Association between a body shape index and prostate cancer: a cross-sectional study of NHANES 2001–2018

Objective Abdominal obesity, especially visceral fat, may have negative effects on the development and progression of prostate cancer (PCa). A body shape index (ABSI) can more accurately measure visceral fat accumulation. This study aimed to investigate the association between ABSI and PCa in US adu...

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Veröffentlicht in:International urology and nephrology 2024-06, Vol.56 (6), p.1869-1877
Hauptverfasser: Liu, Xiaowu, Shi, Honglei, Shi, Yunfeng, Wei, Hanping, Yuan, Xiaoliang, Jiao, Zhimin, Wu, Tingchun, Wang, Zengjun
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container_end_page 1877
container_issue 6
container_start_page 1869
container_title International urology and nephrology
container_volume 56
creator Liu, Xiaowu
Shi, Honglei
Shi, Yunfeng
Wei, Hanping
Yuan, Xiaoliang
Jiao, Zhimin
Wu, Tingchun
Wang, Zengjun
description Objective Abdominal obesity, especially visceral fat, may have negative effects on the development and progression of prostate cancer (PCa). A body shape index (ABSI) can more accurately measure visceral fat accumulation. This study aimed to investigate the association between ABSI and PCa in US adults. Methods 11,013 participants were enrolled in the National Health and Nutrition Examination Survey from 2001 to 2018. Weighted multivariate logistic regression analyses were employed to explore the independent relationship between ABSI and PCa. Moreover, restricted cubic spline (RCS) analysis, subgroup analysis, and interaction tests were performed. Results ABSI was positively associated with the presence of PCa. When comparing the second, third, and fourth ABSI quartile to the lowest quartile, the adjusted odds ratios (95% confidence intervals) for PCa risk were 1.34 (0.77, 2.31), 1.75 (1.03, 3.00), and 1.91 (1.12, 3.27), respectively ( p for trend = 0.011). The restricted cubic spline regression analysis did not reveal a non-linear correlation between ABSI and PCa ( p for non-linearity = 0.076). Subgroup analysis showed a significant interaction effect in subgroups of different BMI ( p for interaction = 0.01). Conclusions Elevated ABSI is significantly associated with an increased risk of PCa, particularly among individuals who are under/normal weighted or obese.
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A body shape index (ABSI) can more accurately measure visceral fat accumulation. This study aimed to investigate the association between ABSI and PCa in US adults. Methods 11,013 participants were enrolled in the National Health and Nutrition Examination Survey from 2001 to 2018. Weighted multivariate logistic regression analyses were employed to explore the independent relationship between ABSI and PCa. Moreover, restricted cubic spline (RCS) analysis, subgroup analysis, and interaction tests were performed. Results ABSI was positively associated with the presence of PCa. When comparing the second, third, and fourth ABSI quartile to the lowest quartile, the adjusted odds ratios (95% confidence intervals) for PCa risk were 1.34 (0.77, 2.31), 1.75 (1.03, 3.00), and 1.91 (1.12, 3.27), respectively ( p for trend = 0.011). The restricted cubic spline regression analysis did not reveal a non-linear correlation between ABSI and PCa ( p for non-linearity = 0.076). Subgroup analysis showed a significant interaction effect in subgroups of different BMI ( p for interaction = 0.01). Conclusions Elevated ABSI is significantly associated with an increased risk of PCa, particularly among individuals who are under/normal weighted or obese.</description><identifier>ISSN: 1573-2584</identifier><identifier>ISSN: 0301-1623</identifier><identifier>EISSN: 1573-2584</identifier><identifier>DOI: 10.1007/s11255-023-03917-2</identifier><identifier>PMID: 38214779</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Adult ; Aged ; Cross-Sectional Studies ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Nephrology ; Nutrition Surveys ; Obesity ; Obesity, Abdominal - complications ; Obesity, Abdominal - epidemiology ; Prostate cancer ; Prostatic Neoplasms - epidemiology ; Prostatic Neoplasms - pathology ; United States - epidemiology ; Urology ; Urology - Original Paper</subject><ispartof>International urology and nephrology, 2024-06, Vol.56 (6), p.1869-1877</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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A body shape index (ABSI) can more accurately measure visceral fat accumulation. This study aimed to investigate the association between ABSI and PCa in US adults. Methods 11,013 participants were enrolled in the National Health and Nutrition Examination Survey from 2001 to 2018. Weighted multivariate logistic regression analyses were employed to explore the independent relationship between ABSI and PCa. Moreover, restricted cubic spline (RCS) analysis, subgroup analysis, and interaction tests were performed. Results ABSI was positively associated with the presence of PCa. When comparing the second, third, and fourth ABSI quartile to the lowest quartile, the adjusted odds ratios (95% confidence intervals) for PCa risk were 1.34 (0.77, 2.31), 1.75 (1.03, 3.00), and 1.91 (1.12, 3.27), respectively ( p for trend = 0.011). The restricted cubic spline regression analysis did not reveal a non-linear correlation between ABSI and PCa ( p for non-linearity = 0.076). Subgroup analysis showed a significant interaction effect in subgroups of different BMI ( p for interaction = 0.01). Conclusions Elevated ABSI is significantly associated with an increased risk of PCa, particularly among individuals who are under/normal weighted or obese.