Table 2 Summary of exercise RCTs evaluating MetS in prostate cancer patients on ADT

From: A review of clinical effects associated with metabolic syndrome and exercise in prostate cancer patients

Study

Year

Sample

Age (years) (mean±s.d.)

Treatment

Study duration

Exercise intervention

Frequency (days per week)

Key MetS findings

Bourke et al.66

2014

Exe (n=50)

Con (n=50)

Exe

(71.0±6.0)

Con (71.0±8.0)

ADT ⩾6 months and expected to receive ADT for study duration

12 weeks

Small-group supervision of PRT and PAT including lifestyle advice seminars

PRT: 2–4 sets of exercises at 8-12 reps starting at 60% RM

PAT: 30 min at 55–75% HRmax and RPE 11–13

3

Exe vs control

BP ↔

Bourke et al.65

2011

Exe (n=25)

Con (n=25)

Exe

(71.3±6.4)

Con (72.2±7.7)

ADT ⩾6 months

12 weeks

Home-based and group supervision of RT and AT including dietary advice seminars

RT: 2–4 sets of exercises incorporating large muscle groups at light-to-moderate intensity

AT: 30 min at 55–85% HRmax and RPE 11–15

Up to 5 encouraged

Exe vs control

BP, waist to hip ↔

Cormie et al.67

2015

Exe (n=32)

Con (n=31)

Exe (69.6±6.5)

Con (67.1±7.5)

No prior ADT and expected to receive ADT for 3 months

12 weeks

Small-group supervision of PRT and PAT

PRT: 1–4 sets of 8 exercises at 6–12 RM incorporating major muscle groups

PAT: 20–30 min at 70–85% HRmax

2

Exe vs control

BP, glucose, HDL, TG ↔

Pre-to-post Exe

HDL ↑

BP, glucose, TG ↔

Culos-Reed et al.68

2010

Exe (n=53)

Con (n=47)

Exe (67.2±8.8)

Con (68.0±8.4)

Expected to receive ADT for at least 6 months

16 weeks

Home-based and weekly group sessions consisting of walking, stretching and Theraband exercises at a moderate intensity

3–5 encouraged

Exe vs control

BP ↔

WC ↓

Pre-to-post Exe

BP ↓

WC ↔

Galvao et al.69

2010

Exe (n=29)

Con (n=28)

Exe (69.5±7.3)

Con (70.1±7.3)

ADT ≥ 2 months and expected to receive ADT for 6 months

12 weeks

Supervised PRT and PAT

PRT: 2–4 sets of 8 exercises incorporating major muscle groups at 12–6 RM

PAT: 15–20 min at 65–80% HRmax and RPE 11–13

2

Exe vs control

Glucose, HDL, TG ↔

Hvid et al.70

2011

Exe (ADT; n=9)

Con (healthy;

n=10)

Exe (67.8±6.4)

Con (68.5±3.5)

ADT ⩾3 months

12 weeks

Supervised HIT: 35 min interval training 65–100% VO2max

3

Exe vs control

HDL, glucose, TG ↔

Pre-to-post Exe

HDL ↑

Glucose↓

TG ↔

Segal et al.72

2003

Exe (n=82)

Con (n=73)

Exe (68.2±7.9)

Con (67.7±7.5)

ADT for study duration

12 weeks

Supervised PRT

PRT: 2 sets of 9 exercises incorporating major muscle groups starting at 60–70% RM.

3

Exe vs control

WC ↔

Santa Mina et al.71

2013

AT (n=13)

RT (n=13)

AT (70.6±8.1)

RT (73.6±8.8)

ADT for study duration

6 months

Home-based RT or AT

RT: 10 exercises incorporating major muscle groups

AT: 60 min at 60–80% HRmax

Up to 5 encouraged

AT vs RT

WC ↔

  1. Abbreviations: ADT, androgen deprivation therapy; AT, aerobic training; BP, blood pressure; Con, control; Exe, exercise; HDL, high-density lipoprotein; HIT, high-intensity interval training; HRmax, heart rate max; MetS, metabolic syndrome; PAT, progressive aerobic training; PRT, progressive resistance training; RCT, randomized controlled trial; RM, repetition maximum; RPE, rating of perceived exertion; RT, resistance training; TG, triglycerides; WC, waist circumference.