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KMID : 1037120170350030178
The World Journal of Men¡Çs Health
2017 Volume.35 No. 3 p.178 ~ p.185
The Correlation between Body Mass Index and Routine Parameters in Men Over Fifty
Seo Deok-Ha

Yoon Sol
Choi Jae-Hwi
Do Jung-Mo
Lee Sin-Woo
Lee Chun-Woo
Jeh Seong-Uk
Choi See-Min
Kam Sung-Chul
Hwa Jeong-Seok
Chung Ky-Hyun
Kwon Sung-Won
Kim Sae-Chul
Park Dong-Soo
Song Jae-Mann
Lee Kyung-Seop
Hyun Jae-Seog
Abstract
Purpose: This study aimed to investigate the relationships between body mass index (BMI) and prostate-specific antigen (PSA) levels, international prostate symptom score (IPSS), quality of life (QoL), and prostate volume (PV).

Materials and Methods: Height, weight, PSA levels, PV, and IPSS were analyzed in 15,435 patients who underwent a prostate examination between 2001 and 2014. Patients aged <50 years or with a PSA level ¡Ã10 ng/mL were excluded. The relationships between BMI and PSA, IPSS, QoL, and PV were analyzed by a scatter plot, one-way analysis of variance, and the Pearson correlation coefficient.

Results: The mean age was 71.95¡¾7.63 years, the mean BMI was 23.59¡¾3.08 kg/m2, the mean PSA level was 1.45¡¾1.45 ng/mL, the mean IPSS was 15.53¡¾8.31, the mean QoL score was 3.48¡¾1.25, and the mean PV was 29.72¡¾14.02 mL. PSA, IPSS, and QoL showed a tendency to decrease with increasing BMI, and there were statistically significant differences for each parameter (p¡Â0.001). PV showed a significant tendency to increase with BMI (p<0.001). In the correlation analysis, BMI showed a statistically significant correlation (p<0.001) with PSA, IPSS, and QoL, although the correlations were very weak. In contrast, BMI showed a significant correlation with PV (p<0.001), with a meaningful Pearson correlation coefficient of 0.124.

Conclusions: Higher BMI was associated with lower PSA levels and higher IPSS and QoL scores. Meanwhile, PV increased with BMI. Although obese individuals had a greater PV, obesity did not aggravate lower urinary tract symptoms.
KEYWORD
Body mass index, Lower urinary tract symptoms, Prostate-specific antigen, Prostatic hyperplasia
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