Androgen-deprivation therapy and metabolic syndrome in men with prostate cancer.

Journal Article (Journal Article)

Purpose/objectives

To examine the trajectory of changes in body composition and metabolic profile in men who receive androgen-deprivation therapy (ADT) for prostate cancer.

Design

Prospective longitudinal design with repeated measures.

Setting

Urban medical center in the southwestern United States.

Sample

55 men starting radiation therapy for prostate cancer.

Methods

Changes in the parameters of metabolic syndrome were estimated with ADT (n=31) and non-ADT (n=24) groups by repeated-measures analysis of variance implemented by general linear mixed-effects models. Models included interactions between groups and follow-up time to test differences between the groups.

Main research variables

Body composition and metabolic variables.

Findings

The ADT group demonstrated a transient increase in waist circumference at the nine-month time point and significant changes in measures of insulin resistance were noted at the three month point. Values for diastolic and systolic blood pressure, plasma glucose, high-density lipoprotein, and triglycerides were not altered for either group. Differences in metabolic variables or measures of body composition did not differ significantly between the groups.

Conclusions

The findings demonstrate the development of insulin resistance in men receiving ADT as early as three months after starting ADT.

Implications for nursing

Addressing survivorship concerns can lead to the development of nursing interventions designed to reduce adverse effects associated with ADT.

Full Text

Duke Authors

Cited Authors

  • Harrington, JM; Schwenke, DC; Epstein, DR; Bailey, DE

Published Date

  • January 2014

Published In

Volume / Issue

  • 41 / 1

Start / End Page

  • 21 - 29

PubMed ID

  • 24368236

Electronic International Standard Serial Number (EISSN)

  • 1538-0688

International Standard Serial Number (ISSN)

  • 0190-535X

Digital Object Identifier (DOI)

  • 10.1188/14.onf.21-29

Language

  • eng