Associations between diabetes and clinical markers of benign prostatic hyperplasia among community-dwelling black and white men

Aruna V. Sarma, James P. Burke, Debra J. Jacobson, Michaela E. Mcgree, Jennifer St. Sauver, Cynthia J. Girman, Michael M. Lieber, William Herman, Jill Macoska, James E. Montie, Steven J. Jacobsen

Research output: Contribution to journalArticle

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Abstract

OBJECTIVE - The aim of this study was to examine associations between diabetes and clinical markers of benign prostatic hyperplasia (BPH) in community-dwelling white and black men aged 40-79 years. RESEARCH DESIGN AND METHODS - Data from the Olmsted County Study of Urinary Symptoms and Health Status and the Flint Men's Health Study were combined for a total study sample of 2,484 men. Severity of lower urinary tract symptoms (LUTS), peak urinary flow rates, prostate volume, and serum prostate-specific antigen (PSA) levels were examined by self-reported physician-diagnosed diabetes. RESULTS- Overall, 170 men (6.8%) reported a history of diabetes. Increased irritative LUTS and specifically nocturia were positively associated with diabetes. These patterns were consistent across race and persisted after adjustment for age, BMI, and various indicators of socioeconomic status. Furthermore, the relationship between irritative LUTS and diabetes was greater in black men. No significant associations were observed between diabetes and prostate volume, PSA level, and peak urinary flow rate. CONCLUSIONS - Our multiethnic community-based study demonstrates positive associations between diabetes and irritative LUTS and nocturia. Moreover, the association between irritative LUTS and diabetes is increased in black men. There was no strong evidence for an association between diabetes and BPH across measures more specific to BPH (i.e., prostate volume, PSA, and peak urinary flow rate). Taken together, our findings suggest that the presence of diabetes may be less related to prostate growth and more related to the dynamic components of lower urinary tract function. Further evaluations of the association between diabetes and BPH and related racial variations are warranted.

Original languageEnglish (US)
Pages (from-to)476-482
Number of pages7
JournalDiabetes Care
Volume31
Issue number3
DOIs
StatePublished - Mar 2008

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Independent Living
Lower Urinary Tract Symptoms
Prostatic Hyperplasia
Biomarkers
Prostate
Prostate-Specific Antigen
Nocturia
Men's Health
Urinary Tract
Social Class
Health Status
Research Design
hydroquinone
Physicians
Growth
Serum

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Advanced and Specialized Nursing

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Associations between diabetes and clinical markers of benign prostatic hyperplasia among community-dwelling black and white men. / Sarma, Aruna V.; Burke, James P.; Jacobson, Debra J.; Mcgree, Michaela E.; St. Sauver, Jennifer; Girman, Cynthia J.; Lieber, Michael M.; Herman, William; Macoska, Jill; Montie, James E.; Jacobsen, Steven J.

In: Diabetes Care, Vol. 31, No. 3, 03.2008, p. 476-482.

Research output: Contribution to journalArticle

Sarma, AV, Burke, JP, Jacobson, DJ, Mcgree, ME, St. Sauver, J, Girman, CJ, Lieber, MM, Herman, W, Macoska, J, Montie, JE & Jacobsen, SJ 2008, 'Associations between diabetes and clinical markers of benign prostatic hyperplasia among community-dwelling black and white men', Diabetes Care, vol. 31, no. 3, pp. 476-482. https://doi.org/10.2337/dc07-1148
Sarma, Aruna V. ; Burke, James P. ; Jacobson, Debra J. ; Mcgree, Michaela E. ; St. Sauver, Jennifer ; Girman, Cynthia J. ; Lieber, Michael M. ; Herman, William ; Macoska, Jill ; Montie, James E. ; Jacobsen, Steven J. / Associations between diabetes and clinical markers of benign prostatic hyperplasia among community-dwelling black and white men. In: Diabetes Care. 2008 ; Vol. 31, No. 3. pp. 476-482.
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AU - Girman, Cynthia J.

AU - Lieber, Michael M.

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