Abstract
Purpose: To examine the effects and moderators of exercise effects on cardiometabolic outcomes in men with prostate cancer previously or currently undergoing androgen deprivation therapy (ADT). Results: Seven trials including 560 patients were examined. Exercise resulted in significant effects on whole-body and regional fat mass (P ≤ 0.001). For whole-body fat mass, significant exercise effects were observed in patients who were unmarried (−1.4 kg, P < 0.05) and who presented with higher fat mass levels (−1.0 kg, P < 0.05). For diastolic blood pressure and low-density lipoprotein (LDL), younger (−4.7 mmHg, P < 0.05) and older patients (−0.2 mmol.l-1, P < 0.10) achieved greater effects, respectively. Regarding high-density lipoprotein (HDL), patients undertaking ADT + prostatectomy + radiotherapy derived significant exercise effects (0.3 mmol.l-1, P < 0.05). Conclusions: Exercise effectively reduces fat mass across subgroups of men undergoing or following ADT with different characteristics. For diastolic blood pressure, HDL and LDL, groups based on age and treatment history could be specifically targeted with exercise medicine.
RAS ID
58206
Document Type
Journal Article
Date of Publication
6-1-2023
Volume
186
Funding Information
National Health and Medical Research Council Centre of Research Excellence (CRE) in Prostate Cancer Survivorship Scholarship and Prostate Cancer Survivorship
School
School of Medical and Health Sciences / Exercise Medicine Research Institute
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Publisher
Elsevier
Recommended Citation
Lopez, P., Newton, R. U., Taaffe, D. R., Winters-Stone, K., Buffart, L. M., & Galvão, D. A. (2023). Effects and moderators of exercise medicine on cardiometabolic outcomes in men with prostate cancer previously or currently undergoing androgen deprivation therapy: An individual patient data meta-analysis. DOI: https://doi.org/10.1016/j.critrevonc.2023.103995
Comments
Lopez, P., Newton, R. U., Taaffe, D. R., Winters-Stone, K., Buffart, L. M., & Galvão, D. A. (2023). Effects and moderators of exercise medicine on cardiometabolic outcomes in men with prostate cancer previously or currently undergoing androgen deprivation therapy: An individual patient data meta-analysis. Critical Reviews in Oncology/Hematology, 186, Article 103995. https://doi.org/10.1016/j.critrevonc.2023.103995