Adverse effects of androgen deprivation therapy in patients with prostate cancer: Focus on muscle and bone health

Alexandra Bargiota, Athanasios Oeconomou, Ioannis Zachos, Michel Samarinas, Luis L. Pisters, Vassilios Tzortzis

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations

Abstract

Androgen deprivation therapy (ADT) is the most effective systemic treatment for prostate cancer and can be succeeded either surgically or pharmaceutically. Both approaches lead to hypogonadism with a large variety of adverse events, including obesity, metabolic syndrome, osteoporosis, sarcopenia, diabetes mellitus, cardiovascular disease, gynecomastia and sexual dysfunction. In addition, undesirable effects on muscle and bone health may have a significant impact not only on the quality of life but also on life expectancy. Currently, supervised exercise seems to be the only intervention that could prevent the adverse effects of the ADT and improve quality of life. Lifestyle modification, supplementation of calcium, vitamin D and when indicated antiosteoporotic treatments improve bone health. However, patients receiving ADT must be well informed about the potential benefits as well as the risks of the treatment.

Original languageEnglish (US)
Pages (from-to)1286-1294
Number of pages9
JournalJournal of B.U.ON.
Volume25
Issue number3
StatePublished - Jun 2020

Keywords

  • Androgen deprivation therapy
  • Fractures
  • Osteoporosis
  • Prostate cancer
  • Sarcopenia
  • Training

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Cancer Research

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