The effect of dietary interventions or patterns on the cardiometabolic health of individuals treated with androgen deprivation therapy for prostate cancer: A systematic review

Hattie Hester Wright; Meegan Anne Walker; Suzanne Broadbent; Corey Linton; Jacob Joseph Keech; Karina Tirsvad Rune; Cindy Lynne Davis; Michelle Morris; Anao Zhang; Robert Usher Newton; Skye Marshall

doi:10.1016/j.maturitas.2024.107940

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The effect of dietary interventions or patterns on the cardiometabolic health of individuals treated with androgen deprivation therapy for prostate cancer: A systematic review

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The effect of dietary interventions or patterns on the cardiometabolic health of individuals treated with androgen deprivation therapy for prostate cancer: A systematic review

Hattie Hester Wright, Meegan Anne Walker, Suzanne Broadbent, Corey Linton, Jacob Joseph Keech, Karina Tirsvad Rune, Cindy Lynne Davis, Michelle Morris, Anao Zhang, Robert Usher Newton, …

Maturitas, Vol.184, 107940

06/2024

DOI: https://doi.org/10.1016/j.maturitas.2024.107940

PMID: 38430616

Appears in Recent Faculty of Health Publications

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Abstract

Cardiovascular disease

Dyslipidemia

Metabolic diseases

Nutrition

Prostatic disease

Prostate cancer survivors treated with androgen deprivation therapy may be at increased risk of cardiovascular disease. Dietary recommendations for the prevention and/or management of cardiovascular disease for these individuals are lacking. This review synthesizes the evidence on the effect of dietary interventions on cardiometabolic biomarkers and cardiovascular disease risk in prostate cancer survivors receiving androgen deprivation therapy. A systematic review was conducted across PubMed, CINAHL, Embase, and Cochrane CENTRAL. Intervention or observational cohort studies evaluating diets, nutrients, or nutraceuticals with or without concurrent exercise interventions on cardiovascular disease, cardiovascular events, or cardiovascular disease biomarkers in those treated with androgen deprivation therapy were included. Confidence in the body of evidence was appraised using Grading of Recommendations, Assessment, Development and Evaluations. Twelve studies reported across fifteen papers were included. Interventions were heterogenous, with most studies including an exercise co-intervention (n = 8). Few significant findings for the effects of diet on cardiometabolic markers were likely due to weak methodology and sample sizes. Strongest evidence was for the effect of a healthy Western dietary pattern with exercise on improved blood pressure (Confidence: moderate). The healthy Western dietary pattern with exercise may improve high-density lipoprotein cholesterol (Confidence: Low) and flow-mediated dilation. Soy may improve total cholesterol (Confidence: Very low). A low-carbohydrate diet with physical activity may improve high-density lipoprotein cholesterol, incidence of metabolic syndrome, and Framingham cardiovascular disease risk score. Evidence of the effect of dietary interventions on cardiometabolic biomarkers and cardiovascular disease risk of prostate cancer survivors receiving androgen deprivation therapy is insufficient to inform practice. Well-designed dietary interventions aimed at improving cardiometabolic outcomes of this population are warranted to inform future dietary recommendations.

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Title: The effect of dietary interventions or patterns on the cardiometabolic health of individuals treated with androgen deprivation therapy for prostate cancer: A systematic review
Creators: Hattie Hester Wright - University of the Sunshine Coast
Meegan Anne Walker - University of the Sunshine Coast
Suzanne Broadbent - University of the Sunshine Coast
Corey Linton - University of the Sunshine Coast
Jacob Joseph Keech - Griffith University
Karina Tirsvad Rune - University of the Sunshine Coast
Cindy Lynne Davis - University of the Sunshine Coast
Michelle Morris - Sunshine Coast University Hospital
Anao Zhang - University of Michigan–Ann Arbor
Robert Usher Newton - Edith Cowan University
Skye Marshall - University of Queensland
Publication Details: Maturitas, Vol.184, 107940
Publisher: Elsevier B.V
Grant note: This research was supported by the Internal Funding Scheme, LAUNCH of the Deputy Vice-Chancellor, Research and Innovation from the University of the Sunshine Coast.
Identifiers: 991013173907202368
Academic Unit: Faculty of Health
Language: English
Resource Type: Journal article

The effect of dietary interventions or patterns on the cardiometabolic health of individuals treated with androgen deprivation therapy for prostate cancer: A systematic review

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