones.
- Eat healthy fats from plant foods, such as avocados, nuts and seeds.
- Choose low-fat or fat-free dairy products, or dairy alternatives such as soya milk, rice milk or oat milk instead.
If you’re struggling to eat because of nausea (feeling sick), speak to your doctor or dietitian. They’ll be able to give you the support and help you need. You may find it helpful to avoid strong smelling foods. Cold foods tend to smell less, use pre-prepared food, or it may help if someone cooks for you.
- Eat three meals a day. If you don’t feel very hungry or you have difficulty eating, try to eat small amounts often instead.
- Include all the food groups. The NHS website has information about the proportions you should include in your diet to get the right balance of nutrients.
- Eat at least five portions of fruit and vegetables every day.
- Base your meals on high-fibre starchy foods.
- Eat a variety of foods high in protein.
- Eat some dairy foods or non-dairy sources of calcium.
- Choose unsaturated oils and spreads and eat these in small amounts.
- Eat less sugar. Sugary foods include cakes, biscuits, puddings and sugary drinks.
- Cut down on salt. Eat less than 6g of salt each day. Check the labels and look out for hidden salt in processed foods, such as bread, cereals, bacon and takeaways. Avoid adding salt when you cook – try using herbs and spices to add flavour instead, or use low-salt alternatives.
- Drink lots of fluids. Try to drink around 1.5 to 2 litres (3 to 4 pints) a day, which is about 6 to 8 glasses. Water, low fat milk and sugar free drinks, including tea and coffee, all count. Avoid drinking late in the evening and drinks containing caffeine (such as tea, coffee and cola) if you have urinary problems.
Where can I find healthy recipes?
It's always best to speak to your doctor or a dietitian before changing your diet. Depending on your situation, the treatment you've had and your general health, you may need to eat more or less of certain foods.
Unless your doctor or dietitian recommends a specific diet, it's best to have a healthy and balanced diet.
Healthy recipes are available from:
You can find information on how much of what you eat should come from each food group, as well as examples or portion sizes at:
I’m eating lots more vegetables, fruit, pulses, nuts, herbs, spices and green teas. I’ve actually enjoyed the diet change and we have tried cooking lots of new recipes.
What type of physical activity should I do?
Physical activity plays an important role in both physical, social and emotional health. It can help you manage your weight, maintain muscle, and also help manage treatment side effects. There are two types of physical activity:
- Aerobic exercises involve using more oxygen. It helps to keep your heart healthy by increasing your heart rate and breathing. Examples of aerobic exercise include, walking, swimming, jogging, or cycling.
Anaerobic exercises involve short, intense bursts of energy which help to increase muscle mass and strength. Examples of anaerobic exercise include, weight training, body weight exercises and some yoga exercises. Any type of exercise is good for you, the main thing is to get active. However, it is important to try an incorporate both aerobic and anaerobic exercises in your daily routine.
How much physical activity should I do?
Everyone is different in terms of how much exercise they should and can do. This will depend on many things, including:
- the stage of your cancer
- the treatments you’re having
- your strength and fitness level.
Even if you can’t do a lot of physical activity, a small amount can still help. Take things at your own pace and don’t do too much. Make sure you rest when you feel you need to.
Aim to be physically active at least two to three times a week. If you’re not usually active, start gently for short periods of time, such as 10 to 15 minutes, and gradually exercise for longer as you become fitter. If you can, work up to 30 minutes of moderate exercise three to five days a week. Moderate exercise means your heart should beat faster but you should still be able to talk – about the level of a brisk walk. It’s also important to try and include exercises that help increase muscle mass and strength, such as body weight exercises, yoga or Pilates. 30 minutes may seem like a lot, but you can reach this amount by being active for 10 minutes, three times a day.
It’s usually safe for men with prostate cancer and those having treatment to be physically active. But it’s still a good idea to speak to your GP, nurse or hospital doctor before you start any kind of exercise plan, especially if you have other health problems, such as heart disease or problems with your joints or muscles. They can talk to you about exercising safely and may refer you to an exercise programme or a physiotherapist who can help you plan your exercise.
If you’re on hormone therapy or have cancer that has spread to the bones, check with your doctor before doing high-impact exercises such as running and contact sports.
Tips for getting active
- Walking, swimming, cycling and gardening are all good exercise.
- You can do simple things, such as getting off the bus one stop earlier, or using stairs rather than a lift.
- You can even exercise from your chair or bed. Lifting and stretching your arms and legs can help improve your movement and muscle strength. Visit the NHS website for exercises to do while sitting down.
- If you’re trying to be more active, an exercise programme such as walking 10,000 steps a day can be useful. You might not manage this at first – just do what you can, and try to walk a little further each day. Visit the NHS website to find out more.
- Gentle resistance exercise, such as lifting light weights or using elastic resistance bands, is particularly good if you’re on hormone therapy and are at risk of bone thinning.
- Try a variety of activities or sports so that you don’t get bored, and set some goals to aim for. You may prefer to exercise with a friend or in a group.
- If you find an activity you enjoy that fits into your life, you’re more likely to keep doing.
- When you feel like you’re ready, you might want to consider setting an exercise goal that you can build on and work towards. Prostate Cancer UK’s Run the Month is a great way of exercising regularly, at your own pace, while raising money to help others affected by prostate cancer
Can I exercise after surgery?
If you’re having surgery to remove your prostate, you’ll need to take it easy for the first few weeks after your operation. Your surgeon may suggest taking a short walk each day, starting on the day after your operation. It's important to only do light and gentle exercise so that your body has time to heal properly.
You should avoid any heavy physical exercise for the first four to six weeks. If possible, avoid climbing too many stairs, lifting heavy objects or doing manual work during this time. Talk to your doctor or nurse about what's safe for you and when.
How can I find opportunities to be active?
Local exercise classes. There are lots of types of exercise classes in local and private sport centres. Look for classes that are the right level for you and think about trying something new, like Tai Chi, yoga or badminton.
Local authority gyms. County councils often have gyms that are affordable and instructors who are qualified to work with people who have cancer. Some also provide small group sessions for people with cancer.
Exercise referral schemes. These are special exercise programmes for people with health problems, including prostate cancer. They are run by healthcare professionals or fitness trainers who have experience of working with people who have health problems. Ask your GP about schemes in your area.
