Discover how resistance and weight-bearing exercise can help men on androgen deprivation therapy (ADT) reduce fatigue, build strength, protect bone health, and improve quality of life. Learn why working with a men’s health physiotherapist is essential for safe, effective results.
Why Exercise Matters During ADT
Androgen Deprivation Therapy (ADT) or hormone therapy is a highly effective treatment for prostate cancer. It works by reducing testosterone levels, slowing cancer growth and progression.
But while it plays a vital role in treatment, ADT also comes with side effects such as fatigue, muscle loss, bone thinning, and weight gain – all of which can significantly impact day-to-day life.
The good news is that exercise is one of the most powerful tools to combat these effects, and the right program can help men maintain strength, energy, and confidence throughout their treatment.
1. Build and Maintain Muscle Strength
ADT reduces testosterone, which can lead to muscle atrophy and weakness. Without resistance training, men can lose up to 10% of muscle mass within the first year of treatment.
Resistance training (weights, bands, or bodyweight exercises) helps to:
-
Prevent muscle loss and improve tone
-
Enhance joint stability and balance
-
Increase strength and function for everyday tasks
-
Support energy and metabolism
Even two guided sessions per week can dramatically slow muscle loss and improve fatigue resistance.
2. Protect Bone Density and Prevent Fractures
Lower testosterone also means weaker bones. Over time, ADT can lead to osteopenia or osteoporosis, increasing the risk of fractures.
Weight-bearing exercises – such as small jumping exercises, step-ups, and brisk walking – stimulate bone growth and maintain density.
Research shows that men who perform consistent weight-bearing training can reduce bone loss, significantly lowering the risk of fractures.
3. Combat Fatigue and Improve Quality of Life
Fatigue is one of the most common and distressing side effects of ADT. Many men describe it as a deep, persistent tiredness that doesn’t improve with rest.
While it may seem counterintuitive, the most effective way to reduce cancer-related fatigue is through regular, structured exercise – especially when supervised by a physiotherapist familiar with prostate cancer recovery.
Here’s how resistance and weight-bearing exercise helps combat fatigue:
-
Boosts mitochondrial function: helping muscles and tissues use energy more efficiently
-
Improves circulation and oxygenation: reducing sluggishness and mental fog
-
Releases endorphins: improving motivation, focus, and mood
-
Restores confidence: helping you feel in control of your body again
Patients who complete structured exercise programs during ADT often report up to a 40% reduction in fatigue, along with better sleep and mood.
Why You Should Work with a Men’s Health Physiotherapist
Exercise during ADT isn’t just about moving more – it’s about moving safely and strategically.
A Men’s Health Physiotherapist can create an evidence-based, personalised plan that adapts to your energy levels, bone density, and treatment side effects.
At our clinic, we:
✅ Conduct baseline strength, posture, and fatigue assessments
✅ Design safe resistance and aerobic programs for your fitness level
✅ Monitor progress and prevent injury or overtraining
✅ Integrate fatigue management, breathing, and recovery techniques
✅ Liaise with your oncologist and urologist for coordinated care
This ensures every session works for your recovery, not against it.
Ready to Take the Next Step?
If you’re currently undergoing ADT or preparing to start hormone therapy, our team can help you safely regain your strength and energy. We specialise in exercise prescription for men with prostate cancer, combining science-backed methods with practical, real-world support.
Exercise isn’t just safe during prostate cancer treatment – it’s one of the most effective forms of medicine.
Book your assessment today to begin your personalised ADT exercise program.