The effectiveness of lifestyle interventions to reduce side effects of androgen deprivation therapy for men with prostate cancer: a systematic review.

The aim of this review is to systematically review randomized controlled trials on lifestyle interventions on PCa patients undergoing androgen deprivation therapy.

A literature search was conducted using the electronic databases Medline and PubMed. To be eligible, studies had to be randomized controlled trials (RCTs) that focused on side effects of ADT and lifestyle interventions to reduce side effects for men undergoing ADT with PCa. Lifestyle interventions were defined as interventions that included any dietary or behavioral components.

Twenty-nine trials were included. Most of them focused on exercise interventions, while some investigated the effect of dietary or behavioral interventions. The effect of different lifestyle influencing modalities aimed to improve on the adverse effects of ADT varied greatly.

It is not possible to draw one conclusion on the effect of exercise-based interventions, but noted on several adverse effects of ADT improvement. Further studies are necessary to develop personalized lifestyle interventions in order to mitigate the adverse effects.

Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation. 2019 Dec 12 [Epub ahead of print]

Maud J M Geerkens, Nieck S A Pouwels, Harry P Beerlage

Urology Department, Amsterdam UMC locatie AMC Netherlands, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. ., Urology Department, Amsterdam UMC locatie AMC Netherlands, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.