Local walking groups. These are a chance to be sociable and outdoors, and there’s no need to tell anyone about your cancer if you don’t want to.
Ramblers. Ramblers organises free group walks around the country. Visit the Ramblers website to find your nearest group.
Couch to 5K. This is an NHS running programme for beginners. The plan includes tips to help you slowly get up to running five kilometres in nine weeks. Visit the NHS website.
Maggie’s. Maggie’s offer free exercise classes around the country for people who’ve had cancer. Visit the Maggie's website for details.
Macmillan Cancer Support. Macmillan has a range of resources to help you get active, and runs exercise groups around the country. Visit the Macmillan Cancer Support website.
NHS website. This website has lots of information about the benefits of exercise, ideas for being more active and tips for exercising safely. Visit the NHS website.
- Be careful to avoid activities where you could fall, especially if you’re on hormone therapy or your cancer has spread to the bones, as you're more likely to break a bone if you fall.
- Wear clothing and trainers that fit properly and don’t exercise on uneven surfaces, to avoid tripping over.
- Make sure you drink enough water.
- Don’t exercise if you feel unwell, or have any pain, sickness or other unusual symptoms. Stop if you get any of these while exercising.
- If you’re having chemotherapy or radiotherapy and have any skin irritation, check with your doctor or nurse if it’s safe for you to go swimming, as chlorine can make this worse.
- If you're overweight or have heart problems, check what type of exercise is safe for you with your doctor or nurse.
How can a healthy lifestyle help with side effects of treatment?
All treatments for prostate cancer can cause side effects. There are treatments available to help manage these, and diet and physical activity can often help too.
Some men put on weight while they are on hormone therapy, particularly around the waist. Being active and eating well can help. But if you’re struggling to lose weight, ask your doctor to refer you to a dietitian or weight-loss programme.
Heart disease and diabetes
Hormone therapy may increase your risk of heart disease and type-2 diabetes. A healthy diet and being active can help prevent them.
Being on hormone therapy for a long time can gradually make your bones weaker. This is known as bone thinning. It can lead to a condition called osteoporosis, where the bones become weak and are more likely to break (fracture). A number of lifestyle changes may help to keep your bones healthy.
Calcium and vitamin D are important for strong bones. Most of your vitamin D is made inside the body when your skin is exposed to sunlight. But it can be difficult for your body to make enough vitamin D from sunlight alone, especially in winter. You can also get vitamin D from eating oily fish, such as salmon, mackerel and sardines, or foods with added vitamin D, like margarine and some breakfast cereals. You may need to take calcium and vitamin D supplements to help lower your risk of bone thinning – speak to your doctor about this.
Drinking a lot of alcohol and smoking can both raise your risk of bone thinning or osteoporosis.
We don’t yet know whether exercise can help to prevent bone thinning in men who are on hormone therapy. But regular physical activity could help to keep you strong and prevent falls that could cause broken bones. These types of exercises may be particularly helpful:
- gentle resistance exercise, such as lifting light weights or using elastic resistance bands
- weight-bearing exercise, where you’re standing up and have to support your own weight, such as walking, climbing stairs, tennis and dancing.
Strength and muscle loss
Hormone therapy can cause a loss of muscle tissue so that you feel less physically strong. Regular, gentle resistance exercise, such as lifting light weights, can help with muscle loss and keep your muscles strong.
Hot flushes are a common side effect of hormone therapy. Staying a healthy weight may help you manage hot flushes. Try to cut down on spicy foods, alcohol and drinks that contain caffeine, such as tea and coffee.
Some men use herbal remedies to help manage their hot flushes, such as sage tea or supplements containing black cohosh. There is no scientific evidence that these are effective and some, including black cohosh, may be harmful. Speak to your doctor before taking any herbal remedies.
Extreme tiredness (fatigue)
Some treatments for prostate cancer, including hormone therapy, radiotherapy and chemotherapy, can cause extreme tiredness. Light to moderate exercise, such as walking or swimming, can make you feel more awake. And doing this type of exercise along with strength training, such as lifting light weights, may be even more effective.
If your treatment is making you feel tired, you may find it hard to be active. Try to plan activities at times when you usually have more energy. If you feel particularly tired, just do gentle exercise for a short time and take lots of breaks. You can even exercise from your chair or bed – for example, use a resistance band to help you lift and stretch your arms and legs.
We have lots of information on fatigue on our website, as well as an interactive online guide with tips to help you manage fatigue. You can also speak to our specialist nurses about your fatigue. They can help you make lifestyle changes that should improve your fatigue over time.
Anxiety and depression
Many men with prostate cancer feel anxious and sad at times. If your feeling low in mood, sad most of the time or your sleep pattern or appetite has changed, this could be a sign of depression. Many people with depression also experience anxiety. Symptoms of anxiety may include feeling irritable, constant feeling of dread or shortness of breath. Some treatments for prostate cancer, such as hormone therapy and chemotherapy, can also cause depression and mood swings.
Regular physical activity can often help you deal with feelings of anxiety and depression and improve your day to day life. Learning ways to relax, such as yoga or meditation, might also help.
If you’re having radiotherapy, you may get bowel problems during and after treatment. These might include loose and watery bowel movements (diarrhoea). Eating less fibre for a short time might help with this, although the evidence for this isn’t very strong.
High-fibre foods to avoid include fruits and vegetables. Stick with low-fibre foods which include white rice, pasta and bread, potatoes without the skins, cornmeal, eggs and lean white meat. Make sure you drink lots of water to replace the liquid your body is losing.
If you find you’re bloated or passing more wind than usual, there are certain foods you can try avoiding. These include beans, pulses, cruciferous vegetables (for example, cabbage, broccoli and cauliflower), onions, fizzy drinks and beer. Some people find that adding certain herbs or spices to their cooking, such as ginger, peppermint or dill, can help as well.
If you’re taking pain-relieving tablets, these can cause constipation (difficulty having a bowel movement). Try to drink lots of fluids – aim for about two litres (eight glasses) a day. If you don’t want to drink water, you could have other drinks such as squash with no added sugar, or decaffeinated tea and coffee. Or you could flavour your water, for example with cucumber or fresh mint. Some men find drinking warm or hot water a few times a day helps. And eat high-fibre foods such as wholemeal bread, porridge and fruits, including prunes in particular.
You should speak to you GP or doctor about managing your diet. They can refer you to a dietitian for expert advice, this is because it is important that you continue to eat a range of different food groups.
