Amadi Collins, Aleme Benjamin M
Department of Chemical Pathology and Metabolic Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
Nutr Cancer. 2020;72(6):1018-1025. doi: 10.1080/01635581.2019.1664600. Epub 2019 Sep 14.
Zinc deficiency is reportedly common and influences prostate cancer (PCa) incidence among elderly males. Hence, this study was designed to determine the prevalence of zinc deficiency among Nigerian males with PCa. This was a descriptive case-control study among 220 PCa patients and 220 age-matched controls. Clinical and laboratory variables were obtained and evaluated among both study groups. Analysis of serum PSA and plasma zinc was done under standard protocols. No age difference (cases: 69.73 ± 7.72 vs controls: 68.97 ± 7.32; > 0.05) was observed among both study groups. Prevalence of zinc deficiency among PCa and control groups was 69.1% and 21.8%, respectively. Zinc deficiency was more prevalent among the elderly PCa patients ( = 119; 78.3%) compared to elderly controls. Higher proportion ( = 136; 89.5%) of zinc-deficient PCa patients presented with moderate-severe PCa disease. Elderly PCa patients ( = 119; 81.0%) predominated among those exhibiting moderate-severe PCa disease. Inverse relationship between zinc and age was more pronounced among the PCa patients (Beta= -0.454; < 0.001) than the controls (Beta= -0.343; ≤ 0.001). The study findings indicate a significant burden of zinc deficiency associated with adverse outcome of PCa among elderly males with the disease. Zinc deficiency may serve as a therapeutic target or diagnostic marker in elderly males with PCa.
据报道,锌缺乏症很常见,并且会影响老年男性前列腺癌(PCa)的发病率。因此,本研究旨在确定尼日利亚前列腺癌男性患者中锌缺乏症的患病率。这是一项针对220例前列腺癌患者和220例年龄匹配的对照者的描述性病例对照研究。在两个研究组中获取并评估了临床和实验室变量。血清PSA和血浆锌的分析按照标准方案进行。两个研究组之间未观察到年龄差异(病例组:69.73±7.72,对照组:68.97±7.32;P>0.05)。前列腺癌组和对照组中锌缺乏症的患病率分别为69.1%和21.8%。与老年对照组相比,老年前列腺癌患者中锌缺乏症更为普遍(n = 119;78.3%)。锌缺乏的前列腺癌患者中,更高比例(n = 136;89.5%)表现为中重度前列腺癌疾病。在表现为中重度前列腺癌疾病的患者中,老年前列腺癌患者占主导(n = 119;81.0%)。与对照组(β = -0.343;P≤0.001)相比,锌与年龄之间的负相关关系在前列腺癌患者中更为明显(β = -0.454;P<0.001)。研究结果表明,在患有前列腺癌的老年男性中,锌缺乏症与前列腺癌不良预后相关的负担较重。锌缺乏症可能成为老年前列腺癌男性患者的治疗靶点或诊断标志物。