Prostate cancer is the most common cancer among men 50 years and older and mainly affets patients 75 years old. Androgen deprivation therapy is indicatated in intermediates and high risks form of prostate cancer, in association with radiotherapy for 6 monts to 3 years. It is also indicated after surgery. Current therapies induce inhibition of sexual hormones as androgens among which testosterone. These therapies present side effects which have to be acknowledeged during the elaboration therapeutic startegies in older patients: hypogonadism induced by androgen deprivation therapy (ADT) causes loss of bone mineral density, diminution of lean body mass and increase of fat body mass. Sarcopenia is defined by a loss of muscle strength associated to a decrease in skeletal muscle mass. In addition to aging, many factors may contribute to sarcopenia as cancer and/or ADT. This cohort study aims to evaluate risk factors associated to sarcopenia prevalence and the relationship between ADT and sarcopenia incidence, in patients 70 years or older with localized or locally advanced prostate cancer
Study Type
OBSERVATIONAL
Enrollment
112
All patients are screened for sarcopenia with the SAR-F questionnaire test score ≥4/10 suspected of sarcopenia will undergo a dual-X-ray exam to dertemine their skeletal muscle mass and the prevalence of sarcopenia before oncological treatment.
Assistance Publique Hôpitaux de Marseille
Marseille, France
Prevalence of sarcopenia in older patient with prostate cancer
All patients are screened for sarcopenia with the SAR-F questionnaire test
Time frame: 36 months
Evaluation of sarcopenia severity
The severity of the sarcopenia will be measured by the evaluation of the physical performances
Time frame: 36 months
Skeletal Muscular Index
Sarcopenia prevalence measuring Skeletal Muscular Index (SMI= Appendicular skeletal muscle mass/height²) using dual-energy X-ray absorptiometry (DXA)
Time frame: 36 months
Evaluation of sarcopenia severity
The severity of the sarcopenia will be measured by the evaluation of the muscle strength using gait speed test
Time frame: 36 months
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