If you’re taking pain-relieving tablets, these can cause constipation (difficulty having a bowel movement). Try to drink lots of fluids – aim for about two litres (eight glasses) a day. If you don’t want to drink water, you could have other drinks such as squash with no added sugar, decaffeinated tea and coffee. Or you could flavour your water, for example with cucumber or fresh mint. Some men find drinking warm or hot water a few times a day helps. Try to eat high fibre foods such as wholemeal bread, porridge and fruits, in particular prunes.
Gentle exercise may also help with constipation. If things don’t improve, speak to your doctor. They may give you a medicine called a laxative to help empty your bowels.
Some treatments for prostate cancer can cause difficulty urinating (peeing). Making some changes to your lifestyle could help. Try to drink plenty of fluids – 1.5 to 2 litres (3 to 4 pints) a day. But cut down on fizzy drinks, alcohol and drinks that contain caffeine – like tea, coffee and cola – as these can irritate the bladder. And avoid drinking a lot late in the day to avoid having to get up in the night.
Try to be active and stay a healthy weight, and avoid constipation as this puts pressure on the pelvic floor muscles and bladder, making urinary problems worse. If you smoke, try to stop because coughing also puts pressure on the pelvic floor muscles.
For more information on ways to manage urinary problems, take a look at our interactive online guide to managing urinary problems.
Changes to your sex life
Lifestyle changes, such as staying a healthy weight and being physically active, can help improve your sex life. Hormone therapy, for example, can cause changes to your sex life, including problems getting an erection and loss of desire for sex (low libido). But regular exercise may help you to feel more desire for sex, improve your self-esteem, reduce anxiety and give you more energy.
Read more about sex and relationships. We also have lots of tips in our interactive online guide to sex and relationships.
Questions to ask your doctor or nurse
- Are there any foods or supplements I should avoid during my treatment?
- Are there any foods or supplements that might help with my side effects?
- Are there any complementary therapies I should avoid with my treatment?
- Are there any types of physical activity that would be particularly good for me?
- Are there any types of physical activity I should avoid?
- Are there any activity groups I can join?
- What other support is available?
Dealing with prostate cancer
Being diagnosed and living with prostate cancer can change how you feel about life. If you or your loved one is dealing with prostate cancer you may feel scared, stressed or even angry. There is no ‘right’ way to feel and everyone reacts differently.
Visit our wellbeing hub for information to help support you in looking after your emotional, mental, and physical wellbeing. If you are close to someone with prostate cancer, find out more about how you can support someone with prostate cancer and where to get more information.
Reviewers and references
- Jo Sansom, Macmillan Specialist Community Dietitian and Joint Service Lead
- Nicola Porter, Macmillan Oncology Dietitian, Royal Surrey NHS Foundation Trust, Guildford
- Dr Ruth Ashton, Lecturer in Exercise Physiology, University of Derby
- Our volunteers
- Our Specialist Nurses.
- World Cancer Research Fund. World Cancer Research Fund. Diet, nutrition, physical activity and prostate cancer. 2018.
- World Cancer Research Fund. Diet, nutrition, physical activity and prostate cancer. Anal Res Cancer Prev Surviv. 2014 Revised 2018;53.
- Allott EH, Masko EM, Freedland SJ. Obesity and Prostate Cancer: Weighing the Evidence. Eur Urol. 2013 May;63(5):800–9.
- Gerdtsson A, Poon JB, Thorek DL, Mucci LA, Evans MJ, Scardino P, et al. Anthropometric Measures at Multiple Times Throughout Life and Prostate Cancer Diagnosis, Metastasis, and Death. Eur Urol. 2015 Dec;68(6):1076–82.
- Rawla P. Epidemiology of Prostate Cancer. World J Oncol. 2019 Apr;10(2):63–89.
- Cao Y, Ma J. Body Mass Index, Prostate Cancer-Specific Mortality, and Biochemical Recurrence: a Systematic Review and Meta-analysis. Cancer Prev Res (Phila Pa). 2011 Jan 13;4(4):486–501.
- Hu M-B, Xu H, Bai P-D, Jiang H-W, Ding Q. Obesity has multifaceted impact on biochemical recurrence of prostate cancer: a dose-response meta-analysis of 36,927 patients. Med Oncol Northwood Lond Engl. 2014 Feb;31(2):829.
- Wang LS, Murphy CT, Ruth K, Zaorsky NG, Smaldone MC, Sobczak ML, et al. Impact of obesity on outcomes after definitive dose-escalated intensity-modulated radiotherapy for localized prostate cancer. Cancer. 2015 Sep 1;121(17):3010–7.
- Keto CJ, Aronson WJ, Terris MK, Presti JC, Kane CJ, Amling CL, et al. Obesity is associated with castration-resistant disease and metastasis in men treated with androgen deprivation therapy after radical prostatectomy: results from the SEARCH database. BJU Int. 2011;110(4):492–8.
- Bandini M, Gandaglia G, Briganti A. Obesity and prostate cancer. Curr Opin Urol. 2017 Sep;27(5):415–21.
- Wolin KY, Luly J, Sutcliffe S, Andriole GL, Kibel AS. Risk of Urinary Incontinence Following Prostatectomy: The Role of Physical Activity and Obesity. J Urol. 2010 Feb;183(2):629–33.
- Murphy R, Wassersug R, Dechman G. The role of exercise in managing the adverse effects of androgen deprivation therapy in men with prostate cancer. Phys Ther Rev. 2011 Aug 1;16(4):269–77.
- De Laet C, Kanis JA, Odén A, Johanson H, Johnell O, Delmas P, et al. Body mass index as a predictor of fracture risk: A meta-analysis. Osteoporos Int. 2005 Nov;16(11):1330–8.
- Compston J, Cooper A, Cooper C, Gittoes N, Gregson C, Harvey N, et al. UK clinical guideline for the prevention and treatment of osteoporosis. Arch Osteoporos [Internet]. 2017 [cited 2021 Mar 1];12(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5397452/
- Kim DK, Lee JY, Kim KJ, Hong N, Kim JW, Hah YS, et al. Effect of Androgen-Deprivation Therapy on Bone Mineral Density in Patients with Prostate Cancer: A Systematic Review and Meta-Analysis. J Clin Med [Internet]. 2019 Jan 18 [cited 2021 Mar 1];8(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352073/
- A M El Badri S, Salawu A, Brown JE. Bone Health in Men with Prostate Cancer: Review Article. Curr Osteoporos Rep. 2019;17(6):527–37.
