中国食物与营养2024,Vol.30Issue(3) :69-77.

叶酸水平与美国65岁以上老年男性良性前列腺增生的关联性分析

Association Between Folic Acid Level and Benign Prostatic Hyperplasia in American Men Over 65 Years Old

王霆钧 陈婷婷 黄源鹏
中国食物与营养2024,Vol.30Issue(3) :69-77.

叶酸水平与美国65岁以上老年男性良性前列腺增生的关联性分析

Association Between Folic Acid Level and Benign Prostatic Hyperplasia in American Men Over 65 Years Old

王霆钧 1陈婷婷 2黄源鹏3
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作者信息

  • 1. 福建中医药大学,福州 350000
  • 2. 北京中医药大学东直门医院,北京 100000
  • 3. 北京中医药大学东直门医院厦门医院,福建厦门 361000
  • 折叠

摘要

目的:良性前列腺增生(BPH)是中老年男性常见病,叶酸水平可能与年龄有关.因此,本研究旨在分析叶酸与BPH之间的关系.方法:选取美国国家健康与营养检查调查(NHANES)数据库2001—2008年数据,根据既往研究,将叶酸按照五分位法分为Q1~Q5五组,用统计软件R和Free statistics进行多因素Logistic回归分析和亚组分析.结果:研究最终纳入886名参与者,其中690例(77.9%)患有良性前列腺增生,平均年龄(68.1±10.6)岁.分析显示,在调整了潜在的混杂因素后,与最低五分位(Q1)相比,高水平血清叶酸和红细胞叶酸与BPH发生风险增加相关(OR=2.07,95%CI:1.14~3.75,P=0.016;OR=1.73,95%CI:1.01~2.96,P=0.047),而膳食叶酸没有(OR=1.36,95%CI:0.78~2.38,P=0.279).亚组分析显示,在年龄>65岁的亚组中,高水平血清叶酸和红细胞叶酸与BPH发生风险增加相关(OR=2.38,95%CI:1.2~4.74,P=0.014;OR=2.31,95%CI:1.22~4.39,P=0.01).结论:在美国老年男性个体中,高水平血清叶酸和红细胞叶酸可能是BPH的危险因素.

Abstract

[Objective]Benign prostatic hyperplasia(BPH)is a common disease in middle-aged and elderly men,and folate level may be related to age.Therefore,this study aimed to analyze the relationship between folate and BPH.[Method]The data of NHANES population in the United States from 2001 to 2008 were selected.According to previous studies,folic acid was divided into five groups(Q1~Q5),and multivariate logistic regression analysis and subgroup analysis were performed by statistical software R and Free statistics.[Result]The study included 886 participants,of whom 690(77.9%)had BPH with a mean age of(68.1±10.6)years.Analysis showed that,after adjusting for potential confounding factors,higher serum and RBC folate levels were associated with an increased risk of BPH compared with the lowest quintile(Q1)(OR=2.07,95%CI:1.14—3.75,P=0.016;OR=1.73,95%CI:1.01—2.96,P=0.047),and dietary folic acid was not(OR=1.36,95%CI:0.78—2.38,P=0.279).Subgroup analysis showed that high levels of serum and RBC folate were associated with an increased risk of BPH in subgroups aged>65 years(OR=2.38,95%CI:1.2-4.74,P=0.014;OR=2.31,95%CI:1.22-4.39,P=0.01).[Conclusion]In individual elderly men in the United States,high levels of serum and erythrocyte folic acid may be risk factors for BPH.

关键词

膳食叶酸/血清叶酸/红细胞叶酸/良性前列腺增生/NHANES数据库

Key words

dietary folic acid/serum folate/erythrocyte folate/benign prostatic hyperplasia(BPH)/NHANES data base

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基金项目

国家自然科学基金(82074508)

福建省自然科学基金(2023J011627)

福建省卫生健康委科技项目(2023CXB003)

厦门市扶持中医药发展专项中医药科研项目(XWZY-2023-0603)

出版年

2024
中国食物与营养
中国农业科学院 国家食物与营养咨询委员会

中国食物与营养

CSTPCD
影响因子:0.754
ISSN:1006-9577
参考文献量34
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