| 老年良性前列腺增生与体质指数及腰臀比关系 |
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| 引用本文： | 卢智泉, 刘玉芳, 王立华, 贺振权, 史玉婷, 张国毅, 李志强. 老年良性前列腺增生与体质指数及腰臀比关系[J]. 中国公共卫生, 2008, 24(10): 1171-1173. DOI: 10.11847/zgggws2008-24-10-13 |
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| 作者姓名： | 卢智泉 刘玉芳 王立华 贺振权 史玉婷 张国毅 李志强 |
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| 作者单位： | 1.辽宁医学院预防医学教研室, 锦州121001;2.广东省江门市疾病预防控制中心;3.辽宁医学院附属第一医院泌尿外科 |
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| 摘 要： | 目的 探讨老年男性体质指数(BMI)、腰臀比(WHR)与临床良性前列腺增生(BPH)的关系.方法 采取以医院为基础的病例对照研究.病例组为经组织学检查证实为临床BPH的208例男性,对照组为因患其他非前列腺疾病而入住与病例相同医院的同期病人208例.对研究对象在住院期间进行问卷调查,同时对身高、体重、腰围、臀围进行测量.采用多元Logistic回归模型对患者BMI、WHR与临床BPH的比值比(OR)及其95%CI进行统计.结果 与正常体型者(WHR<0.9)相比,向心性肥胖者(WHR≥0.9)发生BPH的危险性增加,OR=1.16,95%CI=1.05~4.87,P<0.05.在调整了年龄和BMI因素后,与正常体型者相比,无论是超重(BMI 24.0~27.9)或是肥胖(BMI≥28),发生BPH的危险性均明显增高,超重者OR=2.65,95%CI=1.33~6.96,肥胖者OR=3.00,95%CI=1.81~8.84.结论 向心性肥胖是BPH的一个重要危险因素,在超重和肥胖的男性中,向心性肥胖者发生BPH的危脸性明显增高.
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| 关 键 词： | 良性前列腺增生 体质指数 腰臀比 病例对照研究 |
| 收稿时间： | 2008-03-22 |
Body mass index,waist to hip ratio and the risk of benign prostatic hyperplasia in elderly |
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| LU Zhi-quan, LIU Yu-fang, WANG Li-hua, . Body mass index,waist to hip ratio and the risk of benign prostatic hyperplasia in elderly[J]. Chinese Journal of Public Health, 2008, 24(10): 1171-1173. DOI: 10.11847/zgggws2008-24-10-13 |
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| Authors: | LU Zhi-quan LIU Yu-fang WANG Li-hua |
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| Affiliation: | 1.Department of Preventive Medicine, Liaoning Medical College, Jinzhou 121001, China |
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| Abstract: | Objective To explore the association between body mass index(BMI),waist to hip ratio(WHR)and clinical benign prostatic hyperplasia(BPH)risk in older men.Methods A hospital-based case-control study was conducted.Cases(n=280)were men surgically and histologically confirmed with BPH,and controls(n=280)were men admitted to hospital for different diseases not related with prostatic conditions.Using a structured questionnaire,all subjects were interviewed and waist and hip circumference of the subjects were measured.The odds ratios(OR)and 95% confidence intervals(CI)of BPH for BM I and WHR were estimated with unconditional multiple logistic regression models.Results WHR≥0.9 was positively related to BPH(compared with WHR<0.9:O R=1.16,95% CI 1.05～4.87,P<0.05).Age-adjusted relative risks for BPH in WHR≥0.9 versus WHR<0.9 stratified by BM I(obesity)were estimated.For men who were overweight(BM I 24.0～27.9)or obesity(BM I≥28.0),WHR≥0.9 was associated with a significantly increased risk for clinical BPH(compared with WHR<0.9:OR=2.65,95% CI 1.33～6.96 and O R=3.00,95% CI=1.81～8.84,respectively).Conclusion Obesity(especially central obesity)is an important risk factor of clinical BPH.For overweight or obesity,central obesity is associated with a significantly increased risk of clinical BPH. |
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| Keywords: | benign prostatic hyperplasia body mass index waist to hip ratio case-control study |
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