- Oefelein MG, Ricchuiti V, Conrad W, Seftel A, Bodner D, Goldman H, et al. Skeletal fracture associated with androgen suppression induced osteoporosis: the clinical incidence and risk factors for patients with prostate cancer. J Urol. 2001;166(5):1724–8.
- Ryan CW, Huo D, Stallings JW, Davis RL, Beer TM, McWhorter LT. Lifestyle Factors and Duration of Androgen Deprivation Affect Bone Mineral Density of Patients with Prostate Cancer During First Year of Therapy. Urology. 2007 Jul;70(1):122–6.
- British Dietetic Association. Malnutrition food fact sheet. British Dietetic Association; 2015.
- Wild T, Rahbarnia A, Kellner M, Sobotka L, Eberlein T. Basics in nutrition and wound healing. Nutrition. 2010 Sep;26(9):862–6.
- National Institute for Health and Care Excellence. Obesity: identification, assessment and management. 2014.
- NHS Website. BMI calculator | Check your BMI [Internet]. nhs.uk. 2018 [cited 2021 Aug 26]. Available from: https://www.nhs.uk/live-well/healthy-weight/bmi-calculator/
- NHS. Why is my waist size important? [Internet]. nhs.uk. 2018 [cited 2021 Apr 1]. Available from: https://www.nhs.uk/common-health-questions/lifestyle/why-is-my-waist-size-important/
- National Institute for Clinical Excellence. BMI: preventing ill health and premature death in black, Asian and other minority ethnic groups. 2013.
- Mohamad H, McNeill G, Haseen F, N’Dow J, Craig LCA, Heys SD. The Effect of Dietary and Exercise Interventions on Body Weight in Prostate Cancer Patients: A Systematic Review. Nutr Cancer. 2015 Jan 2;67(1):43–60.
- Bishop A, witts S, Martin T. The role of nutrition in successful wound healing. J Community Nurs. 2018;44–50.
- Lin P-H, Aronson W, Freedland SJ. Nutrition, dietary interventions and prostate cancer: the latest evidence. BMC Med. 2015 Jan 8;13:3.
- Matsushita M, Fujita K, Nonomura N. Influence of Diet and Nutrition on Prostate Cancer. Int J Mol Sci [Internet]. 2020 Feb 20 [cited 2021 Mar 2];21(4). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073095/
- World Health Organisation. WHO guidelines on physical activity and sedentary behaviour. 2020.
- Davies NJ, Batehup L, Thomas R. The role of diet and physical activity in breast, colorectal, and prostate cancer survivorship: a review of the literature. Br J Cancer. 2011 Nov 8;105:S52–73.
- Richman EL, Kenfield SA, Stampfer MJ, Paciorek A, Carroll PR, Chan JM. Physical Activity after Diagnosis and Risk of Prostate Cancer Progression: Data from the Cancer of the Prostate Strategic Urologic Research Endeavor. Cancer Res. 2011 May 24;71(11):3889–95.
- Gardner JR, Livingston PM, Fraser SF. Effects of Exercise on Treatment-Related Adverse Effects for Patients With Prostate Cancer Receiving Androgen-Deprivation Therapy: A Systematic Review. J Clin Oncol. 2014 Feb 1;32(4):335–46.
- Bourke L, Smith D, Steed L, Hooper R, Carter A, Catto J, et al. Exercise for Men with Prostate Cancer: A Systematic Review and Meta-analysis. Eur Urol. 2016 Apr;69(4):693–703.
- Hart NH, Galvao DA. Exercise medicine for advanced prostate cancer. Curr Opin Support Palliat Care. 2017;11(3):247–57.
- World Health Organization. Physical activity [Internet]. [cited 2015 Feb 5]. Available from: http://www.who.int/topics/physical_activity/en/
- Baumann FT, Zopf EM, Bloch W. Clinical exercise interventions in prostate cancer patients: a systematic review of randomized controlled trials. Support Care Cancer. 2012;20(2):221–33.
- Keogh JWL, MacLeod RD. Body Composition, Physical Fitness, Functional Performance, Quality of Life, and Fatigue Benefits of Exercise for Prostate Cancer Patients: A Systematic Review. J Pain Symptom Manage. 2012 Jan;43(1):96–110.
- Keilani M, Hasenoehrl T, Baumann L, Ristl R, Schwarz M, Marhold M, et al. Effects of resistance exercise in prostate cancer patients: a meta-analysis. Support Care Cancer. 2017 Jun 10;
- Zdravkovic A, Hasenöhrl T, Palma S, Crevenna R. Effects of resistance exercise in prostate cancer patients. 2020;(132):452–63.
- Lopez P, Taaffe DR, Newton RU, Buffart LM, Galvão DA. What is the minimal dose for resistance exercise effectiveness in prostate cancer patients? Systematic review and meta-analysis on patient-reported outcomes. Prostate Cancer Prostatic Dis [Internet]. 2020 Nov 20 [cited 2021 Feb 25]; Available from: http://www.nature.com/articles/s41391-020-00301-4
- Moe EL, Chadd J, McDonagh M, Valtonen M, Horner-Johnson W, Eden KB, et al. Exercise Interventions for Prostate Cancer Survivors Receiving Hormone Therapy: Systematic Review. Transl J Am Coll Sports Med. 2017;2(1):1–9.
- Cormie P, Zopf EM. Exercise medicine for the management of androgen deprivation therapyrelated side effects in prostate cancer. Urol Oncol Semin Orig Investig. 2020;62–70.
- Discacciati A, Orsini N, Wolk A. Body mass index and incidence of localized and advanced prostate cancer--a dose-response meta-analysis of prospective studies. Ann Oncol. 2012 Jan 6;23(7):1665–71.
- Menichetti J, Villa S, Magnani T, Avuzzi B, Bosetti D, Marenghi C, et al. Lifestyle interventions to improve the quality of life of men with prostate cancer: A systematic review of randomized controlled trials. Crit Rev Oncol Hematol. 2016 Dec;108:13–22.
