Skip to main content
Top
Published in: BMC Public Health 1/2023

Open Access 01-12-2023 | Benign Prostatic Hypertrophy | Research

Association between sleep quality and benign prostate hyperplasia among middle-aged and older men in India

Authors: Kai Ma, Qiang Dong

Published in: BMC Public Health | Issue 1/2023

Login to get access

Abstract

Background

The association between sleep quality and benign prostate hyperplasia (BPH) has rarely been studied. The aim of this study was to examine the relationship between sleep quality and BPH among middle-aged and older men in India.

Methods

This study used data from men over 45 years old in Wave 1 (2017–2018) of the Longitudinal Aging Study in India (LASI). Benign prostate hyperplasia was self-reported, and sleep symptoms were assessed using five questions modified from the Jenkins Sleep Scale. A total of 30,909 male participants were finally included. Multivariate logistic regression analysis, subgroup analysis, and interaction tests were performed.

Results

Total 453 (1.49%) men reported benign prostatic hyperplasia and have higher sleep quality score (9.25 ± 3.89 vs. 8.13 ± 3.46). The results revealed that the sleep quality score and risk of benign prostatic hyperplasia were significantly correlated after adjusting for all confounding factors (OR:1.057, 95% CI: 1.031–1.084, p < 0.001]. After dividing people into four groups based on the quartile of sleep quality scores, compared with the first quartile group, the third quartile group was 1.32 times, and the fourth quartile group was 1.615 times more likely to develop benign prostate hyperplasia. A significant interaction effect of alcohol consumption was observed. (p for interaction < 0.05).

