Risk factors for benign prostatic enlargement: The role of lifestyle habits at younger age. The #Controllati2017 initiative study group

Objective: The risk factors for benign prostatic enlargement (BPE) are not well understood and particularly few data are available from Italian population. Materials and methods: This was an observational cross sectional study aimed to examine the association between several risk factors and BPE. Du...

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Main Authors: Vincenzo Mirone, Giuseppe Carrieri, Giuseppe Morgia, Luca Carmignani, Giuseppe Vespasiani, Fabio Parazzini, Walter Artibani
Format: Article
Language:English
Published: PAGEPress Publications 2017-12-01
Series:Archivio Italiano di Urologia e Andrologia
Subjects:
Online Access:http://www.pagepressjournals.org/index.php/aiua/article/view/7208
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author Vincenzo Mirone
Giuseppe Carrieri
Giuseppe Morgia
Luca Carmignani
Giuseppe Vespasiani
Fabio Parazzini
Walter Artibani
author_facet Vincenzo Mirone
Giuseppe Carrieri
Giuseppe Morgia
Luca Carmignani
Giuseppe Vespasiani
Fabio Parazzini
Walter Artibani
author_sort Vincenzo Mirone
collection DOAJ
description Objective: The risk factors for benign prostatic enlargement (BPE) are not well understood and particularly few data are available from Italian population. Materials and methods: This was an observational cross sectional study aimed to examine the association between several risk factors and BPE. During the “#Controllati2017” initiative, men aged 18 years or more were invited to attend participating urologic centers for a free of charge visit for counseling about urologic or andrologic conditions. Each participating man underwent a physical examination including digital rectal examination (DRE). Further he was asked about his medical history, urologic symptoms, sexual activity and related problems. Diagnosis of BPE was made by the urologist after DRE. Results: Out of the 1902 [mean age 54 years (SD 12, range 18-92)] considered men, a total of 603 subjects (31.7%) had diagnosis of BPE. The diagnosis of BPE increased from 9.3% in men aged < = 50 years, to 34.1% in those aged 51-60 years and to 58.7% among men aged > 60 years. A history of hypertension, diabetes, heart diseases, hypercholesterolemia and hypertriglyceridemia were all significantly associated with an increased risk of BPE in the total series and, although not always in a statistically significant way, in strata of age. Physical activity (PA) was significantly associated with a decreased risk of BPE. We have further analyzed the risk of BPE in men with one or more of the identified risk factors (i.e. hypertension, diabetes, heart disease, hypercholesterolemia, hypertriglyceridemia and low PA): the risk of BPE increased with number of risk factors reported by the subjects. The estimated risk were higher among younger men. Conclusion: In our study a history of hypertension, diabetes, heart disease, hypercholesterolemia and hypertriglyceridemia increased the risk and physical activity lowered the risk of BPE. This risk profile was observed also in men aged < 50 years.
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spelling doaj.art-7547d910a2784394a86c6d7cac977e282022-12-22T02:28:52ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972017-12-0189425325810.4081/aiua.2017.4.2535513Risk factors for benign prostatic enlargement: The role of lifestyle habits at younger age. The #Controllati2017 initiative study groupVincenzo Mirone0Giuseppe Carrieri1Giuseppe Morgia2Luca Carmignani3Giuseppe Vespasiani4Fabio Parazzini5Walter Artibani6Università degli Studi di Napoli Federico II, UOC di Urologia della A.O.U. Federico II NapoliDipartimento Nefro/Urologico Clinica Urologica e Centro Trapianti di rene, Università degli Studi di Foggia, FoggiaUniversità degli Studi di Catania Presidio Ospedaliero Policlinico, CataniaUniversità degli Studi di Milano, Divisione Universitaria di Urologia, IRCCS Policlinico San Donato, MilanoUOC Urologia, Fondazione PTV - Policlinico Tor Vergata, RomaUniversità degli Studi di Milano Dipartimento di Scienze Cliniche e di Comunità, IRCCS Policlinico, MilanoAzienda Ospedaliera Universitaria Integrata VeronaObjective: The risk factors for benign prostatic enlargement (BPE) are not well understood and particularly few data are available from Italian population. Materials and methods: This was an observational cross sectional study aimed to examine the association between several risk factors and BPE. During the “#Controllati2017” initiative, men aged 18 years or more were invited to attend participating urologic centers for a free of charge visit for counseling about urologic or andrologic conditions. Each participating man underwent a physical examination including digital rectal examination (DRE). Further he was asked about his medical history, urologic symptoms, sexual activity and related problems. Diagnosis of BPE was made by the urologist after DRE. Results: Out of the 1902 [mean age 54 years (SD 12, range 18-92)] considered men, a total of 603 subjects (31.7%) had diagnosis of BPE. The diagnosis of BPE increased from 9.3% in men aged < = 50 years, to 34.1% in those aged 51-60 years and to 58.7% among men aged > 60 years. A history of hypertension, diabetes, heart diseases, hypercholesterolemia and hypertriglyceridemia were all significantly associated with an increased risk of BPE in the total series and, although not always in a statistically significant way, in strata of age. Physical activity (PA) was significantly associated with a decreased risk of BPE. We have further analyzed the risk of BPE in men with one or more of the identified risk factors (i.e. hypertension, diabetes, heart disease, hypercholesterolemia, hypertriglyceridemia and low PA): the risk of BPE increased with number of risk factors reported by the subjects. The estimated risk were higher among younger men. Conclusion: In our study a history of hypertension, diabetes, heart disease, hypercholesterolemia and hypertriglyceridemia increased the risk and physical activity lowered the risk of BPE. This risk profile was observed also in men aged < 50 years.http://www.pagepressjournals.org/index.php/aiua/article/view/7208Benign prostatic enlargement (BPE)HypertensionDiabetesHearth diseaseHypercholesterolemiaHypertriglyceridemiaPhysical activity
spellingShingle Vincenzo Mirone
Giuseppe Carrieri
Giuseppe Morgia
Luca Carmignani
Giuseppe Vespasiani
Fabio Parazzini
Walter Artibani
Risk factors for benign prostatic enlargement: The role of lifestyle habits at younger age. The #Controllati2017 initiative study group
Archivio Italiano di Urologia e Andrologia
Benign prostatic enlargement (BPE)
Hypertension
Diabetes
Hearth disease
Hypercholesterolemia
Hypertriglyceridemia
Physical activity
title Risk factors for benign prostatic enlargement: The role of lifestyle habits at younger age. The #Controllati2017 initiative study group
title_full Risk factors for benign prostatic enlargement: The role of lifestyle habits at younger age. The #Controllati2017 initiative study group
title_fullStr Risk factors for benign prostatic enlargement: The role of lifestyle habits at younger age. The #Controllati2017 initiative study group
title_full_unstemmed Risk factors for benign prostatic enlargement: The role of lifestyle habits at younger age. The #Controllati2017 initiative study group
title_short Risk factors for benign prostatic enlargement: The role of lifestyle habits at younger age. The #Controllati2017 initiative study group
title_sort risk factors for benign prostatic enlargement the role of lifestyle habits at younger age the controllati2017 initiative study group
topic Benign prostatic enlargement (BPE)
Hypertension
Diabetes
Hearth disease
Hypercholesterolemia
Hypertriglyceridemia
Physical activity
url http://www.pagepressjournals.org/index.php/aiua/article/view/7208
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