- Teleni L, Chan RJ, Chan A, Isenring EA, Vela I, Inder WJ, et al. Exercise improves quality of life in androgen deprivation therapy-treated prostate cancer: systematic review of randomised controlled trials. Endocr Relat Cancer. 2016 Jan 2;23(2):101–12.
- Newby TA, Graff JN, Ganzini LK, McDonagh MS. Interventions that may reduce depressive symptoms among prostate cancer patients: a systematic review and meta-analysis. Psychooncology. 2015 Dec;24(12):1686–93.
- Thorsen L, Courneya KS, Stevinson C, Fosså SD. A systematic review of physical activity in prostate cancer survivors: outcomes, prevalence, and determinants. Support Care Cancer. 2008 Feb 15;16(9):987–97.
- Zhao J, Stockwell T, Roemer A, Chikritzhs T. Is alcohol consumption a risk factor for prostate cancer? A systematic review and meta–analysis. BMC Cancer [Internet]. 2016 Dec [cited 2017 Jan 20];16(1). Available from: http://bmccancer.biomedcentral.com/articles/10.1186/s12885-016-2891-z
- Hong S, Khil H, Lee DH, Keum N, Giovannucci EL. Alcohol Consumption and the Risk of Prostate Cancer: A Dose-Response Meta-Analysis. Nutrients [Internet]. 2020 Jul 23 [cited 2021 Mar 2];12(8). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7468718/
- Bagnardi V, Rota M, Botteri E, Tramacere I, Islami F, Fedirko V, et al. Alcohol consumption and site-specific cancer risk: a comprehensive dose–response meta-analysis. Br J Cancer. 2015 Feb 3;112(3):580–93.
- Public Health England. The Public Health Burden of Alcohol and the Effectiveness and Cost-Effectiveness of Alcohol Control Policies. An evidence review. 2016 Last updated 2018;
- NHS Website. The risks of drinking too much [Internet]. nhs.uk. 2018 [cited 2021 Mar 2]. Available from: https://www.nhs.uk/live-well/alcohol-support/the-risks-of-drinking-too-much/
- Meldrum DR, Gambone JC, Morris MA, Ignarro LJ. A multifaceted approach to maximize erectile function and vascular health. Fertil Steril. 2010 Dec;94(7):2514–20.
- NHS. Alcohol units [Internet]. nhs.uk. 2018 [cited 2021 Mar 3]. Available from: https://www.nhs.uk/live-well/alcohol-support/calculating-alcohol-units/
- World Health Organisation. Mortality attributable to tobacco [Internet]. WHO; 2012. Available from: http://www.who.int/tobacco/publications/surveillance/fact_sheet_mortality_report.pdf?ua=1
- World Health Organisation. Tobacco [Internet]. WHO. 2020 [cited 2021 Mar 3]. Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco
- Zu K, Giovannucci E. Smoking and aggressive prostate cancer: a review of the epidemiologic evidence. Cancer Causes Control. 2009 Jun 27;20(10):1799–810.
- Kenfield SA, Stampfer MJ, Chan JM, Giovannucci E. Smoking and prostate cancer survival and recurrence. JAMA. 2011;305(24):2548.
- Huncharek M, Haddock KS, Reid R, Kupelnick B. Smoking as a risk factor for prostate cancer: a meta-analysis of 24 prospective cohort studies. J Inf. 2010;100(4).
- Moreira DM, Aronson WJ, Terris MK, Kane CJ, Amling CL, Cooperberg MR, et al. Cigarette smoking is associated with an increased risk of biochemical disease recurrence, metastasis, castration-resistant prostate cancer, and mortality after radical prostatectomy: Results from the SEARCH database. Cancer. 2014 Jan 15;120(2):197–204.
- Rohrmann S, Linseisen J, Allen N, Bueno-de-Mesquita HB, Johnsen NF, Tjønneland A, et al. Smoking and the risk of prostate cancer in the European Prospective Investigation into Cancer and Nutrition. Br J Cancer. 2013;108(3):708–14.
- Islami F, Moreira DM, Boffetta P, Freedland SJ. A Systematic Review and Meta-analysis of Tobacco Use and Prostate Cancer Mortality and Incidence in Prospective Cohort Studies. Eur Urol. 2014 Dec;66(6):1054–64.
- Brookman-May SD, Campi R, Henríquez JDS, Klatte T, Langenhuijsen JF, Brausi M, et al. Latest Evidence on the Impact of Smoking, Sports, and Sexual Activity as Modifiable Lifestyle Risk Factors for Prostate Cancer Incidence, Recurrence, and Progression: A Systematic Review of the Literature by the European Association of Urology Section of Oncological Urology (ESOU). Eur Urol Focus. 2019 Sep;5(5):756–87.
- Foerster B, Pozo C, Abufaraj M, Mari A, Kimura S, D’Andrea D, et al. Association of Smoking Status With Recurrence, Metastasis, and Mortality Among Patients With Localized Prostate Cancer Undergoing Prostatectomy or Radiotherapy: A Systematic Review and Meta-analysis. JAMA Oncol [Internet]. 2018 May 24 [cited 2018 May 29]; Available from: http://oncology.jamanetwork.com/article.aspx?doi=10.1001/jamaoncol.2018.1071
- Steinberger E, Kollmeier M, McBride S, Novak C, Pei X, Zelefsky MJ. Cigarette smoking during external beam radiation therapy for prostate cancer is associated with an increased risk of prostate cancer-specific mortality and treatment-related toxicity. BJU Int. 2015 Oct;116(4):596–603.
- Ganesh V, Zaki P, Chan S, Turner A, Bristow B, Di Prospero L, et al. Adverse Health Outcomes Associated with Postdiagnosis Smoking in Prostate Cancer Patients: A Literature Review. J Med Imaging Radiat Sci. 2017 Mar;48(1):103–10.
- Solanki AA, Liauw SL. Tobacco use and external beam radiation therapy for prostate cancer: Influence on biochemical control and late toxicity. Cancer. 2013;n/a-n/a.
- Abrahamsen B, Brask-Lindemann D, Rubin KH, Schwarz P. A review of lifestyle, smoking and other modifiable risk factors for osteoporotic fractures. BoneKEy Rep. 2014 Sep 3;3:574.
- National Institute for Clinical Excellence. Preventing excess weight gain. 2015.
