Metabolic changes in patients with prostate cancer with androgen deprivation therapy

Prostate cancer is the most common type of cancer among men. Androgen deprivation therapy (ADT) is the most effective treatment for this disease. The cornerstone of prostate cancer treatment is the inhibition of testosterone production, which interrupts testosterone-induced growth of the prostate tu...

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Autores principales: Maxim N. Peshkov, Galina P. Peshkova, Igor V. Reshetov
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RU
Publicado: Endocrinology Research Centre 2020
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spelling oai:doaj.org-article:3884afa15db648edbc942fa54a5072482021-11-14T09:00:23ZMetabolic changes in patients with prostate cancer with androgen deprivation therapy2072-03512072-037810.14341/DM10343https://doaj.org/article/3884afa15db648edbc942fa54a5072482020-06-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/10343https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Prostate cancer is the most common type of cancer among men. Androgen deprivation therapy (ADT) is the most effective treatment for this disease. The cornerstone of prostate cancer treatment is the inhibition of testosterone production, which interrupts testosterone-induced growth of the prostate tumour. A sharp decrease in testosterone, however, has several undesirable effects on the metabolic profile and bone metabolism and can also lead to fatigue, loss of libido, gynecomastia and anaemia, provoke vasomotor hyperaemia and generally affect the quality of life. To increase the good (long-term) survival of patients with prostate cancer, studying the side effects associated with treatment is important, and therefore, in every clinical situation, the benefits of ADT must be compared with the side effects associated with the treatment. This article focuses on the described metabolic complications of ADT, including obesity, diabetes, lipid changes, metabolic syndrome and cardiovascular diseases. It also contains practical recommendations for managing the side effects and complications based on the available guidelines issued by the medical professional community.Maxim N. PeshkovGalina P. PeshkovaIgor V. ReshetovEndocrinology Research Centrearticleprostate cancermetabolic syndromediabetes mellitusinsulin resistancebody vass indexobesitydyslipidemiaNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 23, Iss 2, Pp 192-200 (2020)
institution DOAJ
collection DOAJ
language EN
RU
topic prostate cancer
metabolic syndrome
diabetes mellitus
insulin resistance
body vass index
obesity
dyslipidemia
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle prostate cancer
metabolic syndrome
diabetes mellitus
insulin resistance
body vass index
obesity
dyslipidemia
Nutritional diseases. Deficiency diseases
RC620-627
Maxim N. Peshkov
Galina P. Peshkova
Igor V. Reshetov
Metabolic changes in patients with prostate cancer with androgen deprivation therapy
description Prostate cancer is the most common type of cancer among men. Androgen deprivation therapy (ADT) is the most effective treatment for this disease. The cornerstone of prostate cancer treatment is the inhibition of testosterone production, which interrupts testosterone-induced growth of the prostate tumour. A sharp decrease in testosterone, however, has several undesirable effects on the metabolic profile and bone metabolism and can also lead to fatigue, loss of libido, gynecomastia and anaemia, provoke vasomotor hyperaemia and generally affect the quality of life. To increase the good (long-term) survival of patients with prostate cancer, studying the side effects associated with treatment is important, and therefore, in every clinical situation, the benefits of ADT must be compared with the side effects associated with the treatment. This article focuses on the described metabolic complications of ADT, including obesity, diabetes, lipid changes, metabolic syndrome and cardiovascular diseases. It also contains practical recommendations for managing the side effects and complications based on the available guidelines issued by the medical professional community.
format article
author Maxim N. Peshkov
Galina P. Peshkova
Igor V. Reshetov
author_facet Maxim N. Peshkov
Galina P. Peshkova
Igor V. Reshetov
author_sort Maxim N. Peshkov
title Metabolic changes in patients with prostate cancer with androgen deprivation therapy
title_short Metabolic changes in patients with prostate cancer with androgen deprivation therapy
title_full Metabolic changes in patients with prostate cancer with androgen deprivation therapy
title_fullStr Metabolic changes in patients with prostate cancer with androgen deprivation therapy
title_full_unstemmed Metabolic changes in patients with prostate cancer with androgen deprivation therapy
title_sort metabolic changes in patients with prostate cancer with androgen deprivation therapy
publisher Endocrinology Research Centre
publishDate 2020
url https://doaj.org/article/3884afa15db648edbc942fa54a507248
work_keys_str_mv AT maximnpeshkov metabolicchangesinpatientswithprostatecancerwithandrogendeprivationtherapy
AT galinappeshkova metabolicchangesinpatientswithprostatecancerwithandrogendeprivationtherapy
AT igorvreshetov metabolicchangesinpatientswithprostatecancerwithandrogendeprivationtherapy
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