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University of Groningen

Long-term adverse effects of cancer treatment

Westerink, Nico-Derk Lodewijk

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

Document Version

Publisher's PDF, also known as Version of record

Publication date: 2018

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Westerink, N-D. L. (2018). Long-term adverse effects of cancer treatment: Susceptibility and intervention strategies. Rijksuniversiteit Groningen.

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Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum.

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Long-term adverse effects

of cancer treatment

Susceptibility and intervention strategies

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Westerink, Nico-Derk Lodewijk, 2018

Long-term adverse effects of cancer treatment: susceptibility and intervention strategies Thesis, University of Groningen, The Netherlands

© Copyright 2018, Nico-Derk Lodewijk Westerink, Groningen, The Netherlands

All rights reserved. No part of this thesis may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, without prior permission of the author or, when appropriate, of the publisher of the published articles.

Cover design: Gerdia van Staveren

Lay-out: Douwe Oppewal, www.oppewal.nl Printing: Ipskamp Printing B.V.

The research presented in this thesis was conducted at the Department of Medical Oncology, University of Groningen, University Medical Center Groningen. This research project was financially supported by The Dutch Cancer Society, project number 2011-5265.

The printing of this thesis was financially supported by the Stichting Werkgroep Interne Oncologie, Rijksuniversiteit Groningen, Universitair Medisch Centrum Groningen and the Stichting Beroepsopleiding Huisartsen (SBOH), and are gratefully acknowledged.

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Long-term adverse effects

of cancer treatment

Susceptibility and intervention strategies

Proefschrift

ter verkrijging van de graad van doctor aan de Rijksuniversiteit Groningen

op gezag van de

rector magnificus prof. dr. E. Sterken en volgens besluit van het College voor Promoties.

De openbare verdediging zal plaatsvinden op woensdag 13 juni 2018 om 14.30 uur

door

Nico-Derk Lodewijk Westerink

geboren op 21 juni 1985 te IJsselmuiden

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Promotor

Prof. dr. J.A. Gietema

Copromotores

Dr. A.H. Vrieling Dr. A.M.E. Walenkamp

Beoordelingscommissie

Prof. dr. ir. J.J.M. van der Hoeven Prof. dr. J.G.W. Kosterink Prof. dr. D.J. van Veldhuisen

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Paranimfen

Joël Harms Jacco Westerink

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CONTENTS

Chapter 1 9

General introduction

Chapter 2

17

Cancer treatment induced metabolic syndrome: Improving outcome with lifestyle

Chapter 3

35

Single nucleotide polymorphism in the 5-α-reductase gene (SRD5A2) is

associated with increased prevalence of metabolic syndrome in

chemotherapy-treated testicular cancer survivors

Chapter 4

49

Optimal timing of a tailored physical exercise program during cancer

chemotherapy to reduce long-term cardiovascular morbidity - ACT trial:

design and a preliminary report on cardiorespiratory fitness and vascular markers

Chapter 5

71

Potential genetic predisposition for anthracycline-associated cardiomyopathy

in families with dilated cardiomyopathy

Chapter 6

85

Bleomycin-induced pulmonary changes on restaging computed tomography

scans in two thirds of testicular cancer patients show no correlation with

fibrosis markers

Chapter 7

101

Variation in the HFE gene is associated with the development of

bleomycin-induced pulmonary toxicity in testicular cancer patients

Chapter 8 115

Summary, discussion and future perspectives

Chapter 9 125

Nederlandse samenvatting (Dutch summary)

Supplemental files

131

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