- NHS. Eat well [Internet]. nhs.uk. 2018 [cited 2021 Mar 10]. Available from: https://www.nhs.uk/live-well/eat-well/
- World Health Organization (Bazzano LA). Dietary intake of fruit and vegetables and risk of diabetes mellitus and cardiovascular diseases. 2005.
- World Health Organization (Tohill BC). Dietary intake of fruit and vegetables and management of body weight. 2005.
- World Health Organisation. Healthy Diet. 2018.
- NHS. The Eatwell Guide [Internet]. nhs.uk. 2019 [cited 2021 Mar 11]. Available from: https://www.nhs.uk/live-well/eat-well/the-eatwell-guide/
- NHS. 5 A Day portion sizes [Internet]. nhs.uk. 2018 [cited 2021 Mar 11]. Available from: https://www.nhs.uk/live-well/eat-well/5-a-day-portion-sizes/
- Muscaritoli M, Arends J, Bachmann P, Baracos V, Barthelemy N, Bertz H, et al. ESPEN practical guideline: Clinical Nutrition in cancer. Clin Nutr. 2021 May;40(5):2898–913.
- World Cancer Research Fund. Recommendations and public health and policy implications. 2018.
- World Cancer Research Fund. Continuous Update Project Expert Report 2018. Meat, fish and dairy products and the risk of cancer. World Cancer Research Fund /Americal Institute for Cancer Research; 2018 p. 80. (Diet, Nutrition, Physical Activity and Cancer: a Global Perspective.).
- NHS. Vitamins and minerals - Calcium [Internet]. nhs.uk. 2017 [cited 2021 Mar 16]. Available from: https://www.nhs.uk/conditions/vitamins-and-minerals/calcium/
- Wilson KM, Shui IM, Mucci LA, Giovannucci E. Calcium and phosphorus intake and prostate cancer risk: a 24-y follow-up study. Am J Clin Nutr. 2015 Jan;101(1):173–83.
- Rahmati S, Azami M, Delpisheh A, Ahmadi MRH, Sayehmiri K. Total Calcium (Dietary and Supplementary) Intake and Prostate Cancer: a Systematic Review and Meta-Analysis. Asian Pac J Cancer Prev APJCP. 2018;19(6):1449–56.
- Downer MK, Batista JL, Mucci LA, Stampfer MJ, Epstein MM, Håkansson N, et al. Dairy intake in relation to prostate cancer survival. Int J Cancer. 2017 May 1;140(9):2060–9.
- Dragomir M, Mullie P, Bota M, Koechlin A, Macacu A, Pizot C, et al. Nutrition and prostate cancer: review of the evidence. J Health Inequalities. 2019;5(2):155–73.
- Grossmann M, Hamilton EJ, Gilfillan C, Bolton D, Joon DL, Zajac JD. Bone and metabolic health in patients with non-metastatic prostate cancer who are receiving androgen deprivation therapy. Med J Aust. 2011;194(6):301–6.
- Bargiota A, Oeconomou A, Zachos I, Samarinas M, Pisters L, Tzortzis V. Adverse effects of androgen deprivation therapy in patients with prostate cancer: Focus on muscle and bone health. 2020;9.
- Cheung AS, Zajac JD, Grossmann M. Muscle and bone effects of androgen deprivation therapy: current and emerging therapies. Endocr Relat Cancer. 2014 Sep 17;21(5):R371–94.
- Adler RA. Management of osteoporosis in men on androgen deprivation therapy. Maturitas. 2011 Feb;68(2):143–7.
- Choung K. Managment of Advanced Prostate Cancer. 2018.
- Lu W, Chen H, Niu Y, Wu H, Xia D, Wu Y. Dairy products intake and cancer mortality risk: a meta-analysis of 11 population-based cohort studies. Nutr J [Internet]. 2016 Dec [cited 2017 Oct 30];15(1). Available from: http://nutritionj.biomedcentral.com/articles/10.1186/s12937-016-0210-9
- López-Plaza B, Bermejo LM, Santurino C, Cavero-Redondo I, Álvarez-Bueno C, Gómez-Candela C. Milk and Dairy Product Consumption and Prostate Cancer Risk and Mortality: An Overview of Systematic Reviews and Meta-analyses. Adv Nutr. 2019 May;10(Suppl 2):S212–23.
- Planas J, Morote J, Orsola A, Salvador C, Trilla E, Cecchini L, et al. The relationship between daily calcium intake and bone mineral density in men with prostate cancer. BJU Int. 2007 Apr;99(4):812–6.
- British Dietetic Association. Food Fact Sheet: Fat facts. 2018.
- NHS. How to eat less saturated fat - NHS [Internet]. nhs.uk. 2018 [cited 2021 Mar 31]. Available from: https://www.nhs.uk/live-well/eat-well/eat-less-saturated-fat/
- Richman EL, Kenfield SA, Chavarro JE, Stampfer MJ, Giovannucci EL, Willett WC, et al. Fat Intake After Diagnosis and Risk of Lethal Prostate Cancer and All-Cause Mortality. JAMA Intern Med. 2013 Jul 22;173(14):1318.
- Rinninella E, Mele MC, Cintoni M, Raoul P, Ianiro G, Salerno L, et al. The Facts about Food after Cancer Diagnosis: A Systematic Review of Prospective Cohort Studies. Nutrients [Internet]. 2020 Aug 5 [cited 2021 Mar 31];12(8). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7468771/
- Gathirua-Mwangi WG, Zhang J. Dietary factors and risk for advanced prostate cancer: Eur J Cancer Prev. 2014 Mar;23(2):96–109.
- Pelser C, Mondul AM, Hollenbeck AR, Park Y. Dietary fat, fatty acids, and risk of prostate cancer in the NIH-AARP diet and health study. Cancer Epidemiol Biomarkers Prev. 2013;22(4):697–707.
- Van Blarigan EL, Kenfield SA, Yang M, Sesso HD, Ma J, Stampfer MJ, et al. Fat intake after prostate cancer diagnosis and mortality in the Physicians’ Health Study. Cancer Causes Control. 2015 Aug;26(8):1117–26.
- Peisch SF, Van Blarigan EL, Chan JM, Stampfer MJ, Kenfield SA. Prostate cancer progression and mortality: a review of diet and lifestyle factors. World J Urol. 2017 Jun;35(6):867–74.
