Literature DB >> 12412167

Low bone density and high percentage of body fat among men who were treated with androgen deprivation therapy for prostate carcinoma.

Zhao Chen1, Michael Maricic, Paul Nguyen, Frederick R Ahmann, Roberta Bruhn, Bruce L Dalkin.   

Abstract

BACKGROUND: Men with prostate carcinoma who are treated with androgen deprivation therapy (ADT) are reported to be at an increased risk of bone loss and weight changes due to the sudden disruption of hormonal levels. In the current case-control study, the authors examined the prevalence and magnitude of low bone density and obesity among men with prostate carcinoma who were treated with ADT.
METHODS: Sixty-two men with prostate carcinoma who had been receiving ADT for 1-5 years were included as cases. Healthy men (n = 47) with a prostate specific antigen level < 4.0 ng/mL were recruited as controls. Body composition and bone mineral density (BMD) were measured using dual-energy X-ray absorptiometry. The average age was 74.3 years for the cases and 72.8 years for the controls.
RESULTS: The results of the current study demonstrate that prostate carcinoma cases had significantly higher body weight (86.5 kg vs. 80.6 kg), a higher percentage of body fat (30% vs. 26%), and a lower total body BMD (1.12 mg/cm(2) vs. 1.17mg/ cm(2)) compared with controls (P < 0.05). Cases were more likely to be obese (27.4% vs 43%) and have low BMD at trochanter (32.3% vs. 10.6%), intertrochanter (48.4% vs. 29.8%), and total hip measurements (50.0% vs. 25.3%).
CONCLUSIONS: The results of the current study indicate that men with prostate carcinoma who are treated with ADT have a significantly increased risk of low bone density and obesity. Copyright 2002 American Cancer Society.

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Year:  2002        PMID: 12412167     DOI: 10.1002/cncr.10967

Source DB:  PubMed          Journal:  Cancer        ISSN: 0008-543X            Impact factor:   6.860


  28 in total

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4.  Age and androgen-deprivation therapy on exercise outcomes in men with prostate cancer.

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Review 6.  Aging and hormones of the hypothalamo-pituitary axis: gonadotropic axis in men and somatotropic axes in men and women.

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Review 7.  A systematic review and meta-analysis of bone metabolism in prostate adenocarcinoma.

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8.  A randomised controlled trial to evaluate the efficacy of a 6 month dietary and physical activity intervention for prostate cancer patients receiving androgen deprivation therapy.

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9.  Body composition changes during androgen deprivation therapy for prostate cancer: a 2-year prospective study.

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Review 10.  The effect of androgen deprivation therapy on body composition in men with prostate cancer: systematic review and meta-analysis.

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