Abstract：
INTRODUCTION:Androgen deprivation therapy (ADT) is associated with significant bone loss and an increase in fracture risk among prostate cancer survivors (PCS). We investigated whether impact + resistance training could stop ADT-related declines in bone mineral density (BMD) among PCS on ADT. METHODS:We randomized 51 PCS (mean age, 70.2 yr) currently prescribed ADT to participate in 1 yr of impact + resistance training (Prevent Osteoporosis with Impact + Resistance (POWIR)) or in an exercise placebo program of stretching exercise (FLEX). Outcomes were proximal femur (total hip, femoral neck, and greater trochanter) and spine (L1-L4) BMD (g·cm) and bone turnover markers (serum osteocalcin (ng·mL) and urinary deoxypyrodinoline cross-links (nmol·mmol Cr)). RESULTS:Retention in the 1-yr study was 84% and median attendance to supervised classes was 84% in POWIR and 74% in FLEX. No study-related injuries were reported. There were no significant differences between groups for average L1-L4 BMD or for BMD at any hip site. When examining individual vertebrae, POWIR has a significant effect on preservation of BMD (-0.4%) at the L4 vertebrae compared with losses (-3.1%) in FLEX (P = 0.03). CONCLUSION:Impact + resistance training was a safe and acceptable form of exercise for older PCS on ADT. Among our limited sample, POWIR did not appear to have a clinically meaningful effect on hip or spine BMD, but some evidence of skeletal adaptation to resistance + impact training in an androgen-deprived state was apparent. Future studies need to be conducted on a larger sample of patients and should consider modifications to POWIR that could further enhance loading across the spine and at the hip to preserve BMD at these clinically relevant sites.
journal_name
Med Sci Sports Exercjournal_title
Medicine and science in sports and exerciseauthors
Winters-Stone KM,Dobek JC,Bennett JA,Maddalozzo GF,Ryan CW,Beer TMdoi
10.1249/MSS.0000000000000265subject
Has Abstractpub_date
2014-08-01 00:00:00pages
1482-8issue
8eissn
0195-9131issn
1530-0315journal_volume
46pub_type
杂志文章,随机对照试验abstract：:This paper introduces the terminology and application of parameter estimation techniques for clarifying models of pulmonary gas-exchange control dynamics. Results are given of modeled first-order systems, and the extension of such models to higher orders is discussed with examples. It is emphasized that justification ...
journal_title：Medicine and science in sports and exercise
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abstract：PURPOSE:Compare the influence of the chemoreflex on heart rate (HR) and blood pressure (BP) responses between children and adults. METHODS:Seventy children (35 boys and 35 girls) and 70 adults (35 men and 35 women) performed 30% maximal voluntary contraction static handgrip exercise (SHG) for 3 min, followed by 4 min ...
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journal_title：Medicine and science in sports and exercise
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