The association between triglyceride high density lipoprotein cholesterol ratio and benign prostate hyperplasia in non-diabetic patients:a cross-sectional study.
OBJECTIVE
To assess the association between triglyceride (TG)/high density lipoprotein (HDL) ratio and benign prostate hyperplasia/lower urinary tract symptoms (BPH/LUTS).


METHODS
Four hundred patients who were admitted to the Urology Clinic between January and December 2014 with complaints of BPH/LUTS were enrolled in this cross-sectional study. Patients were divided into two groups according to their International Prostate Symptom Score and prostate volume (PV). They were compared in terms of age, body mass index (BMI), PV, PSA, post micturional residual volume, uroflowmetry Q max value, fasting blood sugar, TG and high density lipoprotein-cholesterol (HDL-C) level and TG/HDL ratio.


RESULTS
Although univariate analyses reveal that age, BMI, waist circumference (WC), FBS, TG, HDL-C level, and TG/HDL ratio were correlated with PV, only age [1.125 OR (1.088-1.164), p = .00001], BMI [1.119 OR (1.040-1.204), p = .003], TG [(1.043 OR (1.016-1.071), p = .002], HDL-C [(0.923 OR (0.860-0.990), p = .025], and TG/HDL ratio [(1.224 OR (1.130-1.315), p = .014] were statistically significant in multivariate analysis. The calculated area under the curve (AUC) for PV of 30 ml, 40 ml, and 50 ml was 0.668 (0.608-0.727), 0.617 (0.561-0.673), and 0.592 (0.530-0.654), respectively.


CONCLUSIONS
Our results indicate that the TG/HDL ratio correlates with enhancement in PV. Further studies are warranted to better evaluate this relationship.
a Department of Urology , Catalca Ilyas Cokay State Hospital , Istanbul , Turkey.
Huseyin
H
Besiroglu
b Department of Urology , Bahcelievler State Hospital , Istanbul , Turkey.
Murat
M
Dursun
c Department of Urology , Okmeydani Training and Research Hospital , Istanbul , Turkey.
Alper
A
Otunctemur
d Department of Urology , Istanbul Training and Research Hospital , Istanbul, Turkey.
Emin
E
Ozbek
D000368:Aged; D015415:Biomarkers / Q000097:blood; D015992:Body Mass Index; D008076:Cholesterol, HDL / Q000097:blood*; D003430:Cross-Sectional Studies; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000097:blood* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011467:Prostate / Q000473:pathology*; D011470:Prostatic Hyperplasia / Q000097:blood*; D012372:ROC Curve; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D014280:Triglycerides / Q000097:blood*; D055105:Waist Circumference
D015415:Biomarkers; D008076:Cholesterol, HDL; D014280:Triglycerides
Dyslipidemia; etiopathogenesis; lower urinary tract symptoms; prostate volume; triglyceride HDL ratio