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A phase III clinical trial of exercise modalities on treatment side-effects in men receiving therapy for prostate cancer.

Newton RU, Taaffe DR, Spry N, Gardiner RA, Levin G, Wall B, Joseph D, Chambers SK, Galvão DA - BMC Cancer (2009)

Bottom Line: Androgen deprivation therapy (ADT) is accompanied by a number of adverse side effects including reduced bone mass and increased risk for fracture, reduced lean mass and muscle strength, mood disturbance and increased fat mass compromising physical functioning, independence, and quality of life.Measurements for primary and secondary endpoints will take place at baseline, 6 and 12 months (end of the intervention).In terms of advancement of prostate cancer care, we expect dissemination of the knowledge gained from this project to reduce fracture risk, improve physical and functional ability, quality of life and ultimately survival rate in this population.

View Article: PubMed Central - HTML - PubMed

Affiliation: Vario Health Institute, Edith Cowan University, Joondalup, WA, Australia. r.newton@ecu.edu.au

ABSTRACT

Background: Androgen deprivation therapy (ADT) is accompanied by a number of adverse side effects including reduced bone mass and increased risk for fracture, reduced lean mass and muscle strength, mood disturbance and increased fat mass compromising physical functioning, independence, and quality of life. The purpose of this investigation is to examine the effects of long term exercise on reversing musculoskeletal-related side effects, and cardiovascular and diabetes risk factors in men receiving androgen deprivation for their prostate cancer. Specifically, we aim to investigate the effects of a 12-month exercise program designed to load the musculoskeletal system and reduce cardiovascular and diabetes disease progression on the following primary endpoints: 1) bone mineral density; 2) cardiorespiratory function and maximal oxygen capacity; 3) body composition (lean mass and fat mass); 4) blood pressure and cardiovascular function; 5) lipids and glycemic control; and 6) quality of life and psychological distress.

Methods/design: Multi-site randomized controlled trial of 195 men (65 subjects per arm) undergoing treatment for prostate cancer involving ADT in the cities of Perth and Brisbane in Australia. Participants will be randomized to (1) resistance/impact loading exercise, (2) resistance/cardiovascular exercise groups and (3) usual care/delayed exercise. Participants will then undergo progressive training for 12 months. Measurements for primary and secondary endpoints will take place at baseline, 6 and 12 months (end of the intervention).

Discussion: The principal outcome of this project will be the determination of the strength of effect of exercise on the well established musculoskeletal, cardiovascular and insulin metabolism side effects of androgen deprivation in prostate cancer patients. As this project is much longer term than previous investigations in the area of exercise and cancer, we will gain knowledge as to the continuing effects of exercise in this patient population specifically targeting bone density, cardiovascular function, lean and fat mass, physical function and falls risk as primary study endpoints. In terms of advancement of prostate cancer care, we expect dissemination of the knowledge gained from this project to reduce fracture risk, improve physical and functional ability, quality of life and ultimately survival rate in this population.

Clinical trial registry: A Phase III clinical trial of exercise modalities on treatment side-effects in men receiving therapy for prostate cancer; ACTRN12609000200280.

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Related in: MedlinePlus

CONSORT Diagram.
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Figure 1: CONSORT Diagram.

Mentions: Subjects will be recruited by invitation of their attending specialist and from the Prostate Cancer Foundation of Australia interest groups. Those entering the study will undertake a series of familiarisation sessions and baseline measurements prior to randomization to (1) 12 month program of resistance/impact loading exercise, (2) 12 month program of resistance/cardiovascular exercise and (3) 6 months usual care (no planned exercise) followed by 6 months of exercise (delayed). In addition to the twice weekly training in the clinic setting, all groups will also undertake twice weekly exercise sessions at home as specified below. During the course of the study, subjects will be encouraged to maintain customary activity and dietary patterns (Figure 1). This protocol has been approved (ID: 08-69 NEWTON) by the University Human Research Ethics Committee.


