Significant between-group differences were also seen favouring the exercise group for cardiovascular fitness ( peak oxygen consumption 1.1 mL/kg/min , P = 0.004 ) , muscular strength ( 4.0-25 .9 kg , P 0.026 ) , lower body function ( -1.1 s , P < 0.001 ) , total cholesterol : high-density lipoprotein-cholesterol ratio ( -0.52 , P = 0.028 ) , sexual function ( 15.2 , P = 0.028 ) , fatigue ( 3.1 , P = 0.042 ) , psychological distress ( -2.2 , P = 0.045 ) , social functioning ( 3.8 , P = 0.015 ) and mental health ( 3.6-3 .8 , P 0.022 ) .