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膳食钙摄入量与良性前列腺增生之间的关联:基于2003年至2008年美国国家健康和营养检查调查(NHANES)的人群研究结果

Association between dietary calcium intake and benign prostatic hyperplasia: a population-based result from NHANES 2003 to 2008.

作者信息

Chang Hongyuan, Wang Hao, Wang Anmin, Ma Dongyue, Lv Hui, Sun Di, Zhao Ziwei, Luo Dicheng, Wang Shihao, Guo Jun, Wang Fu

机构信息

Department of Andrology, Xiyuan Hospital of China Academy of Chinese Medical Sciences, Beijing, China.

College of Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.

出版信息

Transl Androl Urol. 2025 May 30;14(5):1273-1282. doi: 10.21037/tau-2025-43. Epub 2025 May 22.

Abstract

BACKGROUND

Benign prostatic hyperplasia (BPH), as a cause of various lower urinary tract symptoms (LUTS), can improve patients' quality of life when effectively controlled. To elaborate on the effect of dietary calcium intake on BPH, we investigated the association between dietary calcium intake and the risk of BPH using data from the National Health and Nutrition Examination Survey (NHANES).

METHODS

Data from the NHANES conducted from 2003 to 2008 were utilized. BPH was identified through self-reported questionnaires, and dietary calcium intake was calculated based on the mean of two 24-hour dietary recall interviews. Multivariable logistic regression analyses were performed to assess the association, supplemented by restricted cubic spline analysis and subgroup analyses.

RESULTS

A total of 590 males aged 40 years and older were included in the study, of whom 138 had BPH. After adjusting for all covariates, a higher dietary calcium intake was associated with an increased risk of BPH [odds ratio (OR), 1.05; 95% confidence interval (CI): 1.01-1.09; P=0.04], and those without hypertension.

CONCLUSIONS

The study found a positive association between dietary calcium intake and the risk of BPH among U.S. men aged 40 years and older. High calcium intake may be associated with the occurrence of BPH, particularly in older individuals. These findings underscore the importance of monitoring dietary calcium intake as part of BPH prevention strategies.

摘要

背景

良性前列腺增生(BPH)是各种下尿路症状(LUTS)的一个病因,有效控制时可改善患者生活质量。为阐述膳食钙摄入量对BPH的影响,我们利用美国国家健康与营养检查调查(NHANES)的数据,研究了膳食钙摄入量与BPH风险之间的关联。

方法

采用2003年至2008年进行的NHANES数据。通过自我报告问卷确定BPH,并根据两次24小时膳食回顾访谈的平均值计算膳食钙摄入量。进行多变量逻辑回归分析以评估关联,并辅以受限立方样条分析和亚组分析。

结果

共有590名40岁及以上男性纳入研究,其中138人患有BPH。在对所有协变量进行调整后,较高的膳食钙摄入量与BPH风险增加相关[比值比(OR),1.05;95%置信区间(CI):1.01 - 1.09;P = 0.04],且在无高血压者中也是如此。

结论

该研究发现美国40岁及以上男性的膳食钙摄入量与BPH风险之间存在正相关。高钙摄入可能与BPH的发生有关,尤其是在老年人中。这些发现强调了监测膳食钙摄入量作为BPH预防策略一部分的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2021/12170208/30750c0f6ef5/tau-14-05-1273-f1.jpg

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