The Metabolic Syndrome and Biochemical Recurrence following Radical Prostatectomy

Metabolic syndrome refers to a set of conditions that increases the risk of cardiovascular disease and has been associated with an increased risk of prostate cancer, particularly among African American men. This study aimed to estimate the association of metabolic syndrome with biochemical recurrenc...

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Main Authors: Jennifer M. Post, Jennifer L. Beebe-Dimmer, Hal Morgenstern, Christine Neslund-Dudas, Cathryn H. Bock, Nora Nock, Andrew Rundle, Michelle Jankowski, Benjamin A. Rybicki
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Prostate Cancer
Online Access:http://dx.doi.org/10.1155/2011/245642
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author Jennifer M. Post
Jennifer L. Beebe-Dimmer
Hal Morgenstern
Christine Neslund-Dudas
Cathryn H. Bock
Nora Nock
Andrew Rundle
Michelle Jankowski
Benjamin A. Rybicki
author_facet Jennifer M. Post
Jennifer L. Beebe-Dimmer
Hal Morgenstern
Christine Neslund-Dudas
Cathryn H. Bock
Nora Nock
Andrew Rundle
Michelle Jankowski
Benjamin A. Rybicki
author_sort Jennifer M. Post
collection DOAJ
description Metabolic syndrome refers to a set of conditions that increases the risk of cardiovascular disease and has been associated with an increased risk of prostate cancer, particularly among African American men. This study aimed to estimate the association of metabolic syndrome with biochemical recurrence (BCR) in a racially diverse population. Among 383 radical prostatectomy patients, 67 patients had documented biochemical recurrence. Hypertension was significantly, positively associated with the rate of BCR (hazard ratio (HR) = 2.1; 95%  CI = 1.1, 3.8). There were distinct racial differences in the prevalence of individual metabolic syndrome components; however, the observed associations with BCR did not differ appreciably by race. We conclude that hypertension may contribute to a poorer prognosis in surgically treated prostate cancer patients. Our findings suggest that targeting components of the metabolic syndrome which are potentially modifiable through lifestyle interventions may be a viable strategy to reduce risk of BCR in prostate cancer.
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series Prostate Cancer
spelling doaj-art-3d108288beb642f18ba29da15ab39af02025-02-03T06:13:21ZengWileyProstate Cancer2090-31112090-312X2011-01-01201110.1155/2011/245642245642The Metabolic Syndrome and Biochemical Recurrence following Radical ProstatectomyJennifer M. Post0Jennifer L. Beebe-Dimmer1Hal Morgenstern2Christine Neslund-Dudas3Cathryn H. Bock4Nora Nock5Andrew Rundle6Michelle Jankowski7Benjamin A. Rybicki8Karmanos Cancer Institute, Wayne State University, Detroit, MI 48201, USAKarmanos Cancer Institute, Wayne State University, Detroit, MI 48201, USADepartments of Epidemiology and Environmental Health Sciences and Comprehensive Cancer Center, University of Michigan, Ann Arbor, MI 48103, USADepartment of Biostatistics and Research Epidemiology, Henry Ford Hospital, Detroit, MI 48310, USAKarmanos Cancer Institute, Wayne State University, Detroit, MI 48201, USADepartment of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH 44109, USADepartments of Epidemiology, Columbia University Mailman School of Public Health, New York, NY 10032, USADepartment of Biostatistics and Research Epidemiology, Henry Ford Hospital, Detroit, MI 48310, USAKarmanos Cancer Institute, Wayne State University, Detroit, MI 48201, USAMetabolic syndrome refers to a set of conditions that increases the risk of cardiovascular disease and has been associated with an increased risk of prostate cancer, particularly among African American men. This study aimed to estimate the association of metabolic syndrome with biochemical recurrence (BCR) in a racially diverse population. Among 383 radical prostatectomy patients, 67 patients had documented biochemical recurrence. Hypertension was significantly, positively associated with the rate of BCR (hazard ratio (HR) = 2.1; 95%  CI = 1.1, 3.8). There were distinct racial differences in the prevalence of individual metabolic syndrome components; however, the observed associations with BCR did not differ appreciably by race. We conclude that hypertension may contribute to a poorer prognosis in surgically treated prostate cancer patients. Our findings suggest that targeting components of the metabolic syndrome which are potentially modifiable through lifestyle interventions may be a viable strategy to reduce risk of BCR in prostate cancer.http://dx.doi.org/10.1155/2011/245642
spellingShingle Jennifer M. Post
Jennifer L. Beebe-Dimmer
Hal Morgenstern
Christine Neslund-Dudas
Cathryn H. Bock
Nora Nock
Andrew Rundle
Michelle Jankowski
Benjamin A. Rybicki
The Metabolic Syndrome and Biochemical Recurrence following Radical Prostatectomy
Prostate Cancer
title The Metabolic Syndrome and Biochemical Recurrence following Radical Prostatectomy
title_full The Metabolic Syndrome and Biochemical Recurrence following Radical Prostatectomy
title_fullStr The Metabolic Syndrome and Biochemical Recurrence following Radical Prostatectomy
title_full_unstemmed The Metabolic Syndrome and Biochemical Recurrence following Radical Prostatectomy
title_short The Metabolic Syndrome and Biochemical Recurrence following Radical Prostatectomy
title_sort metabolic syndrome and biochemical recurrence following radical prostatectomy
url http://dx.doi.org/10.1155/2011/245642
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