Metabolic effects of androgen deprivation therapy
Korean Journal of Urology
; : 12-18, 2015.
Article
Dans En
| WPRIM
| ID: wpr-148914
Responsable en Bibliothèque :
WPRO
ABSTRACT
The therapeutic effects and side effects of androgen deprivation therapy (ADT), which is a main treatment method for metastatic prostate cancer, are well known, but the metabolic effects have only recently been studied. This review describes the effects of ADT on body habitus, insulin resistance, lipid profiles, diabetes, metabolic syndrome, and cardiovascular morbidity and mortality. The review was done by using KoreaMed and PubMed to search the medical literature related to prostate cancer, ADT, body habitus, lipid profile, diabetes, insulin resistance, metabolic syndrome, and cardiovascular disease. ADT increases fat mass and decreases lean body mass. Fat mostly accumulates in the subcutaneous area. ADT increases total cholesterol, triglycerides, and high-density lipoprotein, as well as the risk for insulin resistance and diabetes. ADT also increases the risk for cardiovascular events, but insufficient evidence is available for a correlation with mortality. ADT changes body habitus and lipid profiles and has different characteristics than those of classic metabolic syndrome, but it is related to insulin resistance and diabetes. ADT increases the risk for cardiovascular events. No consistent guidelines have been proposed for treating the metabolic effects of ADT, but the generally recommended treatment methods for lowering the risk of diabetes and cardiovascular disease should be fully understood. Additional studies are necessary.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Tumeurs de la prostate
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Triglycéride
/
Composition corporelle
/
Insulinorésistance
/
Maladies cardiovasculaires
/
Cholestérol
/
Facteurs de risque
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Hormone de libération des gonadotrophines
/
Syndrome métabolique X
/
Diabète
Type d'étude:
Etiology_studies
/
Guideline
/
Risk_factors_studies
Limites du sujet:
Humans
/
Male
langue:
En
Texte intégral:
Korean Journal of Urology
Année:
2015
Type:
Article