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Research Article

Association of serum uric acid levels with benign prostatic hyperplasia in US men: results from NHANES 2005–2008

, , , , & ORCID Icon
Article: 2275775 | Received 02 Jun 2023, Accepted 19 Oct 2023, Published online: 28 Oct 2023
 

Abstract

Background

The relationship between uric acid (UA) and benign prostatic hyperplasia (BPH) is controversial and has rarely been studied in American populations.

Methods

Data from two cycles of the National Health and Nutrition Examination Surveys, comprising data from 2005 to 2008, were used. The majority of BPH were identified by self-report. We investigated the relationship between UA and BPH using univariate and multivariate logistic regression analyses.

Results

2,845 participants were enrolled in the study, including 531 participants with BPH and 2,314 controls. After fully adjusting for all confounders, the risk of developing BPH was reduced by 18% for every 100 μmol/L increase in UA (OR = 0.82, 95% CI: 0.69–0.97, p = 0.023). Participants in the highest quartile of UA were found to have a reduced likelihood of developing BPH (ORQ4vs1 = 0.61, 95% CI: 0.41–0.91) in comparison to those in the lowest quartile of UA. Subgroup analyses found that among those younger than 60 years, non-Hispanic whites, former smokers, heavy drinkers, those without diabetes, or those with hypertension, high UA remained negatively associated with BPH.

Conclusions

The above results suggest that UA may be a potential protective factor for BPH, but the mechanism needs to be further explored.

Author contributions

HZ designed the study, performed the data analysis, and wrote the manuscript. MMX and XXH analyzed and interpreted the data; ZNX, and YP collected and examined the data. XQL provided ideas for the study and optimized the final manuscript. The final manuscript was reviewed and approved by all writers.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Data availability statement

All data applied in this study can be searched on the NHANES website (https://www.cdc.gov/nchs/nhanes/index.htm), and more detailed analysis data can be obtained by contacting the corresponding author.

Additional information

Funding

This work was supported by the National Natural Science Foundation of China [No.82171594].