Changes in fat and lean body mass during androgen-deprivation therapy for prostate cancer

被引:205
作者
Smith, MR [1 ]
机构
[1] Massachusetts Gen Hosp, Div Hematol Oncol, Boston, MA 02114 USA
关键词
D O I
10.1016/j.urology.2003.10.063
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objectives. To assess the effects of androgen deprivation therapy on body composition in men with nonmetastatic prostate cancer. Methods. In a multicenter study, men with Stage MO prostate cancer were prospectively evaluated during initial androgen deprivation therapy (gonaclotropin-releasing hormone agonist or bilateral orchiectomy). The main outcomes were changes in weight, percentage fat mass, and percentage lean mass from baseline to 12 months. Results. Seventy-nine subjects were assessed. Serum testosterone concentrations decreased by 79.7% 3.0% (P < 0.001). Weight increased by 1.8% +/- 0.5% (P < 0.001). The percentage fat mass increased by 11.0% +/- 1.7%, and the percentage lean mass decreased by 3.8% +/- 0.6% (P < 0.001 for each comparison). Conclusions. Androgen deprivation therapy increased weight and fat mass and decreased lean mass in men with nonmetastatic prostate cancer. (C) 2004 Elsevier Inc.
引用
收藏
页码:742 / 745
页数:4
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