Table 4. Summary of studies examining longitudinal changes in measures of muscle strength, physical performance, and body composition in men with prostate cancer treated with androgen deprivation therapy.
| Study | Study design/Duration | Duration of ADT (month) | N | Age (y) | Intensity duration/volume, frequency | Groups | Outcome variables | % change from baseline | P between groups |
|---|---|---|---|---|---|---|---|---|---|
| Segal et al.,117 2003 | RCT | 12 | 82 | 68 | Eight exercises | RT supervised | CP end (rep) | 41%* | 0.009 |
| 12 weeks | 12-RM, two sets, 3 days week−1 | LP end (rep) | 32%* | <0.001 | |||||
| 13 | 73 | 68 | Control | CP end (rep) | −8% | ||||
| LP end (rep) | −4% | ||||||||
| Carmack Taylor et al.,119 2006 | RCT | 32.7 | 35 | 69 | Lifestyle physical activity, moderate intensity. Most day week−1 | Physical activity | 6-MWT | 3% | Not |
| 26 weeks | BMI | −0.3% | significant | ||||||
| Waist circumference | 0.2% | ||||||||
| 44 | Education | 6-MWT | 4% | ||||||
| BMI | 3% | ||||||||
| Waist circumference | 0.8% | ||||||||
| 34 | Usual care | 6-MWT | 4% | ||||||
| 0% | |||||||||
| BMI | 0.3% | ||||||||
| Waist circumference | |||||||||
| Galvao et al.,37 2006 | UC20 weeks | ≥2 | 10 | 70 | 10–12 exercises | RT supervised | 1-RM (kg)a | 79%* | |
| 12-6 RM. 2–4 sets | Muscle end (rep)b | 129%* | |||||||
| 2 days week−1 | 5× chair rise (s) | −27%* | |||||||
| 6-m walk usual (s) | −14%* | ||||||||
| 6-m walk fast (s) | −6% | ||||||||
| 6-m backward (s) | −22%* | ||||||||
| 400-m walk (m s−1) | −7%* | ||||||||
| Stair climb (s) | −10%* | ||||||||
| Lean mass (kg) | −0.4% | ||||||||
| Fat mass (kg) | −0.0% | ||||||||
| % Fat | 0.3% | ||||||||
| Culos-Reed et al.,118 2007 | UC | Not given | 31 | 67 | Intensity, duration, volume not reported | Home-based walking, | 6-MWT (ft) | 11%* | |
| 12 weeks | 3–5 days week−1 | light RT plus biweekly group sessions | BMI | 1%* | |||||
| Hansen et al.,135 2009 | Controlled pilot | Not given | 5 | 66 | Progressive | Eccentric AT supervised | Iso-KE, right | 19%* | Not |
| 12 weeks | RPE 7–13 | Iso-KE, left | 8% | significant | |||||
| 5–20 min | 6-MWT | 9%* | |||||||
| 3 days week−1 | TUG | 14% | |||||||
| Thigh muscle volume, right | 2% | ||||||||
| Thigh muscle volume, left | 0.9% | ||||||||
| PCa-0 | 5 | 67 | Iso-KE, right | 15% | |||||
| Iso-KE, left | -1% | ||||||||
| 6-MWT | 5% | ||||||||
| TUG | 13% | ||||||||
| Thigh muscle volume, right | 2% | ||||||||
| Thigh muscle volume, left | 3%* | ||||||||
| Galvaoet al.,92 2010 | RCT | 18.2 | 29 | 70 | 10–12 exercises | RT and AT supervised | 1-RM (kg)c | 30% | 0.018 |
| 12 weeks | 2–4 sets, 12-6 RM | Muscle end (rep)b | 60% | <0.001 | |||||
| Walk/cycle | 5× chair rise (s) | −9% | 0.074 | ||||||
| 15–20 min | Stair climb | −4% | 0.420 | ||||||
| 65%–80% HRmax | 6-m walk usual (s) | −6% | 0.024 | ||||||
| 11–13 RPE | −8% | 0.187 | |||||||
| 2 days week−1 | 6-m walk fast | ||||||||
| 6-m walk backward | −22% | 0.039 | |||||||
| 400-m walk (m s−1) | −4% | 0.080 | |||||||
| LBM | 1% | 0.047 | |||||||
| FM | −0.9% | 0.964 | |||||||
| % Fat | −1% | 0.366 | |||||||
| 10.1 | 28 | 70 | Control | 1-RM (kg)c | 5% | ||||
| Muscle end (rep)b | 7% | ||||||||
| 5× chair rise (s) | −2% | ||||||||
| 6-m walk usual (s) | −2% | ||||||||
| 6-m walk fast | −2% | ||||||||
| 6-m walk backward | −5% | ||||||||
| 400-m walk (m s−1) | −2% | ||||||||
| LBM | 0% | ||||||||
| FM | 1% | ||||||||
| % Fat | 0.7% | ||||||||
| Culos-Reed et al.,36 (2010) | RCT | ≥9 | 53 | 67 | Intensity, duration, volume not reported3–5 day week−1 | Home-based | 6-MWT (m) | 4% | 0.926 |
| 16 weeks | RT+walking | BMI | −0.8% | 0.225 | |||||
| Waist circumference | −0.5% | 0.044 | |||||||
| 57 | 68 | Control | 6-MWT (m) | 4% | |||||
| BMI | 3% | ||||||||
| Waist circumference | 2% |
Abbreviations: CP, chest press; CP end, repetitions to failure using fixed 20 kg resistance; Iso-KE, isokinetic knee extension; LP, leg press; LP end, repetitions to failure using fixed 40 kg resistance; Muscle end, muscle endurance, repetitions to failure, using 70% baseline 1-RM; P, difference in change from baseline between groups; RM, repetition maximum; 1-RM, maximum amount of weight that can be lifted once; 6-RM, maximum of weight than be lifted six times only.
BMI, waist circumference or sum of four skinfolds; RCT, randomized controlled trial; TUG, timed up-and-go expressed in seconds; FM, fat mass; LBM, lean body mass.
Muscle strength by 1-RM—values are mean changes for chest press and leg press exercises.
Muscle endurance—mean of changes in chest press and leg press exercise.
Muscle strength by 1-RM—mean of changes for chest press, leg press and leg extension exercise.
P<0.05.