</description><subject>Adult</subject><subject>Aged</subject><subject>Cross-Sectional Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Nephrology</subject><subject>Nutrition Surveys</subject><subject>Obesity</subject><subject>Obesity, Abdominal - complications</subject><subject>Obesity, Abdominal - epidemiology</subject><subject>Prostate cancer</subject><subject>Prostatic Neoplasms - epidemiology</subject><subject>Prostatic Neoplasms - pathology</subject><subject>United States - epidemiology</subject><subject>Urology</subject><subject>Urology - Original Paper</subject><issn>1573-2584</issn><issn>0301-1623</issn><issn>1573-2584</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kc1OFTEUxxuiEQRfgIVp4obN6OnXdMqG3BAUE4ILZd10OmdgyNz22s6A7HwH39AnsZeLiC5c9aTnd_7n40_IPoO3DEC_y4xxpSrgogJhmK74FtlhSouKq0Y-exJvk5c5XwOAaQBekG3RcCa1NjtkWOQc_eCmIQba4nSLGKijbezuaL5yK6RD6PAbdaGjqxTz5Cak3gWP6bBwvnzlKqNf17uR5mkuhbGn56eL85PPlAOwn99_cGDNHnneuzHjq4d3l1y8P_lyfFqdffrw8XhxVnnJ66mqTauwNdhIpZnqRSNKjKpMjJJ5JXtnlPF1q-tWqlp33oE3WnWqVqAbp8QuOdroruZ2iZ3HMCU32lUali7d2egG-3cmDFf2Mt5YxsCAEbwoHDwopPh1xjzZ5ZA9jqMLGOdsueEGuJFSFPTNP-h1nFO5RLYClBRQNq8LxTfU_bkS9o_TMLBrK-3GSlustPdW2vUUr5_u8Vjy27sCiA2QSypcYvrT-z-yvwBheKie</recordid><startdate>20240601</startdate><enddate>20240601</enddate><creator>Liu, Xiaowu</creator><creator>Shi, Honglei</creator><creator>Shi, Yunfeng</creator><creator>Wei, Hanping</creator><creator>Yuan, Xiaoliang</creator><creator>Jiao, Zhimin</creator><creator>Wu, Tingchun</creator><creator>Wang, Zengjun</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7583-4750</orcidid></search><sort><creationdate>20240601</creationdate><title>Association between a body shape index and prostate cancer: a cross-sectional study of NHANES 2001–2018</title><author>Liu, Xiaowu ; Shi, Honglei ; Shi, Yunfeng ; Wei, Hanping ; Yuan, Xiaoliang ; Jiao, Zhimin ; Wu, Tingchun ; Wang, Zengjun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-69b5eb9e845715f3839e8e5382e41c54fa959c6b76b4567dca0c975d565078a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cross-Sectional Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Nephrology</topic><topic>Nutrition Surveys</topic><topic>Obesity</topic><topic>Obesity, Abdominal - complications</topic><topic>Obesity, Abdominal - epidemiology</topic><topic>Prostate cancer</topic><topic>Prostatic Neoplasms - epidemiology</topic><topic>Prostatic Neoplasms - pathology</topic><topic>United States - epidemiology</topic><topic>Urology</topic><topic>Urology - Original Paper</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Xiaowu</creatorcontrib><creatorcontrib>Shi, Honglei</creatorcontrib><creatorcontrib>Shi, Yunfeng</creatorcontrib><creatorcontrib>Wei, Hanping</creatorcontrib><creatorcontrib>Yuan, Xiaoliang</creatorcontrib><creatorcontrib>Jiao, Zhimin</creatorcontrib><creatorcontrib>Wu, Tingchun</creatorcontrib><creatorcontrib>Wang, Zengjun</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International urology and nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Xiaowu</au><au>Shi, Honglei</au><au>Shi, Yunfeng</au><au>Wei, Hanping</au><au>Yuan, Xiaoliang</au><au>Jiao, Zhimin</au><au>Wu, Tingchun</au><au>Wang, Zengjun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between a body shape index and prostate cancer: a cross-sectional study of NHANES 2001–2018</atitle><jtitle>International urology and nephrology</jtitle><stitle>Int Urol Nephrol</stitle><addtitle>Int Urol Nephrol</addtitle><date>2024-06-01</date><risdate>2024</risdate><volume>56</volume><issue>6</issue><spage>1869</spage><epage>1877</epage><pages>1869-1877</pages><issn>1573-2584</issn><issn>0301-1623</issn><eissn>1573-2584</eissn><abstract>Objective Abdominal obesity, especially visceral fat, may have negative effects on the development and progression of prostate cancer (PCa). A body shape index (ABSI) can more accurately measure visceral fat accumulation. This study aimed to investigate the association between ABSI and PCa in US adults. Methods 11,013 participants were enrolled in the National Health and Nutrition Examination Survey from 2001 to 2018. Weighted multivariate logistic regression analyses were employed to explore the independent relationship between ABSI and PCa. Moreover, restricted cubic spline (RCS) analysis, subgroup analysis, and interaction tests were performed. Results ABSI was positively associated with the presence of PCa. When comparing the second, third, and fourth ABSI quartile to the lowest quartile, the adjusted odds ratios (95% confidence intervals) for PCa risk were 1.34 (0.77, 2.31), 1.75 (1.03, 3.00), and 1.91 (1.12, 3.27), respectively ( p for trend = 0.011). The restricted cubic spline regression analysis did not reveal a non-linear correlation between ABSI and PCa ( p for non-linearity = 0.076). Subgroup analysis showed a significant interaction effect in subgroups of different BMI ( p for interaction = 0.01). Conclusions Elevated ABSI is significantly associated with an increased risk of PCa, particularly among individuals who are under/normal weighted or obese.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>38214779</pmid><doi>10.1007/s11255-023-03917-2</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-7583-4750</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Cross-Sectional Studies
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Nephrology
Nutrition Surveys
Obesity
Obesity, Abdominal - complications
Obesity, Abdominal - epidemiology
Prostate cancer
Prostatic Neoplasms - epidemiology
Prostatic Neoplasms - pathology
United States - epidemiology
Urology
Urology - Original Paper
title Association between a body shape index and prostate cancer: a cross-sectional study of NHANES 2001–2018
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