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Background: Although active surveillance (AS) is an increasingly adopted treatment paradigm for management of very low risk prostate cancer, many men and their partners face a variety of AS-related psychosocial stressors. Stressors may include anxiety and fear of progression, which may negatively affect short- and long-term psychosocial adjustment and influence early withdrawal from AS in order to seek definitive therapies such as surgery or radiation. Here we describe the protocol for an NCI-funded trial, which seeks to examine the efficacy of mindfulness training compared with a time/attention-matched health promotion control condition in a geographically generalizable sample of men on AS and their spouses., Methods: Using a randomized, controlled, partially double-blinded study design, this study involves the delivery of 8 weeks of standardized mindfulness training (MBSR; mindfulness-based stress reduction) and patient reported outcomes over a 12-month period (proposed enrollment of 80 men on AS and spouses), compared with a health promotion control (proposed enrollment of 80 men on AS and spouses) that has been matched for time and attention. Baseline (T1) measures (e.g., anxiety, fear of progression, quality of life) are administered just prior to randomization to the two study arms, followed by repeated assessments at 2 months (T2), 6 months (T3) and 12 months (T4)., Conclusion: This study has the potential to offer men and their partners on AS with important educational and self-regulatory skills to better cope and adjust with known stressors related to being placed on this protocol., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier Inc. All rights reserved.)

Male Wistar rats (n = 72) trained to run on a treadmill were fasted overnight and fed by gavage 3 ml unsupplemented water or a solution containing 2 g of glucose, fructose or sucrose 30 min prior to exercise. Six rats from each dietary group were killed after 0, 1 or 2 h of exercise. Blood glucose levels decreased in all groups over the 2-h exercise period; however, the largest decline in blood glucose was exhibited by the rats fed unsupplemented water (-32.1%), followed by those fed fructose (-26.9%), sucrose (-13.9%) and glucose (-8.3%). The water-fed control rats also had the largest increase in circulating free fatty acids (+215.4%), followed by those fed fructose (+120.8%), sucrose (+69.2%) and glucose (+57.5%). The fructose-fed animals exhibited the greatest depletion of liver glycogen and the smallest decline in soleus and red vastus lateralis muscle glycogen of the rats fed the different carbohydrates. The data indicate that exercise-induced changes in substrate levels can be modified by the type of carbohydrate given prior to exercise.