Vinnik Yu Yu, Amelchenko A A
Federal State Budgetary Educational Institution of Higher Education Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University of the Ministry of Healthcare of the Russian Federation, Krasnoyarsk, Russia.
Urologiia. 2024 Mar(1):41-48.
dentification of bioimpedance and clinical features in young men with chronic pelvic pain inflammatory syndrome (CP/CPPS NIH IIIa) depending on the somatotype.
s. 150 men of the first period of adulthood from 22 to 35 years old with CP/CPPS NIH IIIa were examined from 2018 to 2022 years. The average age was 31 [28; 34] year. Somatotypes were computed according to Carter and Heath. Body composition was assessed anthropometry and bioimpedance analysis.
Ectomorphs had the least clinical, laboratory and instrumental manifestations of CP/CPPS NIH IIIa, the levels of total and free testosterone were the highest. The active cell mass predominated in the component composition of the body. Manifestations in mesomorphs had a moderate degree of severity. Endomorphs had the most severe manifestations of CP/CPPS NIH IIIa, the largest amount of fat mass was noted in the body composition than in men of other somatotypes, the hormonal status was characterized by the lowest levels of free and total testosterone, and the highest level of estradiol.
Based on the literature data and our own results, it can be assumed that the identified changes in the body component composition and hormonal status of men contribute to the maintenance of chronic inflammation in the prostate, organ ischemia, impaired intracranial metabolism, recurrent course of CP/CPPS NIH IIIa, which significantly reduces the patients quality of life and increases the risk of prostate inflammation with age.
Determining the somatotype and conducting a component analysis of body composition allows patients to be divided into groups according to the severity of manifestations of CP/CPPS NIH IIIa. The revealed patterns allow us to classify male endomorphs into the group with the most severe manifestations of CP/CPPS NIH IIIa.
根据体型确定慢性盆腔疼痛/慢性前列腺炎综合征（CP/CPPS NIH IIIa型）青年男性的生物阻抗和临床特征。
2018年至2022年期间，对150名年龄在22至35岁之间处于成年初期、患有CP/CPPS NIH IIIa型的男性进行了检查。平均年龄为31[28；34]岁。根据卡特和希思的方法计算体型。通过人体测量和生物阻抗分析评估身体成分。
瘦长型的CP/CPPS NIH IIIa型的临床、实验室和仪器检查表现最少，总睾酮和游离睾酮水平最高。活跃细胞质量在身体成分中占主导。匀称型的表现严重程度中等。肥胖型的CP/CPPS NIH IIIa型表现最为严重，其身体成分中的脂肪量比其他体型的男性更多，激素状态的特点是游离睾酮和总睾酮水平最低，雌二醇水平最高。
根据文献数据和我们自己的结果，可以假设男性身体成分组成和激素状态的变化有助于维持前列腺的慢性炎症、器官缺血、颅内代谢受损、CP/CPPS NIH IIIa型的复发过程，这显著降低了患者的生活质量，并增加了随着年龄增长患前列腺炎症的风险。
确定体型并对身体成分进行成分分析，可以根据CP/CPPS NIH IIIa型表现的严重程度将患者分组。所揭示的模式使我们能够将男性肥胖型归类为CP/CPPS NIH IIIa型表现最严重的组。
