Chung Eric, Rhee Handoo
AndroUrology Centre, Brisbane, QLD and Sydney, NSW, Australia.
Department of Urology, Princess Alexandra Hospital, University of Queensland, Brisbane, QLD, Australia.
World J Mens Health. 2022 Jul;40(3):361-367. doi: 10.5534/wjmh.210032. Epub 2021 Jun 9.
Prostate cancer (PC) and its associated treatments can cause significant cardiovascular and sexual dysfunctions. While structured exercise interventions can induce positive outcomes in males with PC, there are limited data on its effects on cardiovascular health, erectile function, or the combination of these outcomes. It has been proposed that positive changes in biomarkers of cardiovascular health through physical exercise programs, can result in cardiovascular remodelling and improve penile haemodynamic and erectile function recovery in those with metabolic syndrome and/or cardiovascular diseases, although the data is accruing in males who are diagnosed and/or treated for PC. While the results of this review article support structured physical exercise interventions to effectively prevent and mitigate the development of both sexual and cardiovascular dysfunctions in males with PC, appropriate caution should be maintained and future clinical research should focus on the development of standardised and evidence-based exercise guidelines in the setting of PC survivorship.
前列腺癌(PC)及其相关治疗可导致严重的心血管和性功能障碍。虽然结构化运动干预对患有PC的男性可产生积极效果,但关于其对心血管健康、勃起功能或这些结果组合的影响的数据有限。有人提出,通过体育锻炼计划使心血管健康生物标志物发生积极变化,可导致心血管重塑,并改善患有代谢综合征和/或心血管疾病者的阴茎血流动力学和勃起功能恢复,尽管这些数据是在被诊断患有PC和/或接受PC治疗的男性中积累的。虽然这篇综述文章的结果支持结构化体育锻炼干预可有效预防和减轻患有PC的男性性功能和心血管功能障碍的发展,但应保持适当谨慎,未来的临床研究应专注于制定针对PC幸存者的标准化和循证运动指南。