Embodied masculinity and androgen deprivation therapy

Oliffe, John L.

doi:10.1111/j.1467-9566.2006.00499.x

Cited by 145 publications

(178 citation statements)

References 45 publications

(56 reference statements)

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“…In this regard, the reduction in overall distress coupled with borderline differences in both depression (P = 0.054) and somatisation (P = 0.073) and clinically significant improvements in the social functioning and mental health domains of HRQL, provides support for the view that a supervised exercise programme with both aerobic and resistance exercise components has psychosocial as well as physical benefits for men on ADT. While the mechanism for these effects is unclear, we theorise that exercise interventions for men with prostate cancer may uniquely articulate with masculine values, such as being self-sufficient, powerful and independent, that are known to influence men's responses to this cancer [46,47]. Consistent with this, low masculine self-esteem has been found to predict higher psychological distress in men with prostate cancer [48].…”

Section: Discussionsupporting

confidence: 54%

Can supervised exercise prevent treatment toxicity in patients with prostate cancer initiating androgen‐deprivation therapy: a randomised controlled trial

et al. 2014

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ObjectiveTo determine if supervised exercise minimises treatment toxicity in patients with prostate cancer initiating androgen-deprivation therapy (ADT). This is the first study to date that has investigated the potential role of exercise in preventing ADT toxicity rather than recovering from established toxicities. Patients and MethodsSixty-three men scheduled to receive ADT were randomly assigned to a 3-month supervised exercise programme involving aerobic and resistance exercise sessions commenced within 10 days of their first ADT injection (32 men) or usual care (31 men). The primary outcome was body composition (lean and fat mass). Other study outcomes included bone mineral density, physical function, blood biomarkers of chronic disease risk and bone turnover, general and prostate cancer-specific quality of life, fatigue and psychological distress. Outcomes were compared between groups using analysis of covariance adjusted for baseline values. ResultsCompared to usual care, a 3-month exercise programme preserved appendicular lean mass (P = 0.019) and prevented gains in whole body fat mass, trunk fat mass and percentage fat with group differences of −1.4 kg (P = 0.001), −0.9 kg (P = 0.008) and −1.3% (P < 0.001), respectively. Significant between-group differences were also seen favouring the exercise group for cardiovascular fitness (peak oxygen consumption 1.1 mL/kg/min, P = 0.004), muscular strength (4.0-25.9 kg, P ≤ 0.026), lower body function (-1.1 s, P < 0.001), total cholesterol: high-density lipoprotein-cholesterol ratio (-0.52, P = 0.028), sexual function (15.2, P = 0.028), fatigue (3.1, P = 0.042), psychological distress (-2.2, P = 0.045), social functioning (3.8, P = 0.015) and mental health (3.6-3.8, P ≤ 0.022). There were no significant group differences for any other outcomes. ConclusionCommencing a supervised exercise programme involving aerobic and resistance exercise when initiating ADT significantly reduced treatment toxicity, while improving social functioning and mental health. Concurrent prescription of supervised exercise when initiating ADT is therefore advised to minimise morbidity associated with severe hypogonadism.

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Section: Discussionsupporting

confidence: 54%

Can supervised exercise prevent treatment toxicity in patients with prostate cancer initiating androgen‐deprivation therapy: a randomised controlled trial

et al. 2014

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“…For example, gay men who are predominantly or entirely anal receptive or anal penetrating may have different perspectives on treatment decisions and outcomes, with surgery more likely to affect erectile function and radiation more likely to impact bowel function and rectal pain (Perlman & Drescher, 2005a, b). The impact of treatment effects related to sexual activity are often quite profound for heterosexual, gay, and bisexual men alike (Blank, Bellizzi, Murphy, & Ryan, 2003;Fergus, Gray, & Fitch, 2002;Oliffe, 2005Oliffe, , 2006Perlman & Drescher, 2005a, b). Some men, however, may feel less impact in this area primarily in relation to age-related declines that were already present (Fergus et al, 2002).…”

Section: Common Impacts Of Pca and Potential Relationships To Gbtq Menmentioning

confidence: 99%

Aging, Health, and GLBTQ Family and Community Life

Blank¹,

Asencio²,

Descartes

et al. 2009

Journal of GLBT Family Studies

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“…Because gender interacts with sex influences in complex ways to create health conditions or problems, qualitative health researchers also have an opportunity to examine interactions between sex and gender influences on health-related experiences. For example, Oliffe (2006) studied how men's experiences of prostate cancer influenced how they felt about themselves and their feelings of masculinity. After receiving androgen deprivation therapy for prostate cancer, the men experienced significant body changes and were challenged to renegotiate their sexual and masculine identities.…”

Section: Guest Editorialmentioning

confidence: 99%

The Gender(s) in the Room

2012

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When we focus on men's and women's health, sex and gender are important considerations. Yet, there is often a lack of consistency in the use of these concepts in the research literature (e.g., sex and gender are often used interchangeably). Although limitations inherent in current conceptualizations of sex and gender have been recognized, sex and gender are interrelated but distinct concepts . Gender is a social construct, a multidimensional determinant of health that intersects with culturally prescribed and experienced dimensions of femininity and masculinity, and emerges in diverse individual health practices.Sociologists have conceptualized gender as plural (we speak of femininities and masculinities), context specific, and changing over time and history. For instance, codes of femininity in the Victorian era have given way to more diverse femininities in the 21st Century. Sex, on the other hand, is a biological construct often thought of as a binary (female and male); however, variations within and across males, females, and transsexual individuals in relation to anatomy and physiology point to a continuum of sexrelated characteristics. Lorber (1996) also reminded us that sex and gender (and sexuality) are not necessarily fixed nor congruent-that is, being female does not always correspond to being feminine, and individuals may exhibit a range of genders/sexualities over time. Social aspects of gender can also influence biological processes. For example, the feminist movement resulted in the widespread availability of the contraceptive pill, making pregnancy a choice for women rather than a biologically determined outcome, and this has contributed to reductions in maternal morbidity and mortality. Inversely, biological processes may influence gender identities. For example, Viagra is the biggest selling male pharmaceutical, and by virtue of its vasodilation properties, the "blue" tablet affords increased erectility, which some men experience as affording them purchase of masculine ideals around virility and sexual performance (Baglia, 2005;Potts, 2005).Descriptions of health and illness differences between men and women abound in the literature. For example, men are more prone to die from circulatory diseases than women in all Organisation for Economic Co-operation and Development (OECD) countries (OCED, 2006). Women experience a heavier burden of chronic disease.Men's and women's use of the health care system differs, and they often respond to services and therapeutic interventions in diverse ways. This evidence, although important, is largely based on studies of sex differences between men and women (or girls and boys), and offers only glimpses of the influence of gender. Moreover, researchers conducting these studies have a tendency to treat men and women as all-encompassing groups, and the byproduct of this can be that the diversity within and across these two groups is missed. Of particular concern in studies of men's and women's health is that gender and sex are often erratically incorporated into res...

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Embodied masculinity and androgen deprivation therapy

Cited by 145 publications

References 45 publications

Can supervised exercise prevent treatment toxicity in patients with prostate cancer initiating androgen‐deprivation therapy: a randomised controlled trial

Can supervised exercise prevent treatment toxicity in patients with prostate cancer initiating androgen‐deprivation therapy: a randomised controlled trial

Aging, Health, and GLBTQ Family and Community Life

The Gender(s) in the Room

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