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Physical activity and benign prostatic hyperplasia

E A Platz1, I Kawachi, E B Rimm

  • 1Department of Epidemiology, Harvard School of Public Health, Boston, Mass 02115, USA. elizabeth.platz@channing.harvard.edu

Archives of Internal Medicine
|November 25, 1998
PubMed
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Regular physical activity is linked to a reduced risk of benign prostatic hyperplasia (BPH) and its associated lower urinary tract symptoms in men. Engaging in activities like walking can significantly lower BPH incidence.

Area of Science:

  • Urology
  • Preventive Medicine
  • Epidemiology

Background:

  • Benign prostatic hyperplasia (BPH) is a common condition in aging men, causing prostate enlargement and lower urinary tract symptoms.
  • Increased sympathetic nervous system activity, linked to physical inactivity, may exacerbate BPH symptoms.

Purpose of the Study:

  • To investigate the association between physical activity levels and the incidence of BPH and related lower urinary tract symptoms.
  • To determine if physical activity influences the risk of BPH surgery or symptomatic BPH.

Main Methods:

  • A prospective cohort study of men aged 40-75 in the Health Professionals Follow-up Study.
  • Data on BPH surgery, lower urinary tract symptoms, and physical activity were collected between 1986 and 1994.
  • Logistic regression models were used to calculate odds ratios and confidence intervals, adjusting for confounders.

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Main Results:

  • Physical activity showed a significant inverse relationship with total BPH, BPH surgery, and symptomatic BPH.
  • Men with higher physical activity levels had a lower risk of developing BPH.
  • Specifically, walking 2-3 hours per week was associated with a 25% reduced risk of total BPH.

Conclusions:

  • Increased physical activity is associated with a lower incidence of lower urinary tract symptoms.
  • Promoting physical activity may be a strategy for preventing or managing BPH in men.