Résumé :
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[BDSP. Notice produite par INIST 5qJc5R0x. Diffusion soumise à autorisation]. Alcohol consumption and cigarette smoking were evaluated in relation to development of benign prostatic hyperplasia (BPH) among 29,386 members of the Health Professionals Follow-up Study. Men who were 40-75 years old in 1986 and free of prior BPH surgery, diagnosed cancer at baseline, and prostate cancer at baseline and during follow-up were followed for incidence of BPH surgery from 1986 to 1994. Cases were men who reported BPH surgery between 1986 and 1994 (n=1,813) or who scored >=15 points of 35 on seven lower urinary tract symptom questions modified from the American Urological Association symptom index in 1992 and 1994 (n=1,786) ; noncases were men who scored <=7 points (n=20,840). After controlling for age, race/ethnicity, body mass index, physical activity, and mutually for alcohol intake and smoking, moderate alcohol consumption was inversely related with total BPH (30.1-50 g/day vs. 0 : odds ratio (OR)=0.59,95% confidence interval (Cl) 0.51-0.70 ; p trend<0.0001), although the relation was attenuated at high intake (>=50.1 g/day vs. 0 : OR=0.72,95% Cl 0.57-0.90). Current cigarette smoking was positively related to total BPH only among those who smoked 35 or more cigarettes/day (compared with never smokers : OR=1.45,95% Cl 1.07-1.97). These findings suggest that moderate alcohol consumption and avoidance of smoking may benefit BPH.
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