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전립샘비대증 발생에 미치는 대사 요인의 영향: 국민건강보험공단자료를 이용하여

Metabolic Factors Associated with Incidence of Benign Prostatic Hyperplasia in Korea: Using National Health Insurance Service Data

정현철|권성원|김혜심|송재민|정재흥|고상백|강대룡|김세철|고태화
한국보건정보통계학회 (The Korean Society of Health informatics statistics)|2020.11|보건정보통계학회지 (Journal of Health Informatics and Statistics)|제45권 제4호|pp. 418-425|DOI https://doi.org/10.21032/jhis.2020.45.4.418

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키워드

Risk factorsBenign prostatic hyperplasiaMetabolic factors

초록

Objectives: To investigate the effect of metabolic factors on benign prostatic hyperplasia (BPH) by age in Korean men. Methods: This study confirmed the occurrence of BPH from 2013 to 2017 in men over 40 years of age who had undergone general health checkups from 2009 to 2010 using the National Health Insurance Corporation data. They were divided into 10-year-olds from 40s to 80s or over, and the effect of BMI and waist circumference on BPH was confirmed using the Cox proportional hazard model. Results: As a result of the analysis, in the 40s and 50s, the effect of BMI on BPH was not statistically significant. However, in the 60s, 70s, and 80s or over, the risk of BPH incidence was 1.41 times, 1.22 times, and 3.01 times, respectively, in obese people compared to underweight. In addition, waist circumference had a statistically significant effect on BPH in all age groups except for the 40s. As a result of analysis of hypertension, diabetes, and hyperlipidemia, the risk of BPH was higher in the group compared to the group without a history, but as a result of analyzing by age group, statistically significant results were found only in the 50s and 60s. Conclusions: Metabolic factors such as obesity, hypertension, diabetes mellitus, and hyperlipidemia was associated with the incidence of BPH. To improve quality of life in elderly, the management plan for metabolic factors should be considered.

Abstract

Objectives: To investigate the effect of metabolic factors on benign prostatic hyperplasia (BPH) by age in Korean men. Methods: This study confirmed the occurrence of BPH from 2013 to 2017 in men over 40 years of age who had undergone general health checkups from 2009 to 2010 using the National Health Insurance Corporation data. They were divided into 10-year-olds from 40s to 80s or over, and the effect of BMI and waist circumference on BPH was confirmed using the Cox proportional hazard model. Results: As a result of the analysis, in the 40s and 50s, the effect of BMI on BPH was not statistically significant. However, in the 60s, 70s, and 80s or over, the risk of BPH incidence was 1.41 times, 1.22 times, and 3.01 times, respectively, in obese people compared to underweight. In addition, waist circumference had a statistically significant effect on BPH in all age groups except for the 40s. As a result of analysis of hypertension, diabetes, and hyperlipidemia, the risk of BPH was higher in the group compared to the group without a history, but as a result of analyzing by age group, statistically significant results were found only in the 50s and 60s. Conclusions: Metabolic factors such as obesity, hypertension, diabetes mellitus, and hyperlipidemia was associated with the incidence of BPH. To improve quality of life in elderly, the management plan for metabolic factors should be considered.

참고문헌 (35)