Conclusion

Worse sleep quality was significantly associated with a higher incidence of benign prostatic hyperplasia among middle-aged and older Indian men. A further prospective study is needed to clarify this association and explore potential mechanisms.
Appendix
Available only for authorised users
Literature
1.
go back to reference Berry SJ, Coffey DS, Walsh PC, Ewing LL. The development of human benign prostatic hyperplasia with age. J Urol. 1984;132(3):474–9.CrossRefPubMed Berry SJ, Coffey DS, Walsh PC, Ewing LL. The development of human benign prostatic hyperplasia with age. J Urol. 1984;132(3):474–9.CrossRefPubMed
2.
go back to reference Verhamme KM, Dieleman JP, Bleumink GS, van der Lei J, Sturkenboom MC, Artibani W, Begaud B, Berges R, Borkowski A, Chappel CR, et al. Incidence and prevalence of lower urinary tract symptoms suggestive of benign prostatic hyperplasia in primary care–the Triumph project. Eur Urol. 2002;42(4):323–8.CrossRefPubMed Verhamme KM, Dieleman JP, Bleumink GS, van der Lei J, Sturkenboom MC, Artibani W, Begaud B, Berges R, Borkowski A, Chappel CR, et al. Incidence and prevalence of lower urinary tract symptoms suggestive of benign prostatic hyperplasia in primary care–the Triumph project. Eur Urol. 2002;42(4):323–8.CrossRefPubMed
3.
go back to reference Barry MJ, Fowler FJ Jr, O’Leary MP, Bruskewitz RC, Holtgrewe HL, Mebust WK, Cockett AT. The american Urological Association symptom index for benign prostatic hyperplasia. The Measurement Committee of the american Urological Association. J Urol. 1992;148(5):1549–57. discussion 1564.CrossRefPubMed Barry MJ, Fowler FJ Jr, O’Leary MP, Bruskewitz RC, Holtgrewe HL, Mebust WK, Cockett AT. The american Urological Association symptom index for benign prostatic hyperplasia. The Measurement Committee of the american Urological Association. J Urol. 1992;148(5):1549–57. discussion 1564.CrossRefPubMed
4.
go back to reference Chughtai B, Forde JC, Thomas DD, Laor L, Hossack T, Woo HH, Te AE, Kaplan SA. Benign prostatic hyperplasia. Nat reviews Disease primers. 2016;2:16031.CrossRefPubMed Chughtai B, Forde JC, Thomas DD, Laor L, Hossack T, Woo HH, Te AE, Kaplan SA. Benign prostatic hyperplasia. Nat reviews Disease primers. 2016;2:16031.CrossRefPubMed
5.
go back to reference Tufik S, Andersen ML, Bittencourt LR, Mello MT. Paradoxical sleep deprivation: neurochemical, hormonal and behavioral alterations. Evidence from 30 years of research. Anais da Academia Brasileira de Ciencias. 2009;81(3):521–38.CrossRefPubMed Tufik S, Andersen ML, Bittencourt LR, Mello MT. Paradoxical sleep deprivation: neurochemical, hormonal and behavioral alterations. Evidence from 30 years of research. Anais da Academia Brasileira de Ciencias. 2009;81(3):521–38.CrossRefPubMed
6.
go back to reference Sönnerqvist C, Brus O, Olivecrona M. Validation of the scandinavian guidelines for initial management of minor and moderate head trauma in children. Eur J trauma Emerg surgery: official publication Eur Trauma Soc. 2021;47(4):1163–73.CrossRef Sönnerqvist C, Brus O, Olivecrona M. Validation of the scandinavian guidelines for initial management of minor and moderate head trauma in children. Eur J trauma Emerg surgery: official publication Eur Trauma Soc. 2021;47(4):1163–73.CrossRef
7.
go back to reference Everson CA, Crowley WR. Reductions in circulating anabolic hormones induced by sustained sleep deprivation in rats. Am J Physiol Endocrinol metabolism. 2004;286(6):E1060–1070.CrossRef Everson CA, Crowley WR. Reductions in circulating anabolic hormones induced by sustained sleep deprivation in rats. Am J Physiol Endocrinol metabolism. 2004;286(6):E1060–1070.CrossRef
8.
go back to reference Hipólide DC, Suchecki D, Pimentel de Carvalho Pinto A, Chiconelli Faria E, Tufik S, Luz J. Paradoxical sleep deprivation and sleep recovery: effects on the hypothalamic-pituitary-adrenal axis activity, energy balance and body composition of rats. J Neuroendocrinol. 2006;18(4):231–8.CrossRefPubMed Hipólide DC, Suchecki D, Pimentel de Carvalho Pinto A, Chiconelli Faria E, Tufik S, Luz J. Paradoxical sleep deprivation and sleep recovery: effects on the hypothalamic-pituitary-adrenal axis activity, energy balance and body composition of rats. J Neuroendocrinol. 2006;18(4):231–8.CrossRefPubMed
9.
go back to reference Gooren L. Androgen deficiency in the aging male: benefits and risks of androgen supplementation. J Steroid Biochem Mol Biol. 2003;85(2–5):349–55.CrossRefPubMed Gooren L. Androgen deficiency in the aging male: benefits and risks of androgen supplementation. J Steroid Biochem Mol Biol. 2003;85(2–5):349–55.CrossRefPubMed
10.
go back to reference Weiss JP, Blaivas JG, Stember DS, Brooks MM. Nocturia in adults: etiology and classification. Neurourol Urodyn. 1998;17(5):467–72.CrossRefPubMed Weiss JP, Blaivas JG, Stember DS, Brooks MM. Nocturia in adults: etiology and classification. Neurourol Urodyn. 1998;17(5):467–72.CrossRefPubMed
11.