A phase III clinical trial of exercise modalities on treatment side-effects in men receiving therapy for prostate cancer.

Newton RU, Taaffe DR, Spry N, Gardiner RA, Levin G, Wall B, Joseph D, Chambers SK, Galvão DA - BMC Cancer (2009)

CONSORT Diagram.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2713263&req=5

Figure 1: CONSORT Diagram.
Mentions: Subjects will be recruited by invitation of their attending specialist and from the Prostate Cancer Foundation of Australia interest groups. Those entering the study will undertake a series of familiarisation sessions and baseline measurements prior to randomization to (1) 12 month program of resistance/impact loading exercise, (2) 12 month program of resistance/cardiovascular exercise and (3) 6 months usual care (no planned exercise) followed by 6 months of exercise (delayed). In addition to the twice weekly training in the clinic setting, all groups will also undertake twice weekly exercise sessions at home as specified below. During the course of the study, subjects will be encouraged to maintain customary activity and dietary patterns (Figure 1). This protocol has been approved (ID: 08-69 NEWTON) by the University Human Research Ethics Committee.

Bottom Line: Androgen deprivation therapy (ADT) is accompanied by a number of adverse side effects including reduced bone mass and increased risk for fracture, reduced lean mass and muscle strength, mood disturbance and increased fat mass compromising physical functioning, independence, and quality of life.Measurements for primary and secondary endpoints will take place at baseline, 6 and 12 months (end of the intervention).In terms of advancement of prostate cancer care, we expect dissemination of the knowledge gained from this project to reduce fracture risk, improve physical and functional ability, quality of life and ultimately survival rate in this population.

View Article: PubMed Central - HTML - PubMed

Affiliation: Vario Health Institute, Edith Cowan University, Joondalup, WA, Australia. r.newton@ecu.edu.au

ABSTRACT

Background: Androgen deprivation therapy (ADT) is accompanied by a number of adverse side effects including reduced bone mass and increased risk for fracture, reduced lean mass and muscle strength, mood disturbance and increased fat mass compromising physical functioning, independence, and quality of life. The purpose of this investigation is to examine the effects of long term exercise on reversing musculoskeletal-related side effects, and cardiovascular and diabetes risk factors in men receiving androgen deprivation for their prostate cancer. Specifically, we aim to investigate the effects of a 12-month exercise program designed to load the musculoskeletal system and reduce cardiovascular and diabetes disease progression on the following primary endpoints: 1) bone mineral density; 2) cardiorespiratory function and maximal oxygen capacity; 3) body composition (lean mass and fat mass); 4) blood pressure and cardiovascular function; 5) lipids and glycemic control; and 6) quality of life and psychological distress.

Methods/design: Multi-site randomized controlled trial of 195 men (65 subjects per arm) undergoing treatment for prostate cancer involving ADT in the cities of Perth and Brisbane in Australia. Participants will be randomized to (1) resistance/impact loading exercise, (2) resistance/cardiovascular exercise groups and (3) usual care/delayed exercise. Participants will then undergo progressive training for 12 months. Measurements for primary and secondary endpoints will take place at baseline, 6 and 12 months (end of the intervention).

Discussion: The principal outcome of this project will be the determination of the strength of effect of exercise on the well established musculoskeletal, cardiovascular and insulin metabolism side effects of androgen deprivation in prostate cancer patients. As this project is much longer term than previous investigations in the area of exercise and cancer, we will gain knowledge as to the continuing effects of exercise in this patient population specifically targeting bone density, cardiovascular function, lean and fat mass, physical function and falls risk as primary study endpoints. In terms of advancement of prostate cancer care, we expect dissemination of the knowledge gained from this project to reduce fracture risk, improve physical and functional ability, quality of life and ultimately survival rate in this population.

Clinical trial registry: A Phase III clinical trial of exercise modalities on treatment side-effects in men receiving therapy for prostate cancer; ACTRN12609000200280.

Show MeSH
Related in: MedlinePlus