- Xu C, Han F-F, Zeng X-T, Liu T-Z, Li S, Gao Z-Y. Fat Intake Is Not Linked to Prostate Cancer: A Systematic Review and Dose-Response Meta-Analysis. Schooling CM, editor. PLOS ONE. 2015 Jul 17;10(7):e0131747.
- Baguley BJ, Bolam KA, Wright ORL, Skinner TL. The Effect of Nutrition Therapy and Exercise on Cancer-Related Fatigue and Quality of Life in Men with Prostate Cancer: A Systematic Review. Nutrients [Internet]. 2017 Sep 12 [cited 2017 Oct 27];9(9). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5622763/
- Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W, Galvão DA, Pinto BM, et al. American College of Sports Medicine Roundtable on Exercise Guidelines for Cancer Survivors: Med Sci Sports Exerc. 2010 Jul;42(7):1409–26.
- NHS. Sitting exercises [Internet]. nhs.uk. 2018 [cited 2021 Apr 1]. Available from: https://www.nhs.uk/live-well/exercise/sitting-exercises/
- The Christie NHS Foundation Trust. Exercising during and after treatment for cancer. A guide for patients and their carers [Internet]. 2020. Available from: https://www.christie.nhs.uk/media/6463/540.pdf
- NHS. Walking for health [Internet]. nhs.uk. 2018 [cited 2021 Apr 1]. Available from: https://www.nhs.uk/live-well/exercise/walking-for-health/
- Bourke L, Homer KE, Thaha MA, Steed L, Rosario DJ, Robb KA, et al. Interventions for promoting habitual exercise in people living with and beyond cancer. Cochrane Database Syst Rev. 2013 Sep 24;
- Rendeiro JA, Rodrigues CAMP, de Barros Rocha L, Rocha RSB, da Silva ML, da Costa Cunha K. Physical exercise and quality of life in patients with prostate cancer: systematic review and meta-analysis. Support Care Cancer [Internet]. 2021 Mar 2 [cited 2021 Mar 18]; Available from: http://link.springer.com/10.1007/s00520-021-06095-y
- Saylor PJ, Smith MR. Metabolic Complications of Androgen Deprivation Therapy for Prostate Cancer. J Urol. 2013 Jan;189(1):S34–44.
- Ahmadi H, Daneshmand S. Androgen deprivation therapy for prostate cancer: long-term safety and patient outcomes. Patient Relat Outcome Meas. 2014 Jul;63.
- Zhao J, Zhu S, Sun L, Meng F, Zhao L, Zhao Y, et al. Androgen Deprivation Therapy for Prostate Cancer Is Associated with Cardiovascular Morbidity and Mortality: A Meta-Analysis of Population-Based Observational Studies. Kyprianou N, editor. PLoS ONE. 2014 Sep 29;9(9):e107516.
- Mottet N, Cornford P, Van den Bergh, Briers E, Santis MD, Gillessen S, et al. EAU Guidelines on Prostate Cancer. European Association of Urology; 2021.
- Galvão DA, Taaffe DR, Spry N, Joseph D, Newton RU. Cardiovascular and metabolic complications during androgen deprivation: exercise as a potential countermeasure. Prostate Cancer Prostatic Dis. 2009;12(3):233–40.
- Eastham JA. Bone health in men receiving androgen deprivation therapy for prostate cancer. J Urol. 2007 Jan;177(1):17–24.
- Allan CA, Collins VR, Frydenberg M, McLachlan RI, Matthiesson KL. Androgen deprivation therapy complications. Endocr Relat Cancer. 2014 Jul 22;21(4):T119–29.
- Ahmadi H, Daneshmand S. Androgen deprivation therapy: evidence-based management of side effects. BJU Int. 2013 Apr;111(4):543–8.
- Shore ND, Abrahamsson P-A, Anderson J, Crawford ED, Lange P. New considerations for ADT in advanced prostate cancer and the emerging role of GnRH antagonists. Prostate Cancer Prostatic Dis. 2013;16(1):7–15.
- Tombal B. A Holistic Approach to Androgen Deprivation Therapy: Treating the Cancer without Hurting the Patient. Urol Int. 2009;83(4):373–8.
- Cormie P, Galvão DA, Spry N, Joseph D, Chee R, Taaffe DR, et al. Can supervised exercise prevent treatment toxicity in patients with prostate cancer initiating androgen-deprivation therapy: a randomised controlled trial. BJU Int. 2015;115(2):256–66.
- Winters-Stone KM, Dobek JC, Bennett JA, Maddalozzo GF, Ryan CW, Beer TM. Skeletal Response to Resistance and Impact Training in Prostate Cancer Survivors: Med Sci Sports Exerc. 2014 Aug;46(8):1482–8.
- Ebeling PR. Osteoporosis in men. N Engl J Med. 2008;358:1474–82.
- Bolam KA, Galvão DA, Spry N, Newton RU, Taaffe DR. AST-induced bone loss in men with prostate cancer: exercise as a potential countermeasure. Prostate Cancer Prostatic Dis. 2012 Jun 26;15(4):329–38.
- Haseen F, Murray LJ, Cardwell CR, O’Sullivan JM, Cantwell MM. The effect of androgen deprivation therapy on body composition in men with prostate cancer: Systematic review and meta-analysis. J Cancer Surviv. 2010 Jun 1;4(2):128–39.
- Stene GB, Helbostad JL, Balstad TR, Riphagen II, Kaasa S, Oldervoll LM. Effect of physical exercise on muscle mass and strength in cancer patients during treatment—A systematic review. Crit Rev Oncol Hematol. 2013 Dec;88(3):573–93.
- Winters-Stone KM, Dobek JC, Bennett JA, Dieckmann NF, Maddalozzo GF, Ryan CW, et al. Resistance Training Reduces Disability in Prostate Cancer Survivors on Androgen Deprivation Therapy: Evidence From a Randomized Controlled Trial. Arch Phys Med Rehabil. 2015 Jan;96(1):7–14.
- Mottet N, Bellmunt J, Briers E, Bolla M, Bourke L, Cornford P, et al. EAU-ESTRO-ESUR-SIOG Guidelines on prostate cancer. European Association of Urology; 2017.
- Iversen P, Karup C, Van der Meulen E, Tanko LB, Huhtaniemi I. Hot flushes in prostatic cancer patients during androgen-deprivation therapy with monthly dose of degarelix or leuprolide. Prostate Cancer Prostatic Dis. 2011;14(2):184–90.
