Department of Medical Humanities and Social Medicine, Ajou University School of Medicine, Suwon, South Korea.
Department of Medical Device Management and Research, SAIHST, Sungkyunkwan University, Seoul, South Korea.
Medicine (Baltimore). 2022 Sep 9;101(36):e30091. doi: 10.1097/MD.0000000000030091.
This study analyzed the factors affecting the health-related quality of life of patients with benign prostatic hyperplasia (BPH) according to age. We also aimed to determine appropriate strategies to improve their quality of life. Data from the Korea Health Panel Survey (2009-2016) were used in this study. A total of 3806 patients with BPH were divided into 2 groups: younger adults (aged under 65 years) and older adults (aged over 65 years). In addition, a logistic regression analysis was conducted to identify factors affecting the quality of life of young and older patients with BPH. In younger adult patients with BPH, the higher the level of education, the higher the quality of life by a factor of 1.379, and the more intense the physical activity, the lower the quality of life by a factor of 0.791. Also, the longer the sitting time, the lower the quality of life by a factor of 0.765. In contrast, for older adult patients with BPH, the quality of life improved by factors of 1.601 and 2.921, respectively, for health insurance and higher income level. In addition, it was found that the quality of life decreased by a factor of 0.754 in patients who drink alcohol. In order to improve the quality of life of the middle-aged adult population with BPH, it is necessary to reduce sitting time through constant physical activity. Moreover, the cost of medical care should be reduced and the quality of life increased through reductions in surgical treatment, as the burden of medical expenses will degrade the quality of life for older adults.
本研究根据年龄分析了影响良性前列腺增生（BPH）患者健康相关生活质量的因素。我们还旨在确定改善其生活质量的适当策略。本研究使用了韩国健康面板调查（2009-2016 年）的数据。共纳入 3806 例 BPH 患者，分为 2 组：年轻人（<65 岁）和老年人（>65 岁）。此外，进行了逻辑回归分析，以确定影响年轻和老年 BPH 患者生活质量的因素。在患有 BPH 的年轻成年人中，受教育程度越高，生活质量越好，为 1.379 倍；身体活动越剧烈，生活质量越低，为 0.791 倍。此外，久坐时间越长，生活质量越低，为 0.765 倍。相比之下，对于患有 BPH 的老年患者，医疗保险和较高的收入水平使生活质量分别提高了 1.601 倍和 2.921 倍。此外，发现饮酒的患者生活质量下降了 0.754 倍。为了提高患有 BPH 的中年人群的生活质量，有必要通过持续的身体活动减少久坐时间。此外，通过减少手术治疗来降低医疗成本和提高生活质量，因为医疗费用的负担会降低老年人的生活质量。