  1. Calogero AE, "Epidemiology and risk factors of lower urinary tract symptoms", benign prostatic hyperplasia and erectile dysfunction, 2019, pp.22(1), 12~19
  2. 이성란, "중년 이후 남성의 양성 전립선비대증 발생의 임상적 관리와 관련된 요인", 예술인문사회 융합 멀티미디어 논문지, 7(5), pp.501~508 (2017), 사단법인 인문사회과학기술융합학회[DOI]
  3. Hunter DJ, "Health status and quality of life of British men with lower urinary tract symptoms : results from the SF-36", Urology, 45(6), pp.962~971 (1995)[DOI]
  4. 김도형, "중년 남성 전립선비대증 환자의 건강 관련 삶의 질 영향 요인", Korean Journal of Health Promotion, 17(3), pp.199~208 (2017), 대한임상건강증진학회[DOI]
  5. 김정선, "전립선비대증환자의 건강 관련 삶의 질 영향 요인", Journal of Korean Academy of Nursing, 40(2), pp.287~297 (2010), 한국간호과학회
  6. Lee JW, "Benign prostatic hyperplasia and diet", Korean J Urol Oncol, 11(3), pp.122~127 (2013)
  7. 김혜심, "우리나라 전립샘비대증 유병률: 국민건강보험공단자료를 이용하여", 보건정보통계학회지, 43(3), pp.208~216 (2018), 한국보건정보통계학회[DOI]
  8. 고혁준, "Community-based research on the benign prostatic hyperplasia prevalence rate in Korean rural area", Investigative and Clinical Urology, 56(1), pp.68~75 (2015), 대한비뇨의학회
  9. 추민수, "Alcohol, Smoking, Physical Activity, Protein, and Lower Urinary Tract Symptoms: Prospective Longitudinal Cohort", International Neurourology Journal, 19(3), pp.197~206 (2015), 대한배뇨장애요실금학회
  10. Mondul AM, "A prospective study of obesity, and the incidence and progression of lower urinary tract symptoms", J Urol, 191(3), pp.715~721 (2014)[DOI]
  11. Parsons JK, "Obesity increases and physical activity decreases lower urinary tract symptom risk in older men : the Osteoporotic Fractures in Men study", Eur Urol, 60(6), pp.1173~1180 (2011)[DOI]
  12. Penson DF, "Obesity, physical activity and lower urinary tract symptoms : results from the Southern Community Cohort Study", J Urol, 186(6), pp.2316~2322 (2011)[DOI]
  13. St Sauver JL, "Associations between modest weight changes and on-set and progression of lower urinary tract symptoms in two population-based cohorts", Urology, 78(2), pp.437~441 (2011)[DOI]
  14. Hong J, "Risk factors for benign prostatic hyperplasia in South Korean men", Urol Int, 76(1), pp.11~19 (2006)[DOI]
  15. Maserejian NN, "Are physical activity, smoking and alcohol consumption associated with lower urinary tract symptoms in men or women? Results from a population based observational study", J Urol, 188(2), pp.490~495 (2012)[DOI]
  16. Parsons JK, "Modifiable risk factors for benign prostatic hyperplasia and lower urinary tract symptoms : new approaches to old problems", J Urol, 178(2), pp.395~401 (2007)[DOI]
  17. Parsons JK, "Benign prostatic hyperplasia and male lower urinary tract symptoms : epidemiology and risk factors", Curr Bladder Dysfunct Rep, 5(4), pp.212~218 (2010)[DOI]
  18. Parsons JK, "Metabolic factors associated with benign prostatic hyperplasia", J Clin Endocrinol Metab, 91(7), pp.2562~2568 (2006)[DOI]
  19. Rohrmann S, "Lifestyle and progression of lower urinary tract symptoms in German Men-results from the EPIC-Heidelberg Cohort", Urology, 120, pp.192~196 (2018)[DOI]
  20. Hammarsten J, "Hyperinsulinaemia as a risk factor for developing benign prostatic hyperplasia", Eur Urol, 39(2), pp.151~158 (2001)[DOI]
  21. Hammarsten J, "Components of the metabolic syndrome-risk factors for the development of benign prostatic hyperplasia", Prostate Cancer Prostatic Dis, 1(3), pp.157~162 (1998)[DOI]
  22. Joseph MA, "Risk factors for lower urinary tract symptoms in a population-based sample of African-American men", Am J Epidemiol, 157(10), pp.906~914 (2003)[DOI]
  23. Nandeesha H, "Benign prostatic hyperplasia : dietary and metabolic risk factors", Int Urol Nephrol, 40(3), pp.649~656 (2008)[DOI]
  24. Wang JY, "The association between metabolic syndrome and characteristics of benign prostatic hyperplasia : a systematic review and meta-analysis", Medicine(Baltimore), 95(19), pp.e3243~ (2016)[DOI]
  25. Firas Abdollah, "Metabolic Syndrome and Benign Prostatic Hyperplasia: Evidence of a Potential Relationship, Hypothesized Etiology, and Prevention", Investigative and Clinical Urology, 52(8), pp.507~516 (2011), 대한비뇨의학회
  26. Parsons JK, "Alcohol consumption is associated with a decreased risk of benign prostatic hyperplasia", J Urol, 182(4), pp.1463~1468 (2009)[DOI]
  27. Platz EA, "Alcohol consumption, cigarette smoking, and risk of benign prostatic hyperplasia", Am J Epidemiol, 149(2), pp.106~115 (1999)[DOI]
  28. Kang D, "Risk behaviours and benign prostatic hyperplasia", BJU Int, 93(9), pp.1241~1245 (2004)[DOI]
  29. 김혜심, "국민건강보험공단 자료를 활용한 전립샘암 발생의 위험요인 연구: 연령별 BMI 영향", 보건정보통계학회지, 44(4), pp.410~418 (2019), 한국보건정보통계학회[DOI]
  30. Kang BS, "Effect of obesity index on prostatic hyperplasia", Korean J Fam Pract, 8(2), pp.164~168 (2018)[DOI]
  31. Lim KB, "Epidemiology of clinical benign prostatic hyperplasia", Asian J Urol, 4(3), pp.148~151 (2017)[DOI]
  32. Wang HH, "Waist circumference is an independent risk factor for prostatic hyperplasia in Taiwanese males", Asian J Surg, 34(4), pp.163~167 (2011)[DOI]
  33. Lee S, "Central obesity as a risk factor for prostatic hyperplasia", Obesity(Silver Spring), 14(1), pp.172~179 (2006)[DOI]
  34. Berry SJ, "The development of human benign prostatic hyperplasia with age", J Urol, 132(3), pp.474~479 (1984)[DOI]
  35. Lee E, "A high-risk group for prostatism : a population-based epidemiological study in Korea", Br J Urol, 79(5), pp.736~741 (1997)[DOI]

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