TY - JOUR AU - Rivera-Arkoncel, Maria Luisa Cecilia AU - Sagun, Michael AU - Arkoncel, Francis Raymond AU - Jimeno, Cecilia AU - Lapitan, Marie Carmela PY - 2014/05/31 Y2 - 2024/03/29 TI - Prevalence of Diabetes Mellitus and Metabolic Syndrome in Prostate Cancer Patients given Androgen Deprivation Therapy JF - Journal of the ASEAN Federation of Endocrine Societies JA - J ASEAN Fed Endocr Soc VL - 29 IS - 1 SE - Original Articles DO - UR - https://asean-endocrinejournal.org/index.php/JAFES/article/view/114 SP - 42 AB - <!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:DoNotShowRevisions/> <w:DoNotPrintRevisions/> <w:DoNotShowComments/> <w:DoNotShowInsertionsAndDeletions/> <w:DoNotShowPropertyChanges/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>AR-SA</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="&#45;-"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument></xml><![endif]--><p class="MsoNormal" style="margin-top: 0cm; margin-right: 5.85pt; margin-bottom: .0001pt; margin-left: 4.5pt; text-align: justify;"><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; color: black; mso-themecolor: text1; letter-spacing: .2pt;">Objective. To compare the prevalence of diabetes mellitus (DM) and metabolic syndrome (MetS) in prostate cancer patients with or without androgen deprivation therapy (ADT). </span></p><p class="MsoNormal" style="margin-top: 0cm; margin-right: 5.85pt; margin-bottom: .0001pt; margin-left: 4.5pt; text-align: justify;"><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; color: black; mso-themecolor: text1; letter-spacing: .2pt;"> </span></p><p class="MsoNormal" style="margin-top: 0cm; margin-right: 5.85pt; margin-bottom: .0001pt; margin-left: 4.5pt; text-align: justify;"><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; color: black; mso-themecolor: text1; letter-spacing: .2pt;">Methodology. This is a cross-sectional analytic study of p</span><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; color: black; mso-themecolor: text1; mso-fareast-language: EN-PH;">rostate cancer patients from the Integrated Surgical Information System database of the Philippine General Hospital from 2004-2010. Patients who received either continuous monthly GnRH agonist injection for at least 6 months or underwent bilateral orchiectomy at least 6 months prior<span style="mso-spacerun: yes;">  </span>(ADT group) were compared to those who did not (non-ADT group). Patients with DM and MetS were identified using the American Diabetes Association Standards of Medical Care in Diabetes 2010 and IDF Definition of Metabolic Syndrome.</span></p><p class="MsoNormalCxSpMiddle" style="margin-top: 0cm; margin-right: 5.85pt; margin-bottom: .0001pt; margin-left: 4.5pt; mso-add-space: auto; text-align: justify;"><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; color: black; mso-themecolor: text1; mso-fareast-language: EN-PH;"> </span></p><p class="MsoNormalCxSpMiddle" style="margin-top: 0cm; margin-right: 5.85pt; margin-bottom: .0001pt; margin-left: 4.5pt; mso-add-space: auto; text-align: justify;"><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; color: black; mso-themecolor: text1; mso-fareast-language: EN-PH;">Results. The prevalence of DM in the ADT group is 42% and 19% in the non-ADT group (p = 0.0460). The probability of having DM is 2.17x higher among prostate cancer patients who received ADT compared to those who did not. The prevalence of metabolic syndrome in the ADT and non-ADT group is 37% and 28%, respectively (p=0.4620). </span></p><p class="MsoNormalCxSpMiddle" style="margin-top: 0cm; margin-right: 5.85pt; margin-bottom: .0001pt; margin-left: 4.5pt; mso-add-space: auto; text-align: justify;"><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; color: black; mso-themecolor: text1; mso-fareast-language: EN-PH;"> </span></p><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'; color: black; mso-themecolor: text1; mso-ansi-language: EN-US; mso-fareast-language: EN-PH; mso-bidi-language: AR-SA;">Conclusions. Prostate cancer patients have become an important emerging population of medically at risk older men. Our study showed that the prevalence of DM is significantly higher among the ADT group, with a trend towards greater prevalence of metabolic syndrome in the same group. 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black; mso-themecolor: text1;"><a id="_anchor_1" class="msocomanchor" name="_msoanchor_1" href="#_msocom_1"></a>[JAFES1]<span style="mso-special-character: comment;"> </span></span></span><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; color: black; mso-themecolor: text1; letter-spacing: .2pt;">. To compare the prevalence of diabetes mellitus (DM) and metabolic syndrome (MetS) in prostate cancer patients with or without androgen deprivation therapy (ADT). </span></p><p class="MsoNormal" style="margin-top: 0cm; margin-right: 5.85pt; margin-bottom: .0001pt; margin-left: 4.5pt; text-align: justify;"><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; color: black; mso-themecolor: text1; letter-spacing: .2pt;"> </span></p><p class="MsoNormal" style="margin-top: 0cm; margin-right: 5.85pt; margin-bottom: .0001pt; margin-left: 4.5pt; text-align: justify;"><a style="mso-comment-reference: JAFES_2; mso-comment-date: 20140521T1416;"><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; color: black; mso-themecolor: text1; letter-spacing: .2pt;">Methodology</span></a><span class="MsoCommentReference"><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; color: black; mso-themecolor: text1;"><a id="_anchor_2" class="msocomanchor" name="_msoanchor_2" href="#_msocom_2"></a>[JAFES2]<span style="mso-special-character: