Evidence map›Paper›PMID 41039869›Full record

ArticleJournal of global health2025

Association between metabolic syndrome and risk of benign prostatic hyperplasia: a prospective cohort study of 163 975 participants.

Jiaming He, Xinkai Pan, Dingwen Liu, Jiaren Li, Youyou Li, Yichuan Wang, Jinjing Guo, Qing Zhou, Liang Zhou, Long Wang

Abstract read
In one paragraph

Article in Journal of global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jiaming HeDepartment of Urology, The Third Xiangya Hospital of Central South University, Changsha, China.
Xinkai PanDepartment of Urology, The Third Xiangya Hospital of Central South University, Changsha, China.
Dingwen LiuDepartment of Urology, The Third Xiangya Hospital of Central South University, Changsha, China.
Jiaren LiDepartment of Urology, The Third Xiangya Hospital of Central South University, Changsha, China.
Youyou LiDepartment of Urology, The Third Xiangya Hospital of Central South University, Changsha, China.
Yichuan WangDepartment of Urology, The Third Xiangya Hospital of Central South University, Changsha, China.
Jinjing GuoDepartment of Urology, The Third Xiangya Hospital of Central South University, Changsha, China.
Qing ZhouDepartment of Andrology, The First Hospital of Hunan University of Chinese Medicine, Changsha, China.
Liang ZhouDepartment of Urology, The Third Xiangya Hospital of Central South University, Changsha, China.
Long WangDepartment of Urology, The Third Xiangya Hospital of Central South University, Changsha, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Previous studies have identified metabolic syndrome (MetS) as a risk factor for benign prostatic hyperplasia (BPH). However, large-scale evidence remains to be established. This study aims to examine the association between MetS and the risk of incident BPH using large-scale cohort data, as well as the underlying biological mechanisms. Methods: We used prospective cohort data from the UK Biobank, including 163 975 male participants. We applied Cox proportional hazards models to estimate the risk of BPH associated with MetS, adjusting for sociodemographic and lifestyle factors. A mediation analysis was conducted to investigate the potential mediating role of various biomarkers. Results: The median follow-up period was 13.40 years, during which 6614 participants (12.03%) with MetS developed BPH. The presence of MetS was associated with an increased risk of BPH (hazard ratio = 1.07; 95% confidence interval = 1.03-1.10). Further analysis showed that longer follow-up duration, individual MetS components (elevated waist circumference, elevated triglycerides, elevated blood pressure, elevated glycated haemoglobin, and reduced high-density lipoprotein cholesterol), and the cumulative number of components were all significantly associated with an increased risk of BPH. Mediation analysis indicated that inflammation, erythrocyte-related biomarkers, liver function, and renal function partially mediated these associations. Conclusions: MetS is a significant risk factor for the incident BPH. Inflammation, erythrocyte-related biomarkers, liver and renal function partially mediate this relationship. Early detection and intervention in MetS may help reduce the risk of developing BPH.

Indexed as

Metabolic SyndromeProstatic HyperplasiaAgedBiomarkersHumansMaleMiddle AgedProportional Hazards ModelsProspective StudiesRisk FactorsUnited KingdomBiomarkers

Identifiers

PMID41039869
PMCPMC12491909

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.