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자료유형
학술저널
저자정보
저널정보
대한비뇨기과학회 Investigative and Clinical Urology Investigative and Clinical Urology Vol.56 No.1
발행연도
2015.1
수록면
12 - 18 (7page)

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The therapeutic effects and side effects of androgen deprivation therapy (ADT), which is a main treatment method for metastaticprostate cancer, are well known, but the metabolic effects have only recently been studied. This review describes the effects of ADTon body habitus, insulin resistance, lipid profiles, diabetes, metabolic syndrome, and cardiovascular morbidity and mortality. Thereview was done by using KoreaMed and PubMed to search the medical literature related to prostate cancer, ADT, body habitus,lipid profile, diabetes, insulin resistance, metabolic syndrome, and cardiovascular disease. ADT increases fat mass and decreaseslean body mass. Fat mostly accumulates in the subcutaneous area. ADT increases total cholesterol, triglycerides, and high-densitylipoprotein, as well as the risk for insulin resistance and diabetes. ADT also increases the risk for cardiovascular events, but insufficientevidence is available for a correlation with mortality. ADT changes body habitus and lipid profiles and has different characteristicsthan those of classic metabolic syndrome, but it is related to insulin resistance and diabetes. ADT increases the risk forcardiovascular events. No consistent guidelines have been proposed for treating the metabolic effects of ADT, but the generallyrecommended treatment methods for lowering the risk of diabetes and cardiovascular disease should be fully understood. Additionalstudies are necessary.

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