›› 2014, Vol. 29 ›› Issue (9): 940-944.DOI: 10.3969/j.issn.1673-8640.2014.09.016

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The influence of metabolic syndrome and its risk components on serum prostate-specific antigen level

ZHANG Benhong1, ZHANG Fei2, CHEN Baode3, XU Songxiao4, CHENG Haien5   

  1. 1. Integrated Chinese and Western Medicine Hospital of Gongshu District,Zhejiang Hangzhou 310000,China;
    2. Shanghai University for Science and Technology, Shanghai 200093, China;
    3. The First Affiliated Hospital of Zhejiang University,Zhejiang Hangzhou 310003, China;
    4. Sir Run Run Shaw Hospital, Zhejiang University, Zhejiang Hangzhou 310016, China;
    5. The Second Affiliated Hospital of Zhejiang University, Zhejiang Hangzhou 310009, China
  • Received:2014-01-07 Online:2014-09-30 Published:2014-09-25

Abstract: Objective To investigate the influence of metabolic syndrome and its risk components on serum prostate-specific antigen(PSA) level. Methods A total of 5 717 male healthy subjects over 40 years old without the history of prostate cancer, who met the requirements and had integrated data, were enrolled from 3 hospitals.Physical examination and laboratory tests [triglyceride (TG), high-density lipoprotein cholesterol(HDL-C), fasting blood glucose(FBG)and PSA]were performed. According to Chinese Diabetes Society criteria for metabolic syndrome and its risk components, the influence of metabolic syndrome and its risk components on serum PSA level was analyzed statistically. Results The mean age of 5 717 healthy subjects was (53.49±10.64)years old, the prevalence of metabolic syndrome was 27.1%, and the PSA was (1.04±0.72) ng/mL. The PSA levels between metabolic syndrome group and healthy control group were not significantly statistical (P>0.05). After adjusting for age, the partial correlation among body mass index (BMI), FBG and PSA levels was negative, and the correlation coefficients(r) were -0.05 and -0.03, respectively(P<0.05). There was no correlation between metabolic syndrome and its risk components with serum PSA (P>0.05).For analysis of covariance, the age-adjusted means of serum PSA levels by BMI and FBG were cmputed, and they decreased with the increase of BMI and FBG. Conclusions The correlation of serum PSA level with BMI and FBG is negative. The influence of BMI and FBG on PSA level should be considered.

Key words: Prostate-specific antigen, Metabolic syndrome, Prostate tumor

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