- National Institute for Health and Care Excellence. Prostate cancer: diagnosis and management. NICE guideline 131. 2019.
- Morrow PKH, Mattair DN, Hortobagyi GN. Hot Flashes: A Review of Pathophysiology and Treatment Modalities. The Oncologist. 2011 Nov 1;16(11):1658–64.
- Kaplan M, Mahon S. Hot Flash Management: Update of the Evidence for Patients With Cancer. Clin J Oncol Nurs. 2014 Dec 1;18(s6):59–67.
- Medicines and Healthcare products Regulatory Agency (MHRA). Black cohosh: UK Public Assessment Report.
- Storey DJ, McLaren DB, Atkinson MA, Butcher I, Frew LC, Smyth JF, et al. Clinically relevant fatigue in men with hormone-sensitive prostate cancer on long-term androgen deprivation therapy. Ann Oncol. 2012;23(6):1542–9.
- Larkin D, Lopez V, Aromataris E. Managing cancer-related fatigue in men with prostate cancer: A systematic review of non-pharmacological interventions. Int J Nurs Pract. 2014 Oct;20(5):549–60.
- Cramp F, Byron-Daniel J. Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev [Internet]. 2012 Nov 14; Available from: http://doi.wiley.com/10.1002/14651858.CD006145.pub3
- National Institute for Health and Care Excellence. Prostate Cancer: diagnosis and treatment. Full guideline 175. 2014.
- American Cancer Society. Physical Activity and the Cancer Patient [Internet]. American Cancer Society. 2014 [cited 2015 Jan 8]. Available from: http://www.cancer.org/treatment/survivorshipduringandaftertreatment/stayingactive/physical-activity-and-the-cancer-patient
- Mishra SI, Scherer RW, Geigle PM, Berlanstein DR, Topaloglu O, Gotay CC, et al. Exercise interventions on health-related quality of life for cancer survivors. Cochrane Database Syst Rev. 2012;8:CD007566.
- Chipperfield K, Brooker J, Fletcher J, Burney S. The impact of physical activity on psychosocial outcomes in men receiving androgen deprivation therapy for prostate cancer: A systematic review. Health Psychol. 2014;33(11):1288–97.
- Forbes CC, Swan F, Greenley SL, Lind M, Johnson MJ. Physical activity and nutrition interventions for older adults with cancer: a systematic review. J Cancer Surviv. 2020;14(5):689–711.
- Goyal M, Singh S, Sibinga EMS, Gould NF, Rowland-Seymour A, Sharma R, et al. Meditation programs for psychological stress and well-being: a systematic review and meta-analysis. JAMA Intern Med. 2014 Mar;174(3):357–68.
- Chen KW, Berger CC, Manheimer E, Forde D, Magidson J, Dachman L, et al. Meditative therapies for reducing anxiety: a systematic review and meta-analysis of randomized controlled trials. Depress Anxiety. 2012 Jul;29(7):545–62.
- Budäus L, Bolla M, Bossi A, Cozzarini C, Crook J, Widmark A, et al. Functional outcomes and complications following radiation therapy for prostate cancer: a critical analysis of the literature. Eur Urol. 2012;61(1):112–27.
- Lardas M, Liew M, van den Bergh RC, De Santis M, Bellmunt J, Van den Broeck T, et al. Quality of Life Outcomes after Primary Treatment for Clinically Localised Prostate Cancer: A Systematic Review. Eur Urol. 2017 Dec;72(6):869–85.
- Henson CC, Burden S, Davidson SE, Lal S. Nutritional interventions for reducing gastrointestinal toxicity in adults undergoing radical pelvic radiotherapy. Cochrane Database Syst Rev [Internet]. 2013 [cited 2014 Nov 18];(11). Available from: http://doi.wiley.com/10.1002/14651858.CD009896.pub2
- Wedlake LJ, Shaw C, Whelan K, Andreyev HJN. Systematic review: the efficacy of nutritional interventions to counteract acute gastrointestinal toxicity during therapeutic pelvic radiotherapy. Aliment Pharmacol Ther. 2013 Jun;37(11):1046–56.
- Hechtman LM. Clinical Naturopathic Medicine [Internet]. Harcourt Publishers Group (Australia); 2014 [cited 2015 Jul 21]. 1610 p. Available from: http://www.bookdepository.com/Clinical-Naturopathic-Medicine-Leah-Hechtman/9780729541923
- Deutsch J, Levitt J, Hass D. Complementary and Alternative Medicine for Functional Gastrointestinal Disorders. Am J Gastroenterol. 2020;115(3):350–64.
- White ID, Wilson J, Aslet P, Baxter AB, Birtle A, Challacombe B, et al. Development of UK guidance on the management of erectile dysfunction resulting from radical radiotherapy and androgen deprivation therapy for prostate cancer. Int J Clin Pract. 2015 Jan;69(1):106–23.
- Meldrum DR, Gambone JC, Morris MA, Esposito K, Giugliano D, Ignarro LJ. Lifestyle and metabolic approaches to maximizing erectile and vascular health. Int J Impot Res. 2012 Apr;24(2):61–8.
- Nguyen D-D, Berlin A, Matthew AG, Perlis N, Elterman DS. Sexual function and rehabilitation after radiation therapy for prostate cancer: a review. Int J Impot Res [Internet]. 2021 Jan 6 [cited 2021 Mar 18]; Available from: http://www.nature.com/articles/s41443-020-00389-1
- Wassersug RJ. Maintaining intimacy for prostate cancer patients on androgen deprivation therapy: Curr Opin Support Palliat Care. 2016 Mar;10(1):55–65.
- Elliott S, Latini DM, Walker LM, Wassersug R, Robinson JW. Androgen Deprivation Therapy for Prostate Cancer: Recommendations to Improve Patient and Partner Quality of Life: Improving Life on ADT. J Sex Med. 2010 Sep;7(9):2996–3010.
- Hamilton K, Chambers SK, Legg M, Oliffe JL, Cormie P. Sexuality and exercise in men undergoing androgen deprivation therapy for prostate cancer. Support Care Cancer. 2015 Jan;23(1):133–42.
- Mardani A, Razi SP, Mazaheri R, Haghani S, Vaismoradi M. Effect of the exercise programme on the quality of life of prostate cancer survivors: A randomized controlled trial. Int J Nurs Pract. 2020;12883.