go back to reference Li Y, Zhou X, Qiu S, Cai B, Wang S, Chen L, Hu D, Jiang Z, Wang M, Xiong X, et al. Association of sleep quality with lower urinary tract symptoms/benign prostatic hyperplasia among men in China: a cross-sectional study. Front Aging Neurosci. 2022;14:938407.CrossRefPubMedPubMedCentral Li Y, Zhou X, Qiu S, Cai B, Wang S, Chen L, Hu D, Jiang Z, Wang M, Xiong X, et al. Association of sleep quality with lower urinary tract symptoms/benign prostatic hyperplasia among men in China: a cross-sectional study. Front Aging Neurosci. 2022;14:938407.CrossRefPubMedPubMedCentral
12.
go back to reference Xiong Y, Zhang Y, Zhang F, Wu C, Qin F, Yuan J. Reduced sleep duration increases the risk of lower urinary tract symptoms suggestive of benign prostatic hyperplasia in middle-aged and elderly males: a national cross-sectional study. The aging male: the official journal of the International Society for the Study of the Aging Male. 2022;25(1):159–66.CrossRefPubMed Xiong Y, Zhang Y, Zhang F, Wu C, Qin F, Yuan J. Reduced sleep duration increases the risk of lower urinary tract symptoms suggestive of benign prostatic hyperplasia in middle-aged and elderly males: a national cross-sectional study. The aging male: the official journal of the International Society for the Study of the Aging Male. 2022;25(1):159–66.CrossRefPubMed
13.
go back to reference Koskderelioglu A, Gedizlioglu M, Ceylan Y, Gunlusoy B, Kahyaoglu N. Quality of sleep in patients receiving androgen deprivation therapy for prostate cancer. Neurol sciences: official J Italian Neurol Soc Italian Soc Clin Neurophysiol. 2017;38(8):1445–51.CrossRef Koskderelioglu A, Gedizlioglu M, Ceylan Y, Gunlusoy B, Kahyaoglu N. Quality of sleep in patients receiving androgen deprivation therapy for prostate cancer. Neurol sciences: official J Italian Neurol Soc Italian Soc Clin Neurophysiol. 2017;38(8):1445–51.CrossRef
14.
go back to reference Speakman M, Kirby R, Doyle S, Ioannou C. Burden of male lower urinary tract symptoms (LUTS) suggestive of benign prostatic hyperplasia (BPH) - focus on the UK. BJU Int. 2015;115(4):508–19.CrossRefPubMed Speakman M, Kirby R, Doyle S, Ioannou C. Burden of male lower urinary tract symptoms (LUTS) suggestive of benign prostatic hyperplasia (BPH) - focus on the UK. BJU Int. 2015;115(4):508–19.CrossRefPubMed
15.
go back to reference Bloom DE, Sekher TV, Lee J. Longitudinal aging study in India (LASI): new data resources for addressing aging in India. Nat Aging. 2021;1(12):1070–2.CrossRefPubMed Bloom DE, Sekher TV, Lee J. Longitudinal aging study in India (LASI): new data resources for addressing aging in India. Nat Aging. 2021;1(12):1070–2.CrossRefPubMed
16.
go back to reference Jenkins CD, Stanton B-A, Niemcryk SJ, Rose RM. A scale for the estimation of sleep problems in clinical research. J Clin Epidemiol. 1988;41(4):313–21.CrossRefPubMed Jenkins CD, Stanton B-A, Niemcryk SJ, Rose RM. A scale for the estimation of sleep problems in clinical research. J Clin Epidemiol. 1988;41(4):313–21.CrossRefPubMed
17.
go back to reference Banerjee S, Boro B. Analysing the role of sleep quality, functional limitation and depressive symptoms in determining life satisfaction among the older Population in India: a moderated mediation approach. BMC Public Health. 2022;22(1):1933.CrossRefPubMedPubMedCentral Banerjee S, Boro B. Analysing the role of sleep quality, functional limitation and depressive symptoms in determining life satisfaction among the older Population in India: a moderated mediation approach. BMC Public Health. 2022;22(1):1933.CrossRefPubMedPubMedCentral
18.
go back to reference Cohen A, Dias A, Azariah F, Krishna RN, Sequeira M, Abraham S, Cuijpers P, Morse JQ, Reynolds CF 3rd, Patel V. Aging and well-being in Goa, India: a qualitative study. Aging Ment Health. 2018;22(2):168–74. Cohen A, Dias A, Azariah F, Krishna RN, Sequeira M, Abraham S, Cuijpers P, Morse JQ, Reynolds CF 3rd, Patel V. Aging and well-being in Goa, India: a qualitative study. Aging Ment Health. 2018;22(2):168–74.
19.
go back to reference Araujo AB, Yaggi HK, Yang M, McVary KT, Fang SC, Bliwise DL. Sleep related problems and urological symptoms: testing the hypothesis of bidirectionality in a longitudinal, population based study. J Urol. 2014;191(1):100–6.CrossRefPubMed Araujo AB, Yaggi HK, Yang M, McVary KT, Fang SC, Bliwise DL. Sleep related problems and urological symptoms: testing the hypothesis of bidirectionality in a longitudinal, population based study. J Urol. 2014;191(1):100–6.CrossRefPubMed
20.
go back to reference Scovell JM, Pastuszak AW, Slawin J, Badal J, Link RE, Lipshultz LI. Impaired sleep quality is Associated with more significant lower urinary tract symptoms in male Shift Workers. Urology. 2017;99:197–202.CrossRefPubMed Scovell JM, Pastuszak AW, Slawin J, Badal J, Link RE, Lipshultz LI. Impaired sleep quality is Associated with more significant lower urinary tract symptoms in male Shift Workers. Urology. 2017;99:197–202.CrossRefPubMed
21.
