Unique ID issued by UMIN | UMIN000057982 |
---|---|
Receipt number | R000066216 |
Scientific Title | Efficacy of physical exercise on muscle mass and strength in prostate cancer patients receiving androgen deprivation therapy: A prospective study |
Date of disclosure of the study information | 2025/06/01 |
Last modified on | 2025/05/27 15:39:20 |
Efficacy of physical exercise on muscle mass and strength in prostate cancer patients receiving androgen deprivation therapy
Exercise in patients with prostate cancer
Efficacy of physical exercise on muscle mass and strength in prostate cancer patients receiving androgen deprivation therapy: A prospective study
Efficacy of physical exercise in prostate cancer patients
Japan |
Prostate cancer patients receiving hormonal therapy (androgen deprivation therapy)
Urology | Rehabilitation medicine |
Malignancy
NO
Hormone therapy (ADT) for prostate cancer rapidly reduces testosterone to castration levels, which may result in the incidence of lifestyle-related diseases such as obesity, dyslipidemia, and increased insulin resistance. Furthermore, ADT can lead to a significant reduction in muscle strength and bone mineral density, and then worsening the quality of life (QOL) among prostate cancer patients by increased risk of sarcopenia, falls, and fractures. Therefore, when ADT is administered for prostate cancer patients, it is important to prevent these serious conditions by improving diet and lifestyle habits, and appropriate exercise therapy.
The present study assesses an efficacy of a non-invasive and feasible exercise program in daily life on prevention of muscle weakness caused by ADT among
locally advanced prostate patients undergoing radical radiation therapy combined with hormone therapy (approximately 2 years of combined hormone therapy and radiation therapy) and the metastatic prostate cancer patients with ADT. This is a prospective observational study.
Efficacy
Confirmatory
Not applicable
Changes in systemic muscle mass, Lower limb muscle mass, and grip power (items associated with sarcopenia) 3, 6, 9. 12, 18, 24, 30, and 36 months after initiation of ADT.
The following items before and after the start of treatment:
1. Height, weight, BMI, body fat percentage, and waist circumference
2. Locomotor syndrome test
3. Short Physical Performance Battery
4. Clinical Frailty Scale
5. Bone mineral content (evaluated at the femoral neck)
6. Skeletal muscle index at L3 level on CT (L3-SMI)
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
NO
1
Educational,Counseling,Training
Behavior,custom |
All participants are asked to perform physical exercise in their daily lives.
Physical excercise is performed as a home program. A home program includes excercises recommended by the Ministry of Health, Labor and Welfare and the Japan Orthopedic Association, as following;1.Walking of 8000 steps a day, three times per week, 2.Diary locomotor-training. All subjects were asked to keep a diary about how well they were able to perform these exercises.
Based on a diary and data of smart band, all participants are divided into three groups as following; patients who performed a lot of exercise therapy (80% or more), ones who performed it to a certain extent (40-80%), and the group who performed it very little (less than 40%). All data are compared in these three groups. Short-term efficacy (6 months) and long-term efficacy (36 months) of physical exercise are assessed.
20 | years-old | <= |
Not applicable |
Male
1. The patients with locally advanced prostate cancer receiving hormonal therapy and radical radiotherapy, or the patients with painless metastatic prostate cancer receiving hormonal therapy.
2. The patients with a written informed consent to attend the present study.
3. The patients aged over 20 years.
1. The prostate cancer therapy patients with metastatic prostate cancer and with a risk of bone fracture (bone scan index of more than 3.0% based on bone scan).
2. The patients with cardiovascular diseases, locomotor diseases, or neurologic disorders, which are not suitable for exercise therapy.
3. The patients who are deemed inappropriate by an attending doctor.
120
1st name | Kazuyoshi |
Middle name | |
Last name | Shigehara |
Kanazawa University Graduate School of Medical Science
Department of Integrative Cancer Therapy and Urology
920-8641
13-1, Takaramachi, Kanazawa, Ishikawa, 920-8641, Japan
076-265-2393
kshigehara0415@yahoo.co.jp
1st name | Kazuyoshi |
Middle name | |
Last name | Shigehara |
Kanazawa University Graduate School of Medical Science
Department of Integrative Cancer Therapy and Urology
920-8641
13-1, Takaramachi. Kanazawa, Ishikawa, Japan
076-265-2393
kshigehara0415@yahoo.co.jp
Kanazawa University Graduate School of Medical Science
Department of Urology, Kanazawa University Hospital
Other
Medical Ethics Committee of Kanazawa University
13-1, Takaramachi, Kanazawa, Ishikawa, Japan
076-265-2000
rinri@adm.kanazawa-u.ac.jp
NO
2025 | Year | 06 | Month | 01 | Day |
Unpublished
Preinitiation
2025 | Year | 05 | Month | 07 | Day |
2025 | Year | 07 | Month | 01 | Day |
2027 | Year | 03 | Month | 31 | Day |
2030 | Year | 03 | Month | 31 | Day |
2025 | Year | 05 | Month | 27 | Day |
2025 | Year | 05 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066216