대사증후군과 하부요로증상, PSA 및 전립샘 용적과의 연관성 : 단일기관 연구

• Published in: 방사선기술과학 Vol. 41; no. 4; pp. 313 - 319
• Main Authors: 강정훈(Jung Hun Kang), 김연민(Yon-Min Kim), 정정윤(Jeongyun Jeong)
• Format: Journal Article
• Language: Korean
• Published: 대한방사선과학회(구 대한방사선기술학회) 30.08.2018; KOREAN SOCIETY OF RADIOLOGICAL TECHNOLOGY
• Subjects: Prostate specific antigen; Prostate volume; 전립샘특이항원; 전립샘용적; 대사증후군; 하부요로증상; Metabolic syndrome; Lower urinary tract symptoms
• ISSN: 2288-3509

The purpose of this study was to investigate the influence of metabolic syndrome (MS) on the lower urinary tract symptoms (LUTS), prostate specific antigen (PSA), and prostate volume in Korean men. We analyzed the data from 2654 men over the age of 40 who visited our health promotion center for regular health checkups. Of the total 2654 men, mean age, PSA level, International Prostate Symptom Score (IPSS), and prostate volume were 54.6 years, 1.21ng/ml, 6.2 points, and 27.8ml, respectively. All examinees were divided into MS group (46.5%, 1235 men) and non-MS group (53.5%, 1419). Age and prostate volume were significantly higher in the MS group. The patients were divided into three groups according to their ages: 40's, 50's, and over 60 years old. Prostate volume of the MS group in the younger age groups (40-49 years and 50-59 years) was significantly larger than that of the non-MS group. However, no difference was revealed in the age group of 60-69 years. No significant differences were found in the PSA level and LUTS between the MS and non-MS groups. In the multivariate regression analysis, central obesity was the strongest risk factor for the enlargement of prostate over 30ml among the metabolic components.