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The finer points of the relationship between prostate cancer and obesity aren't
100% clear. But men needn't wait for all the details to shed excess pounds.
From head to toe, it's far healthier to be in good shape.
Prostate Cancer, Obesity: Where We Stand
Prostate cancer is the most common type of cancer found in U.S. men apart from
skin cancer, says the American Cancer Society (ACS). In 2005, there will be
about 232,000 new cases of prostate cancer and some 30,350 prostate cancer
deaths in America, predicts the ACS.
While prostate cancer's death rate is falling, it's still the second leading
cause of cancer death among American men. "While 1 man in 6 will get prostate
cancer during his lifetime, only 1 man in 33 will die of this disease," says
the ACS. Prostate cancer is most common in older men.
It's no secret that obesity is also rampant in America. In 1999-2000, an
estimated 64% of U.S. adults over age 20 were obese or overweight, says the
CDC.
Obesity's Effects on Prostate Cancer
Recent studies suggest that obese men may be more likely to have advanced stages
of prostate cancer with lower survival rates. Some research has also shown an
increased prostate cancer risk for obese and overweight men, but other studies
have contradicted that finding.
The link between obesity, excess weight, and prostate cancer got the attention
of researchers including Jacques Baillargeon, PhD, of the University of Texas
Health Center at San Antonio.
They examined PSA levels in obese and overweight men. Their study appears in the
March 1 issue of the journal Cancer .
PSA is produced by the prostate gland. An increase in PSA or a high PSA level
may indicate prostate cancer. But high PSA levels could also indicate prostate
enlargement without cancer.
Higher Weight, Lower PSA
Almost 2,800 men participated in the study. None had prostate cancer. Overall,
81% were overweight or obese. That's based on their body mass index body mass
index (BMI).
The men gave blood samples for a PSA test. The researchers found that PSA levels
decreased with increasing body weight.
That's not necessarily cause for celebration. In this case, low PSA levels might
not indicate health. Instead, it could mask prostate cancer, say the
researchers.
They call for more studies to see if considering BMI with PSA improves early
detection and survival for prostate cancer in obese and overweight men.
By Miranda Hitti
Reviewed By Kathleen Zelman, MPH, RD, July 25, 2007.
Medically updated July 25, 2007.
SOURCES: Baillargeon, J. Cancer , March 1, 2005; vol 103.
WebMD Medical News: "Lose Weight, Lower Prostate Cancer Risk." American Cancer
Society. CDC. WebMD Medical Reference from Healthwise: "Prostate-Specific
Antigen (PSA) Test Overview." News release, John Wiley & Sons, Inc.
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