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The impact of exercise on prostate-specific antigen and testosterone in prostate cancer: a systematic review and meta-analysis

Zhang, Fuxun; Luo, Zhirong; Xue, Qi; Guo, Xuyan; Zhang, Wei; Xiong, Yang; Jiao, Yong; ... Zhang, Geng; + view all (2025) The impact of exercise on prostate-specific antigen and testosterone in prostate cancer: a systematic review and meta-analysis. The Aging Male , 28 (1) , Article 2549292. 10.1080/13685538.2025.2549292. (In press). Green open access

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Abstract

Background: Exercise prescription can promote the rehabilitation of patients with prostate cancer (PCa). However, the effect of exercise intervention on serum levels of prostate-specific antigen (PSA) and testosterone remains unclear. / / Methods: The primary outcome was the effect of exercise prescription on PSA level. The secondary outcome was the effect of exercise training on testosterone level. The pooled standardized mean difference (SMD) with 95% confidence interval (CI) was selected as the indicator. Meta-regression was conducted to assess the relationship between covariates and outcomes. Publication bias was evaluated using funnel plots and Egger’s test. / / Results: The data of 594 patients from 8 randomized controlled trials (RCTs) were included and analyzed. Pooled effect of exercise intervention on PSA was 0.13 (95% CI: −0.04 to 0.29, I2 = 0.0%, p = 0.984), while the pooled effect on testosterone was 0.19 (95% CI: −0.00 to 0.39, I2 = 0.0%, p = 0.435). The meta-regression showed there was no significant association of age, body mass index, and the exercise duration with PSA or testosterone. No significant publication bias was detected in meta-analysis. / / Conclusions: Although many benefits were documented, exercise intervention has no significant effect on PSA and testosterone levels in PCa patients.

Type: Article
Title: The impact of exercise on prostate-specific antigen and testosterone in prostate cancer: a systematic review and meta-analysis
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/13685538.2025.2549292
Publisher version: https://doi.org/10.1080/13685538.2025.2549292
Language: English
Additional information: © The Author(s), 2025. This is an Open Access article distributed under the terms of the Creative Commons Attribution Licence (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. https://creativecommons.org/licenses/by/4.0/
Keywords: Prostate cancer, treatment, exercise, prostate-specific antigen, testosterone
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
URI: https://discovery.ucl.ac.uk/id/eprint/10214201
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