comment;"> </span></span></span><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; color: black; mso-themecolor: text1; letter-spacing: .2pt;">. This is a cross-sectional analytic study of p</span><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; color: black; mso-themecolor: text1; mso-fareast-language: EN-PH;">rostate cancer patients from the Integrated Surgical Information System database of the Philippine General Hospital from 2004-2010. Patients who received either continuous monthly GnRH agonist injection for at least 6 months or underwent bilateral orchiectomy at least 6 months prior<span style="mso-spacerun: yes;">  </span>(ADT group) were compared to those who did not (non-ADT group). Patients with DM and MetS were identified using the American Diabetes Association Standards of Medical Care in Diabetes 2010 and IDF Definition of Metabolic Syndrome.</span></p><p class="MsoNormalCxSpMiddle" style="margin-top: 0cm; margin-right: 5.85pt; margin-bottom: .0001pt; margin-left: 4.5pt; mso-add-space: auto; text-align: justify;"><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; color: black; mso-themecolor: text1; mso-fareast-language: EN-PH;"> </span></p><p class="MsoNormalCxSpMiddle" style="margin-top: 0cm; margin-right: 5.85pt; margin-bottom: .0001pt; margin-left: 4.5pt; mso-add-space: auto; text-align: justify;"><a style="mso-comment-reference: JAFES_3; mso-comment-date: 20140521T1416;"><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; color: black; mso-themecolor: text1; mso-fareast-language: EN-PH;">Results</span></a><span class="MsoCommentReference"><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; color: black; mso-themecolor: text1;"><a id="_anchor_3" class="msocomanchor" name="_msoanchor_3" href="#_msocom_3"></a>[JAFES3]<span style="mso-special-character: comment;"> </span></span></span><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; color: black; mso-themecolor: text1; mso-fareast-language: EN-PH;">. The prevalence of DM in the ADT group is 42% and 19% in the non-ADT group (p = 0.0460). The probability of having DM is 2.17x higher among prostate cancer patients who received ADT compared to those who did not. The prevalence of metabolic syndrome in the ADT and non-ADT group is 37% and 28%, respectively (p=0.4620). </span></p><p class="MsoNormalCxSpMiddle" style="margin-top: 0cm; margin-right: 5.85pt; margin-bottom: .0001pt; margin-left: 4.5pt; mso-add-space: auto; text-align: justify;"><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; color: black; mso-themecolor: text1; mso-fareast-language: EN-PH;"> </span></p><a style="mso-comment-reference: JAFES_4; mso-comment-date: 20140521T1416;"><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'; color: black; mso-themecolor: text1; mso-ansi-language: EN-US; mso-fareast-language: EN-PH; mso-bidi-language: AR-SA;">Conclusions</span></a><span class="MsoCommentReference"><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'; color: black; mso-themecolor: text1; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;"><a id="_anchor_4" class="msocomanchor" name="_msoanchor_4" href="#_msocom_4"></a>[JAFES4]<span style="mso-special-character: comment;"> </span></span></span><span style="font-size: 9.0pt; font-family: 'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'; color: black; mso-themecolor: text1; mso-ansi-language: EN-US; mso-fareast-language: EN-PH; mso-bidi-language: AR-SA;">. Prostate cancer patients have become an important emerging population of medically at risk older men. Our study showed that the prevalence of DM is significantly higher among the ADT group, with a trend towards greater prevalence of metabolic syndrome in the same group. These men may benefit from closer monitoring for the development of these metabolic complications.</span><div style="mso-element: comment-list;"><hr class="msocomoff" align="left" size="1" width="33%" /><div style="mso-element: comment;"><div id="_com_1" class="msocomtxt"><span style="mso-comment-author: JAFES;"><a name="_msocom_1"></a></span><p class="MsoCommentText"><span class="MsoCommentReference"><span style="font-size: 8.0pt;"><span style="mso-special-character: comment;"> <a class="msocomoff" href="#_msoanchor_1">[JAFES1]</a></span></span></span>styles</p></div></div><div style="mso-element: comment;"><div id="_com_2" class="msocomtxt"><span style="mso-comment-author: JAFES;"><a name="_msocom_2"></a></span><p class="MsoCommentText"><span class="MsoCommentReference"><span style="font-size: 8.0pt;"><span style="mso-special-character: comment;"> <a class="msocomoff" href="#_msoanchor_2">[JAFES2]</a></span></span></span>styles</p></div></div><div style="mso-element: comment;"><div id="_com_3" class="msocomtxt"><span style="mso-comment-author: JAFES;"><a name="_msocom_3"></a></span><p class="MsoCommentText"><span class="MsoCommentReference"><span style="font-size: 8.0pt;"><span style="mso-special-character: comment;"> <a class="msocomoff" href="#_msoanchor_3">[JAFES3]</a></span></span></span>styles</p></div></div><div style="mso-element: comment;"><div id="_com_4" class="msocomtxt"><span style="mso-comment-author: JAFES;"><a name="_msocom_4"></a></span><p class="MsoCommentText"><span class="MsoCommentReference"><span style="font-size: 8.0pt;"><span style="mso-special-character: comment;"> <a class="msocomoff" href="#_msoanchor_4">[JAFES4]</a></span></span></span>styles</p></div></div></div><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true" DefSemiHidden="true" DefQFormat="false" DefPriority="99" LatentStyleCount="267"> <w:LsdException Locked="false" Priority="0" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" 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