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. 2005 , Grossmann & Zajac 2011 ). There is emerging evidence that exercise training can play an important role in minimising the risk of cognitive deterioration with advancing age in healthy older adults ( Colcombe & Kramer 2003 ). Importantly, regular
LSU Health Sciences Center New Orleans School of Medicine, New Orleans, Louisiana, USA
Stanley S. Scott Cancer Center, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA
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physical activity and obesity are correlated with higher estrogen and testosterone and lower SHBG ( McTiernan et al. 2003 , 2006 ). These observations provided the scientific rationale to test the hypothesis that exercise alone, diet alone, and the
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Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway
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Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway
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Department of Physical Performance, Norwegian School of Sport Sciences, Oslo, Norway
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circulating levels of CRP are associated with poor survival in breast cancer ( Pierce et al. 2009 ). Physical exercise training has gained considerable attention as a strategy to combat especially low-grade inflammation, that is, by reduction of visceral
Department of Cancer Epidemiology and Prevention Research, Departments of Oncology and Community Health Sciences, Keck School of Medicine, School of Public Health, Cross Cancer Institute, Faculty of Physical Education and Recreation, CancerControl Alberta, Alberta Health Services, 2210 2nd Street Southwest, Calgary, Alberta, Canada T2S 3C3
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moderate-vigorous activity ( Canadian Society for Exercise Physiology 2011 ), and 75 min/week of vigorous activity ( World Health Organization 2011 , Kushi et al . 2012 ). Whether or not these recommendations are optimal for postmenopausal breast cancer
Department of Population Health Research, Departments of Oncology and Community Health Sciences, Perinatal Epidemiology Research Unit, Prevention Center, Applied Research Program, Department of Medicine, Department of Obstetrics and Gynecology, Department of Statistics, Department of Public Health Sciences, Department of Epidemiology and Public Health, Department of Physical Therapy, Departments of Physical Therapy and Oncology, Department of Exercise and Sports Science, Faculty of Physical Education and Recreation, Alberta Health Services - Cancer Care, Calgary, Alberta, Canada T2N 4N2
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to examine the impact of exercise on proposed biomarkers for breast cancer risk has been widely recognized ( McTiernan et al . 1999 , Friedenreich 2001 , IARC Working Group 2002 , Kushi et al . 2006 , Physical Activity Guidelines Advisory
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Childrens Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
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exists a need to identify additional therapies that reduce the risk of recurrent disease in this population. The prescription of physical activity or exercise is a potential therapy that has been reported in observational studies to be associated with a
School of Nursing, Faculty of Health Sciences and Medicine, West Moreton Hospital and Health Service, Department of Pharmacy, Oncology Pharmacy, Department of Nutrition and Dietetics, Department of Urology, Australian Prostate Cancer Research Centre – Queensland, Department of Diabetes and Endocrinology, School of Medicine, Division of Cancer Services, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia
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School of Nursing, Faculty of Health Sciences and Medicine, West Moreton Hospital and Health Service, Department of Pharmacy, Oncology Pharmacy, Department of Nutrition and Dietetics, Department of Urology, Australian Prostate Cancer Research Centre – Queensland, Department of Diabetes and Endocrinology, School of Medicine, Division of Cancer Services, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia
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School of Nursing, Faculty of Health Sciences and Medicine, West Moreton Hospital and Health Service, Department of Pharmacy, Oncology Pharmacy, Department of Nutrition and Dietetics, Department of Urology, Australian Prostate Cancer Research Centre – Queensland, Department of Diabetes and Endocrinology, School of Medicine, Division of Cancer Services, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia
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School of Nursing, Faculty of Health Sciences and Medicine, West Moreton Hospital and Health Service, Department of Pharmacy, Oncology Pharmacy, Department of Nutrition and Dietetics, Department of Urology, Australian Prostate Cancer Research Centre – Queensland, Department of Diabetes and Endocrinology, School of Medicine, Division of Cancer Services, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia
