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...

Full description

Bibliographic Details
Main Authors: Maxim N. Peshkov, Galina P. Peshkova, Igor V. Reshetov
Format: Article
Language:English
Published: Endocrinology Research Centre 2020-06-01
Series:Сахарный диабет
Subjects:
Online Access:https://www.dia-endojournals.ru/jour/article/view/10343
_version_ 1826588037941821440
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
collection DOAJ
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.
first_indexed 2024-03-08T15:19:59Z
format Article
id doaj.art-3884afa15db648edbc942fa54a507248
institution Directory Open Access Journal
issn 2072-0351
2072-0378
language English
last_indexed 2025-03-14T16:34:58Z
publishDate 2020-06-01
publisher Endocrinology Research Centre
record_format Article
series Сахарный диабет
spelling doaj.art-3884afa15db648edbc942fa54a5072482025-02-21T09:29:36ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782020-06-0123219220010.14341/DM1034310670Metabolic changes in patients with prostate cancer with androgen deprivation therapyMaxim N. Peshkov0Galina P. Peshkova1Igor V. Reshetov2Federal Research and Clinical Center of Specialized Medical Care and Medical Technologies FMBA of RussiaRyazan State Medical UniversityI.M. Sechenov First Moscow State Medical UnivesityProstate 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.https://www.dia-endojournals.ru/jour/article/view/10343prostate cancermetabolic syndromediabetes mellitusinsulin resistancebody vass indexobesitydyslipidemia
spellingShingle Maxim N. Peshkov
Galina P. Peshkova
Igor V. Reshetov
Metabolic changes in patients with prostate cancer with androgen deprivation therapy
Сахарный диабет
prostate cancer
metabolic syndrome
diabetes mellitus
insulin resistance
body vass index
obesity
dyslipidemia
title 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_short Metabolic changes in patients with prostate cancer with androgen deprivation therapy
title_sort metabolic changes in patients with prostate cancer with androgen deprivation therapy
topic prostate cancer
metabolic syndrome
diabetes mellitus
insulin resistance
body vass index
obesity
dyslipidemia
url https://www.dia-endojournals.ru/jour/article/view/10343
work_keys_str_mv AT maximnpeshkov metabolicchangesinpatientswithprostatecancerwithandrogendeprivationtherapy
AT galinappeshkova metabolicchangesinpatientswithprostatecancerwithandrogendeprivationtherapy
AT igorvreshetov metabolicchangesinpatientswithprostatecancerwithandrogendeprivationtherapy