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      Associated Factors for Prostate Enlargement in Chinese Adult Men Aged <40 Receiving Checkups

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          Abstract

          Purpose

          Prostate enlargement (PE) is an increase in prostate volume in morphology. PE was also observed in some patients aged <40 with chronic prostatitis. This study aimed to explore the associated factors for PE in Chinese adult men aged <40.

          Methods

          The medical records of 1851 consecutive Chinese adult men aged <40 in a single center were retrospectively analyzed. The checkup indicator characteristics between the PE and non-PE groups were compared by univariate analysis, and the associated factors were analyzed by multivariate analysis.

          Results

          The overall prevalence of PE (defined as prostate volume ≥ 20 ml) in adult men aged < 40 was 10.4%. Age and the proportions of subjects with prostate calcification or hypertension were different between the PE and non-PE groups ( P < 0.05). Multivariate logistic analysis showed that prostate calcification (odds ratio [OR], 1.831; 95% confidence interval [CI], 1.281–2.619; P=0.001), hypertension (OR, 1.528; 95% CI, 1.125–2.076; P=0.007), and age (OR, 1.117; 95% CI, 1.078–1.159; P < 0.001) were associated factors for PE in adult men aged <40.

          Conclusions

          The prevalence of PE in Chinese adult check-up men aged <40 was not rare. In addition to age, prostate calcification and hypertension were associated factors for PE in Chinese adult men aged <40.

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          Most cited references29

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          Estimating GFR using the CKD Epidemiology Collaboration (CKD-EPI) creatinine equation: more accurate GFR estimates, lower CKD prevalence estimates, and better risk predictions.

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            The development of human benign prostatic hyperplasia with age.

            In this study we report the prevalence and growth rate of human benign prostatic hyperplasia with age by combining and analyzing data from 10 independent studies containing more than 1,000 prostates. The normal prostate reaches 20 plus or minus 6 gm. in men between 21 and 30 years old, and this weight remains essentially constant with increasing age unless benign prostatic hyperplasia develops. The prevalence of pathological benign prostatic hyperplasia is only 8 per cent at the fourth decade; however, 50 per cent of the male population has pathological benign prostatic hyperplasia when they are 51 to 60 years old. The average weight of a prostate that is recognized at autopsy to contain benign prostatic hyperplasia is 33 plus or minus 16 gm. Only 4 per cent of the prostates in men more than 70 years old reach sizes greater than 100 gm. An analysis of a logistic growth curve of benign prostatic hyperplasia lesions removed at prostatectomy indicates that the growth of benign prostatic hyperplasia is initiated probably before the patient is 30 years old. The early phase of benign prostatic hyperplasia growth (men between 31 and 50 years old) is characterized by a doubling time for the tumor weight of 4.5 years. In the mid phase of benign prostatic hyperplasia growth (men between 51 and 70 years old) the doubling time is 10 years, and increases to more than 100 years in patients beyond 70 years old.
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              Metabolic factors associated with benign prostatic hyperplasia.

              Benign prostatic hyperplasia poses a significant public health problem, but its etiology remains unclear. Obesity and associated abnormalities in glucose homeostasis may play a role in benign prostatic hyperplasia development by influencing prostate growth. The objective of this study was to determine whether obesity, fasting plasma glucose concentration, and diabetes are associated with radiologically determined prostate enlargement, an objective measure of benign prostatic hyperplasia. This study was a cross-sectional analysis with robust variance estimates to account for multiple measures over time in the same individuals. This prospective cohort study was composed of community volunteers. Patients studied were 422 adult men enrolled in The Baltimore Longitudinal Study of Aging. Total prostate volume as determined by pelvic magnetic resonance imaging was measured. Among 422 participants, 91 (21.6%) had prostate enlargement (defined as total prostate volume >/= 40 cc) at first visit. Compared with men of normal weight [body mass index (BMI) /= 35 kg/m(2)) was 3.52 (95% CI, 1.45-8.56) (P = 0.01). Men with elevated fasting glucose (>110 mg/dl) were more likely to have an enlarged prostate than men with normal fasting glucose (
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                Author and article information

                Contributors
                Journal
                Int J Clin Pract
                Int J Clin Pract
                IJCLP
                International Journal of Clinical Practice
                Hindawi
                1368-5031
                1742-1241
                2022
                11 August 2022
                : 2022
                : 4792451
                Affiliations
                1Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
                2Department of Urology, The Fourth Affiliated Hospital of Anhui Medical University, Hefei 230012, China
                3Department of Health Management Center, The Fourth Affiliated Hospital of Anhui Medical University, Hefei 230012, China
                Author notes

                Academic Editor: Qing Wang

                Author information
                https://orcid.org/0000-0001-7138-7909
                https://orcid.org/0000-0003-1966-5478
                https://orcid.org/0000-0003-2599-952X
                https://orcid.org/0000-0003-3399-3689
                https://orcid.org/0000-0003-2317-1323
                Article
                10.1155/2022/4792451
                9388272
                36016826
                78a7fb34-a995-4829-96ae-7d82f0755e55
                Copyright © 2022 Xiaoma Zhang et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 28 April 2022
                : 24 May 2022
                Funding
                Funded by: National Nature Science Foundation of China
                Award ID: 81870519
                Categories
                Research Article

                Medicine
                Medicine

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