The effects of resistance exercise on body composition and physical function in prostate cancer patients undergoing androgen deprivation therapy: an update systematic review and meta-analysis

Objective The aim of the meta-analysis was to explore effects of resistance exercise (RE) on body composition and physical function in patients with prostate cancer (PCa).Data sources We searched the electronic databases of Pubmed, Embase, Cochrane, and web of science. Published studies have been co...

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Main Authors: Siyu Tian, Meng Ding, Hongfu Sun
Format: Article
Language:English
Published: Taylor & Francis Group 2022-12-01
Series:The Aging Male
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/13685538.2022.2146670
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author Siyu Tian
Meng Ding
Hongfu Sun
author_facet Siyu Tian
Meng Ding
Hongfu Sun
author_sort Siyu Tian
collection DOAJ
description Objective The aim of the meta-analysis was to explore effects of resistance exercise (RE) on body composition and physical function in patients with prostate cancer (PCa).Data sources We searched the electronic databases of Pubmed, Embase, Cochrane, and web of science. Published studies have been collected from these databases. Search terms include resistance training, strength training, RE, androgen suppression therapy, androgen deprivation therapy and PCa, with a deadline of 31 March 2022.Main results These studies showed significant improvements of body composition(Lean body mass MD: 1.12 95% CI [0.48, 1.76], p < 0.01; Body fat rate MD: –1.12 95% CI [–1.99,–0.24], p < 0.05; Appendicular skeletal mass MD: 0.74 95% CI [0.45, 1.03], p < 0.01) and physical function (leg press MD: 77.95 95% CI [38.90, 117.00], p < 0.01; stair climb MD:–0.30 95% CI [–0.49, –0.12], p < 0.01). In addition, the improvement of Body fat mass (MD: –0.21 95% CI [–0.79, 0.37], p > 0.05), 400 m walk (MD: –21.74 95% CI [–45.53, 2.05], p > 0.05) and times up and go (MD: –0.50 95% CI [–1.03, 0.03], p > 0.05) were not obvious. Subgroup analyses showed that RE for ≥ 6 months (compared with RE intervention for < 6 months) and starting exercise immediately after androgen deprivation therapy (ADT) (compared with delayed exercise after ADT) resulted in more significant improvements in body composition. Furthermore, the results showed that the exercise intensity of 8–12 RM significantly improved body composition.Conclusions RE seems to be a promising approach in order to improve body composition and physical function in PCa patients to offset their treatment-related side effects. RE should be used as a means of rehabilitation and care for PCa. Starting exercise immediately after ADT and extending exercise time while choosing the right intensity can better improve the patients’ body composition and function. Registration number INPLASY202280019
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spelling doaj.art-0ce92fae043b41a2aa65d36870b04a0c2022-12-22T04:35:26ZengTaylor & Francis GroupThe Aging Male1368-55381473-07902022-12-0125128129210.1080/13685538.2022.2146670The effects of resistance exercise on body composition and physical function in prostate cancer patients undergoing androgen deprivation therapy: an update systematic review and meta-analysisSiyu Tian0Meng Ding1Hongfu Sun2College of Physical Education, Shandong Normal University, Jinan, ChinaCollege of Physical Education, Shandong Normal University, Jinan, ChinaInstitute of Great Health Products Research, Shandong Academy of Chinese Medicine, Jinan, ChinaObjective The aim of the meta-analysis was to explore effects of resistance exercise (RE) on body composition and physical function in patients with prostate cancer (PCa).Data sources We searched the electronic databases of Pubmed, Embase, Cochrane, and web of science. Published studies have been collected from these databases. Search terms include resistance training, strength training, RE, androgen suppression therapy, androgen deprivation therapy and PCa, with a deadline of 31 March 2022.Main results These studies showed significant improvements of body composition(Lean body mass MD: 1.12 95% CI [0.48, 1.76], p < 0.01; Body fat rate MD: –1.12 95% CI [–1.99,–0.24], p < 0.05; Appendicular skeletal mass MD: 0.74 95% CI [0.45, 1.03], p < 0.01) and physical function (leg press MD: 77.95 95% CI [38.90, 117.00], p < 0.01; stair climb MD:–0.30 95% CI [–0.49, –0.12], p < 0.01). In addition, the improvement of Body fat mass (MD: –0.21 95% CI [–0.79, 0.37], p > 0.05), 400 m walk (MD: –21.74 95% CI [–45.53, 2.05], p > 0.05) and times up and go (MD: –0.50 95% CI [–1.03, 0.03], p > 0.05) were not obvious. Subgroup analyses showed that RE for ≥ 6 months (compared with RE intervention for < 6 months) and starting exercise immediately after androgen deprivation therapy (ADT) (compared with delayed exercise after ADT) resulted in more significant improvements in body composition. Furthermore, the results showed that the exercise intensity of 8–12 RM significantly improved body composition.Conclusions RE seems to be a promising approach in order to improve body composition and physical function in PCa patients to offset their treatment-related side effects. RE should be used as a means of rehabilitation and care for PCa. Starting exercise immediately after ADT and extending exercise time while choosing the right intensity can better improve the patients’ body composition and function. Registration number INPLASY202280019https://www.tandfonline.com/doi/10.1080/13685538.2022.2146670Prostate cancerADTREbody compositionphysical function
spellingShingle Siyu Tian
Meng Ding
Hongfu Sun
The effects of resistance exercise on body composition and physical function in prostate cancer patients undergoing androgen deprivation therapy: an update systematic review and meta-analysis
The Aging Male
Prostate cancer
ADT
RE
body composition
physical function
title The effects of resistance exercise on body composition and physical function in prostate cancer patients undergoing androgen deprivation therapy: an update systematic review and meta-analysis
title_full The effects of resistance exercise on body composition and physical function in prostate cancer patients undergoing androgen deprivation therapy: an update systematic review and meta-analysis
title_fullStr The effects of resistance exercise on body composition and physical function in prostate cancer patients undergoing androgen deprivation therapy: an update systematic review and meta-analysis
title_full_unstemmed The effects of resistance exercise on body composition and physical function in prostate cancer patients undergoing androgen deprivation therapy: an update systematic review and meta-analysis
title_short The effects of resistance exercise on body composition and physical function in prostate cancer patients undergoing androgen deprivation therapy: an update systematic review and meta-analysis
title_sort effects of resistance exercise on body composition and physical function in prostate cancer patients undergoing androgen deprivation therapy an update systematic review and meta analysis
topic Prostate cancer
ADT
RE
body composition
physical function
url https://www.tandfonline.com/doi/10.1080/13685538.2022.2146670
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