go back to reference Chou PS, Chang WC, Chou WP, Liu ME, Lai CL, Liu CK, Ku YC, Tsai SJ, Chou YH, Chang WP. Increased risk of benign prostate hyperplasia in sleep apnea patients: a nationwide population-based study. PLoS ONE. 2014;9(3):e93081.CrossRefPubMedPubMedCentral Chou PS, Chang WC, Chou WP, Liu ME, Lai CL, Liu CK, Ku YC, Tsai SJ, Chou YH, Chang WP. Increased risk of benign prostate hyperplasia in sleep apnea patients: a nationwide population-based study. PLoS ONE. 2014;9(3):e93081.CrossRefPubMedPubMedCentral
22.
go back to reference Oelke M, Fangmeyer B, Zinke J, Witt JH. [Nocturia in men with benign prostatic hyperplasia]. Aktuelle Urologie. 2018;49(4):319–27.PubMed Oelke M, Fangmeyer B, Zinke J, Witt JH. [Nocturia in men with benign prostatic hyperplasia]. Aktuelle Urologie. 2018;49(4):319–27.PubMed
23.
go back to reference Bal K, Ayik S, Issi Y, Bolukbasi A, Akhan G. Sleep analysis of patients with nocturia and benign prostatic obstruction. Urology. 2012;80(2):383–8.CrossRefPubMed Bal K, Ayik S, Issi Y, Bolukbasi A, Akhan G. Sleep analysis of patients with nocturia and benign prostatic obstruction. Urology. 2012;80(2):383–8.CrossRefPubMed
24.
25.
26.
go back to reference Li Y, Shi B, Dong F, Zhu X, Liu B, Liu Y. Effects of inflammatory responses, apoptosis, and STAT3/NF-κB- and Nrf2-mediated oxidative stress on benign prostatic hyperplasia induced by a high-fat diet. Aging. 2019;11(15):5570–8.CrossRefPubMedPubMedCentral Li Y, Shi B, Dong F, Zhu X, Liu B, Liu Y. Effects of inflammatory responses, apoptosis, and STAT3/NF-κB- and Nrf2-mediated oxidative stress on benign prostatic hyperplasia induced by a high-fat diet. Aging. 2019;11(15):5570–8.CrossRefPubMedPubMedCentral
27.
go back to reference Devlin CM, Simms MS, Maitland NJ. Benign prostatic hyperplasia - what do we know? BJU Int. 2021;127(4):389–99.CrossRefPubMed Devlin CM, Simms MS, Maitland NJ. Benign prostatic hyperplasia - what do we know? BJU Int. 2021;127(4):389–99.CrossRefPubMed
28.
go back to reference Sasagawa I, Nakada T, Kazama T, Satomi S, Terada T, Katayama T. Volume change of the prostate and seminal vesicles in male hypogonadism after androgen replacement therapy. Int Urol Nephrol. 1990;22(3):279–84.CrossRefPubMed Sasagawa I, Nakada T, Kazama T, Satomi S, Terada T, Katayama T. Volume change of the prostate and seminal vesicles in male hypogonadism after androgen replacement therapy. Int Urol Nephrol. 1990;22(3):279–84.CrossRefPubMed
29.
go back to reference Salter CA, Mulhall JP. Guideline of guidelines: testosterone therapy for testosterone deficiency. BJU Int. 2019;124(5):722–9.CrossRefPubMed Salter CA, Mulhall JP. Guideline of guidelines: testosterone therapy for testosterone deficiency. BJU Int. 2019;124(5):722–9.CrossRefPubMed
30.
go back to reference Pejčić T, Tosti T, Tešić Ž, Milković B, Dragičević D, Kozomara M, Čekerevac M, Džamić Z. Testosterone and dihydrotestosterone levels in the transition zone correlate with prostate volume. Prostate. 2017;77(10):1082–92.CrossRefPubMed Pejčić T, Tosti T, Tešić Ž, Milković B, Dragičević D, Kozomara M, Čekerevac M, Džamić Z. Testosterone and dihydrotestosterone levels in the transition zone correlate with prostate volume. Prostate. 2017;77(10):1082–92.CrossRefPubMed
31.
go back to reference Luboshitzky R, Zabari Z, Shen-Orr Z, Herer P, Lavie P. Disruption of the nocturnal testosterone rhythm by sleep fragmentation in normal men. J Clin Endocrinol Metab. 2001;86(3):1134–9.CrossRefPubMed Luboshitzky R, Zabari Z, Shen-Orr Z, Herer P, Lavie P. Disruption of the nocturnal testosterone rhythm by sleep fragmentation in normal men. J Clin Endocrinol Metab. 2001;86(3):1134–9.CrossRefPubMed
32.
go back to reference Penev PD. Association between sleep and morning testosterone levels in older men. Sleep. 2007;30(4):427–32.CrossRefPubMed Penev PD. Association between sleep and morning testosterone levels in older men. Sleep. 2007;30(4):427–32.CrossRefPubMed
33.
go back to reference Navaneethakannan M, Nandeesha H, Sreenivasan SK. Relationship of interleukin-23 with matrix metalloproteinase-9, pentraxin-3, sleep quality and prostate size in benign prostatic hyperplasia. Andrologia. 2022;54(5):e14387.CrossRefPubMed Navaneethakannan M, Nandeesha H, Sreenivasan SK. Relationship of interleukin-23 with matrix metalloproteinase-9, pentraxin-3, sleep quality and prostate size in benign prostatic hyperplasia. Andrologia. 2022;54(5):e14387.CrossRefPubMed
34.
go back to reference Roehrborn CG. Pathology of benign prostatic hyperplasia. Int J Impot Res. 2008;20(Suppl 3):11–8.CrossRef Roehrborn CG. Pathology of benign prostatic hyperplasia. Int J Impot Res. 2008;20(Suppl 3):11–8.CrossRef
Metadata
Title
Association between sleep quality and benign prostate hyperplasia among middle-aged and older men in India
Authors
Kai Ma
Qiang Dong
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2023
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-023-15972-6

Other articles of this Issue 1/2023

BMC Public Health 1/2023 Go to the issue