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Body Mass Index in Relation to Prostate-specific Antigen-related Parameters

Overview
Journal BMC Urol
Publisher Biomed Central
Specialty Urology
Date 2021 Sep 17
PMID 34530776
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Abstract

Background: Only a few previous studies conducted to assess the association between body mass index (BMI) and prostate-specific antigen (PSA) related parameters have taken prostate volume (PV) and blood volume (BV) into consideration. The objective of this study was to assess the relationship between BMI and parameters of PSA concentrations in Chinese adult men.

Methods: A total of 86,912 men who have received annual physical examination at the First Affiliated Hospital of Army Medical University from 1 January 2011 to 31 December 2018 were included in this study. Linear regression models were performed to assess the relationship between BMI, PV, BV and PSA, and analyze the correlation between BMI and PSA, PSA density and PSA mass.

Results: The univariable linear regression showed that PV, BV, systolic pressure (SBP), pulse, fasting blood glucose (FBG) and age were significantly associated with PSA level (P < 0.05). The multivariate linear regression demonstrated that PV, BV, FBG and age were significantly associated with PSA level (P < 0.05). WHR and BMI is negatively associated with PSA and PSA density (P < 0.05), and no statistically significant association was found between PSA mass and WHR and (P = 0.268) or BMI (P = 0.608).

Conclusions: The findings of this large-sample, hospital-based study in China indicate that PV was positively associated with serum PSA concentrations, while BMI and BV were inversely related with PSA levels. PSA mass can be used to estimate the PSA concentration without being affected by obesity in Chinese men.

References
1.
Fowke J, Matthews C . PSA and body composition by dual X-ray absorptiometry (DXA) in NHANES. Prostate. 2009; 70(2):120-5. PMC: 2798924. DOI: 10.1002/pros.21039. View

2.
Giovannucci E, Rimm E, Chute C, Kawachi I, Colditz G, Stampfer M . Obesity and benign prostatic hyperplasia. Am J Epidemiol. 1994; 140(11):989-1002. DOI: 10.1093/oxfordjournals.aje.a117206. View

3.
Dunn M . Prostate Cancer Screening. Semin Oncol Nurs. 2017; 33(2):156-164. DOI: 10.1016/j.soncn.2017.02.003. View

4.
Martinez-Pineiro L, Garcia Mediero J, Gonzalez Gancedo P, Tabernero A, Lozano D, Lopez-Tello J . Probability of prostate cancer as a function of the percentage of free prostate-specific antigen in patients with a non-suspicious rectal examination and total prostate-specific antigen of 4-10 ng/ml. World J Urol. 2004; 22(2):124-31. DOI: 10.1007/s00345-003-0393-5. View

5.
Bonn S, Sjolander A, Tillander A, Wiklund F, Gronberg H, Balter K . Body mass index in relation to serum prostate-specific antigen levels and prostate cancer risk. Int J Cancer. 2016; 139(1):50-7. DOI: 10.1002/ijc.30052. View