The correlation between metabolic syndrome and prostatic diseases.
Cosimo De Nunzio1, William Aronson, Stephen J Freedland
1Department of Urology, Sant'Andrea Hospital, University La Sapienza, Rome, Italy. cosimodenunzio@virgilio.it
European Urology
|November 29, 2011
Summary
Metabolic syndrome (MetS) is linked to prostate diseases like benign prostatic hyperplasia (BPH) and prostate cancer (PCa). While evidence suggests an association, more research is needed to confirm a causal link and understand its role in treatment.
Area of Science:
- Urology
- Endocrinology
- Public Health
Background:
- Metabolic syndrome (MetS) is a global epidemic characterized by metabolic abnormalities.
- Growing evidence links MetS to the development and progression of prostate diseases, including benign prostatic hyperplasia (BPH) and prostate cancer (PCa).
Purpose of the Study:
- To review the existing evidence on the role of MetS in BPH and PCa.
- To discuss the clinical implications for managing, preventing, and treating these prostate conditions.
Main Methods:
- A comprehensive literature search was conducted using PubMed (1995-2011).
- Keywords included 'metabolic syndrome,' 'prostate,' 'benign prostatic hyperplasia,' 'prostate cancer,' and related terms.
Main Results:
- MetS is a prevalent, complex disorder with key components including central obesity, insulin resistance, dyslipidemia, and hypertension.
- An association between MetS and the initiation/progression of BPH and PCa is increasingly evident, though underlying mechanisms and treatment effects are unclear.
Conclusions:
- Current literature suggests a correlation between MetS and BPH/PCa, but a definitive causal relationship is yet to be established.
- MetS represents a significant area for future basic and clinical research in urology.
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