Influence of obesity and hyperglycemia on benign prostatic hyperplasia in elder patients with newly diagnosed type 2 diabetes
10.3760/cma.j.issn.0254-9026.2013.02.014
- VernacularTitle:老年新诊断2型糖尿病患者肥胖高血糖与良性前列腺增生的关系
- Author:
Li MIAO
;
Zhe CHEN
;
Jinling WU
;
Miaobing LIU
;
Zhiwei NING
;
Yuan XU
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus,type 2;
Prostatic hyperplasia;
Blood glucose
- From:Chinese Journal of Geriatrics
2013;(2):172-174
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relationship of BPH in patients with newly diagnosed type 2 diabetes mellitus with age,weight,blood glucose levels.Methods Totally 141 cases with type 2 diabetes and BPH in elderly patients were discussed.Glucose level,the international prostate symptom score (IPSS),prostate volume (PV) and maximum urinary flow rate (Qmax) were determined.Results The levels of IPSS(10.9±2.5 vs.16.4±3.0,P＜0.01; 10.9±2.5 vs.19.4±3.3,P＜0.05) and PV(43.3±7.7 vs.47.9±10.5,43.3±7.7 vs.48.1±8.6,both P＜0.05) were increased in age group of 70-79 years and age group ≥ 80,Qmax in age≥ 80 years was decreased (12.0±2.6 vs.8.5±1.4,P＜0.05) compared with age group of 60-69 years.In contrast to BMI ≤ 24 kg/m2 group,IPSS score,PV and HOMA-IR were increased in BMI ≥ 28 kg/m2 (9.8±3.4 vs.18.8±4.1,P＜0.01; 41.1±10.8 vs.49.1±11.4,1.87±1.1 vs.3.89±2.0,P＜ 0.05).IPSS and PV were higher (12.6±5.7 vs.16.9±4.2,42.9±9.7 vs.48.3±10.6,P＜0.05),Qmax was lower (11.7±1.9 vs.9.0±1.6,P＜0.05) in patients with HbA1c ≥7％ versus HbA1c＜7％.Conclusions Age,obesity,high blood glucose and insulin resistance can promote the progress of BPH in the elderly newly diagnosed type 2 diabetic patients.Therefore,control of weight,and lowering the glycosylated hemoglobin may inhibit the progress of BPH.
