Keywords : Body Mass Index
Body Mass Index (BMI), lipid profile, leptin level and their correlation with Prostate Specific Antigen(PSA) in Iraqi patients with Benign Prostatic Hyperplasia (BPH)
karbala journal of pharmaceutical sciences,
Volume 4, Issue 4, Pages 18-31
Background: Benign prostatic hyperplasia (BPH) is a prevalent problem among older men . There is controversy about the risk factors that contribute to the development and aggravation of BPH, diet and obesity may have a major role in the development of BPH. This study investigate body mass index (BMI) as a marker of obesity, leptin level, and lipid profile in correlation with the prostate-specific antigen PSA in symptomatic BPH Iraqi patients.
Patients and Methods : Randomly selected twenty patients newly diagnosed with BPH visited Baghdad hospital for special surgery, including 10 non-obese patients with BPH,and 10 overweight or obese patients with BPH. Body mass index (BMI ) was calculated and blood samples were drawn to determine fasting blood glucose (FBG) , total cholesterol, triglycerides, HDL cholesterol , serum leptin , and prostate-specific antigen (PSA).
Results : BMI value ,Triglycerides , and serum leptin was significantly higher in overweight or obese patients ( p ˂ 0.05 ),and there was non significant high level of FBG , PSA , total cholesterol compared to non obese ( p ˃0.05 ). Significant lower level of HDL cholesterol was also noticed inobese patients (p ˂0.5 ). In non obese patients, . PSA correlated negatively with BMI,leptin, triglycerides and FBG, positively with total cholesterol and HDL cholesterol. While inobesepatients , PSA correlated negatively with BMI, leptin, HDL cholesterol,and FBG .PSA correlated positively with total cholesterol and triglycerides .
Conclusion :In this study , obesity marker like serum leptin ,BMI and triglycerides , was significantly higher in overweight/obese BPH patients compared to non obese,but correlated negatively with PSA (except with triglycerides) . Further research exploring relationship of diet, obesity with prostate cancer and BPH will lead to understanding of the complex inter-relationship.