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School of Nursing, Faculty of Health Sciences and Medicine, West Moreton Hospital and Health Service, Department of Pharmacy, Oncology Pharmacy, Department of Nutrition and Dietetics, Department of Urology, Australian Prostate Cancer Research Centre – Queensland, Department of Diabetes and Endocrinology, School of Medicine, Division of Cancer Services, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia
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School of Nursing, Faculty of Health Sciences and Medicine, West Moreton Hospital and Health Service, Department of Pharmacy, Oncology Pharmacy, Department of Nutrition and Dietetics, Department of Urology, Australian Prostate Cancer Research Centre – Queensland, Department of Diabetes and Endocrinology, School of Medicine, Division of Cancer Services, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia
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School of Nursing, Faculty of Health Sciences and Medicine, West Moreton Hospital and Health Service, Department of Pharmacy, Oncology Pharmacy, Department of Nutrition and Dietetics, Department of Urology, Australian Prostate Cancer Research Centre – Queensland, Department of Diabetes and Endocrinology, School of Medicine, Division of Cancer Services, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia
School of Nursing, Faculty of Health Sciences and Medicine, West Moreton Hospital and Health Service, Department of Pharmacy, Oncology Pharmacy, Department of Nutrition and Dietetics, Department of Urology, Australian Prostate Cancer Research Centre – Queensland, Department of Diabetes and Endocrinology, School of Medicine, Division of Cancer Services, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia
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, symptoms and lifestyle needs. In cancer survivors, exercise has been shown to improve cardiovascular fitness, muscle strength, body composition, fatigue, anxiety, depression and some aspects of QoL ( Rock et al . 2012 ). Similarly, an individualised
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Androgen deprivation therapy (ADT) is now considered a mainstay in the treatment of metastatic and locally advanced prostate cancer (PCa). Despite well-established benefits of ADT in relation to overall survival, this treatment has been associated with a number of adverse effects, particularly with regard to key cardiometabolic risk factors including the development of insulin resistance, dyslipidemia and increases in total and regional fat mass. In non-ADT populations, increased levels of visceral adipose tissue (VAT) are thought to be a key mediator of the increased cardiometabolic risk associated with weight gain, but this has received limited attention in men treated with ADT. VAT is best assessed using tools such as computed tomography or magnetic resonance imaging; however, these tools are not readily accessible for the majority of researchers or clinicians. Recent advances allow for a method of estimating VAT using a whole-body dual-energy X-ray absorptiometry (DXA) scan that shows promise as a practical tool for researchers to evaluate changes in body fat distribution during ADT. The aim of this narrative review is to (1) review the available evidence with regard to the relationship between ADT and cardiometabolic risk; (2) discuss the role of body fat distribution on cardiometabolic risk in non-ADT populations, with a particular emphasis on the importance of visceral adiposity; (3) examine the potential influence of ADT on body fat distribution and visceral adiposity and (4) provide an overview of current tools used to measure changes in body fat distribution in men treated with ADT, highlighting the potential utility of a recently developed DXA-derived measure of VAT.
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( Coughlin et al . 2004 , Xue & Michels 2007 , Barone et al . 2008 , Lipscombe et al . 2008 ); and animal models are needed to inform the development of trials testing dietary, exercise, and pharmacologic interventions designed to increase recurrence
Division of Translational and Experimental Medicine, Warwick Medical School, University of Warwick, Coventry, UK
Division of Endocrinology and Investigative Medicine, Imperial College London, Hammersmith Campus, London, UK
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Division of Translational and Experimental Medicine, Warwick Medical School, University of Warwick, Coventry, UK
Centre for Applied Biological and Exercise Sciences, Coventry University, Coventry, UK
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Division of Translational and Experimental Medicine, Warwick Medical School, University of Warwick, Coventry, UK
Centre for Applied Biological and Exercise Sciences, Coventry University, Coventry, UK
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Division of Pathophysiology, National and Kapodistrian University of Athens Medical School, Athens, Greece
Oxford Center for Diabetes, Endocrinology and Metabolism, University of Oxford, Oxford, UK
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specific precipitants, lifestyle adjustments in patients with CS may need to be considered and implemented. Patients with diarrhoea should avoid known precipitants such as strenuous exercise, consumption of spicy foods and excessive alcohol intake