Physical activity is one potential strategy for ameliorating quality of life in all phases of cancer and its treatment [4]. Increasing evidence indicates a role for physical activity in improving several aspects of physical and psychological well-being that may contribute to quality of life in cancer patients, including muscle strength, functional capacity, mood and self-esteem[5]. Not only does physical activity have proven benefits in terms of physical performance and fatigue in cancer survivors, it may improve the capacity for basic activities of daily living such that functional independence can be maintained as long as possible[6]. Although this has been demonstrated for early stage cancer survivors, there is limited evidence for the use of physical activity in the palliation of patients with actively progressive, advanced incurable cancer[7]. A few studies of exercise in advanced metastatic cancer patients have demonstrated benefits in quality of life outcomes, however small sample sizes have limited their generalizability to the larger end-stage cancer population[8-12]. There exists a critical need to more specifically identify exercise programmes targeted to advanced cancer patients' needs, interests and preferences[13].