Metabolic syndrome in men with prostate cancer undergoing long-term androgen-deprivation therapy.

@article{citeulike:2323242, abstract = {PURPOSE: Prostate cancer (PCa) is one of the most common cancers in men. Men with recurrent or metastatic PCa are treated with androgen-deprivation therapy (ADT), resulting in profound hypogonadism. Because male hypogonadism is a risk factor for metabolic syndrome and men with PCa have high cardiovascular mortality, we evaluated the prevalence of metabolic syndrome in men undergoing long-term ADT. PATIENTS AND METHODS: This was a cross-sectional study. We evaluated 58 men, including 20 with PCa undergoing ADT for at least 12 months (ADT group), 18 age-matched men with nonmetastatic PCa who had received local treatment and were recently found to have an increasing prostate-specific antigen (non-ADT group), and 20 age-matched controls (control group). Men in the non-ADT and control groups were eugonadal. Metabolic syndrome was defined according to the Adult Treatment Panel III criteria. RESULTS: Mean age was similar among the groups. Men on ADT had significantly higher body mass index and lower total and free testosterone levels. The prevalence of metabolic syndrome was higher in the ADT group compared with the non-ADT (P < .01) and control (P = .03) groups. Among the components of metabolic syndrome, men on ADT had a higher prevalence of abdominal obesity and hyperglycemia. Androgen-deprived men also had elevated triglycerides compared with controls (P = .02). The prevalence of hypertension and low high-density lipoprotein levels were similar. CONCLUSION: These data suggest that metabolic syndrome was present in more than 50\% of the men undergoing long-term ADT, predisposing them to higher cardiovascular risk. Abdominal obesity and hyperglycemia were responsible for this higher prevalence. We recommend prospective studies to further delineate this association.}, address = {Department of Medicine, Division of Endocrinology and Metabolism, Johns Hopkins University School of Medicine, Bayview Medical Center, Baltimore, MD 21224, USA. sbasari1@jhmi.edu}, author = {Braga-Basaria, M. and Dobs, A. S. and Muller, D. C. and Carducci, M. A. and John, M. and Egan, J. and Basaria, S. }, citeulike-article-id = {2323242}, comment = {Es un estudio decorte transversal con eivdente prevalencia de MS en ADT. Ser\'{i}a interesante hacer un estudio prospectivo (con determinaciones antes de ADT y despues de; para evidencia causalidad.}, doi = {10.1200/JCO.2006.05.9741}, issn = {1527-7755}, journal = {J Clin Oncol}, keywords = {androgen, diagnosis, malegonadal, metabolic-syndrome, metabolism}, month = {August}, number = {24}, pages = {3979--3983}, posted-at = {2008-02-02 16:01:33}, priority = {2}, title = {Metabolic syndrome in men with prostate cancer undergoing long-term androgen-deprivation therapy.}, url = {http://dx.doi.org/10.1200/JCO.2006.05.9741}, volume = {24}, year = {2006} }

TY - JOUR ID - citeulike:2323242 L3 - citeulike-article-id:2323242 TI - Metabolic syndrome in men with prostate cancer undergoing long-term androgen-deprivation therapy. JF - J Clin Oncol VL - 24 IS - 24 SP - 3979 EP - 3983 AD - Department of Medicine, Division of Endocrinology and Metabolism, Johns Hopkins University School of Medicine, Bayview Medical Center, Baltimore, MD 21224, USA. sbasari1@jhmi.edu SN - 1527-7755 N2 - PURPOSE: Prostate cancer (PCa) is one of the most common cancers in men. Men with recurrent or metastatic PCa are treated with androgen-deprivation therapy (ADT), resulting in profound hypogonadism. Because male hypogonadism is a risk factor for metabolic syndrome and men with PCa have high cardiovascular mortality, we evaluated the prevalence of metabolic syndrome in men undergoing long-term ADT. PATIENTS AND METHODS: This was a cross-sectional study. We evaluated 58 men, including 20 with PCa undergoing ADT for at least 12 months (ADT group), 18 age-matched men with nonmetastatic PCa who had received local treatment and were recently found to have an increasing prostate-specific antigen (non-ADT group), and 20 age-matched controls (control group). Men in the non-ADT and control groups were eugonadal. Metabolic syndrome was defined according to the Adult Treatment Panel III criteria. RESULTS: Mean age was similar among the groups. Men on ADT had significantly higher body mass index and lower total and free testosterone levels. The prevalence of metabolic syndrome was higher in the ADT group compared with the non-ADT (P < .01) and control (P = .03) groups. Among the components of metabolic syndrome, men on ADT had a higher prevalence of abdominal obesity and hyperglycemia. Androgen-deprived men also had elevated triglycerides compared with controls (P = .02). The prevalence of hypertension and low high-density lipoprotein levels were similar. CONCLUSION: These data suggest that metabolic syndrome was present in more than 50% of the men undergoing long-term ADT, predisposing them to higher cardiovascular risk. Abdominal obesity and hyperglycemia were responsible for this higher prevalence. We recommend prospective studies to further delineate this association. KW - androgen KW - diagnosis KW - malegonadal KW - metabolic-syndrome KW - metabolism N1 - Es un estudio decorte transversal con eivdente prevalencia de MS en ADT. Sería interesante hacer un estudio prospectivo (con determinaciones antes de ADT y despues de; para evidencia causalidad. AU - Braga-Basaria, M AU - Dobs, AS AU - Muller, DC AU - Carducci, MA AU - John, M AU - Egan, J AU - Basaria, S PY - 2006/08/20/ UR - http://dx.doi.org/10.1200/JCO.2006.05.9741 ER -