Aging MalePub Date : 2021-12-01DOI: 10.1080/13685538.2021.1945572
Hayati Eren, Muhammed Bahadır Omar, Ülker Kaya, Ertuğrul Gazi Özbey, Lütfi Öcal
{"title":"Epicardial fat tissue can predict subclinical left ventricular dysfunction in patients with erectile dysfunction.","authors":"Hayati Eren, Muhammed Bahadır Omar, Ülker Kaya, Ertuğrul Gazi Özbey, Lütfi Öcal","doi":"10.1080/13685538.2021.1945572","DOIUrl":"https://doi.org/10.1080/13685538.2021.1945572","url":null,"abstract":"<p><strong>Background: </strong>Erectile dysfunction (ED) is an early form of atherosclerosis and subclinical myocardial dysfunction. Epicardial fat tissue (EFT) is associated with impaired left ventricular (LV) function, even in the absence of cardiovascular disease. The aim of this study was to investigate the association between EFT and LV systolic function in patients with erectile ED by speckle tracking echocardiography (2D-STE) method.</p><p><strong>Methods: </strong>A total of 129 consecutive patients with ED were compared with 145 age- and sex-matched control subjects. ED was evaluated using the International Index of Erectile Function questionnaire. Thickness of EFT was measured by TTE. Global LV longitudinal strain (LV-GLS) and global LV circumferential strain (LV-GCS) were measured by 2D-STE method.</p><p><strong>Results: </strong>The EFT thickness was significantly higher in the patients with ED (<i>p</i> <.01). LV-GLS and LV-GCS were revealed to be more deterioration in the ED group compared to controls (-18.2 ± 2.7 <i>vs.</i> (-21.1 ± 3.9, <i>p</i><.001; -19.5 ± 4.1 <i>vs.</i> -21.9 ± 3.9, <i>p</i><.001, respectively). It has been shown that EFT thickness is an independent predictor of LV dysfunction.</p><p><strong>Conclusions: </strong>These results indicate that EFT thickness is associated with subclinical LV systolic dysfunction in patients with ED.</p>","PeriodicalId":55542,"journal":{"name":"Aging Male","volume":"24 1","pages":"42-49"},"PeriodicalIF":2.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13685538.2021.1945572","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39125785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Testosterone status is not associated with bladder cancer parameters in adult male patients: results of a prospective controlled study.","authors":"Alper Kafkasli, Ozgur Yazici, Utku Can, Erdinç Dinçer, Oktay Akça, Onder Canguven","doi":"10.1080/13685538.2020.1808968","DOIUrl":"https://doi.org/10.1080/13685538.2020.1808968","url":null,"abstract":"<p><strong>Purpose: </strong>This controlled study assessed whether there was a correlation between serum total testosterone levels and bladder cancer (BCa) in terms of tumor grade and stage as objective measures in adult men.</p><p><strong>Materials and method: </strong>Our prospectively-designed study included 257 patients who were diagnosed with primary BCa and its surgery between January 2017 and January 2020. Hundred and forty patients who had surgery in the same period with TUR for prostate or endoscopic ureteral stone treatment were included in the study as a control group. All patients in the study and control groups were male. The age range of the patients was between 34 and 90 years old. In order to examine groups, fasting blood glucose, lipid profile, albumin, total testosterone, and vitamin D levels of all patients included in the study.</p><p><strong>Results: </strong>The relationship between tumor aggression and total testosterone level was investigated with a multinomial logistic regression model, where the control group was accepted as a reference, following adjustment for potential confounding variables, including age and serum albumin levels. Testosterone level was not found to be associated with any of the categories that determine tumor aggressiveness (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>In the present study, there was no correlation between any categories that determine tumor aggressiveness of BCa and total testosterone levels in adult men. It is obvious that our findings should be supported and further investigations are needed.</p>","PeriodicalId":55542,"journal":{"name":"Aging Male","volume":"24 1","pages":"101-105"},"PeriodicalIF":2.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13685538.2020.1808968","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39267279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aging MalePub Date : 2021-12-01DOI: 10.1080/13685538.2021.1960964
Jaime L Palmer-Hague, Samantha T S Wong, Richard J Wassersug, Alan Kingstone, Erik Wibowo
{"title":"Hormones and visual attention to sexual stimuli in older men: an exploratory investigation.","authors":"Jaime L Palmer-Hague, Samantha T S Wong, Richard J Wassersug, Alan Kingstone, Erik Wibowo","doi":"10.1080/13685538.2021.1960964","DOIUrl":"https://doi.org/10.1080/13685538.2021.1960964","url":null,"abstract":"<p><strong>Background: </strong>Testosterone is associated with sexual desire and performance in men, but little is known about cognitive mechanisms underlying this relationship. Even less is known about the influence of estradiol, despite its production from testosterone, and high receptor density in brain regions related to male sexual behavior.</p><p><strong>Method: </strong>We used eye-tracking to compare men's visual attention to images of fully clothed (i.e. neutral) and minimally clothed (i.e. sexy) models in three groups: androgen-deprived (<i>n</i> = 6) and not androgen-deprived with prostate cancer (<i>n</i> = 11), and healthy controls (<i>n</i> = 7). We also assessed effects of serum testosterone, estradiol, and sex hormone-binding globulin levels.</p><p><strong>Results: </strong>We found no group effect for fixations to sexy compared to neutral images, and no influence of testosterone on either total fixations, or proportion of fixations to sexy images. In contrast, we found that sex hormone binding globulin positively predicted total fixations, and estradiol positively predicted proportion of total fixations on sexy images--regardless of androgen treatment status.</p><p><strong>Conclusion: </strong>Our results suggest that visual attention to sexual stimuli in men may be significantly affected by hormones. This has potential implications for clinical populations that experience sexual side effects, such as prostate cancer patients on androgen deprivation therapy.</p>","PeriodicalId":55542,"journal":{"name":"Aging Male","volume":"24 1","pages":"106-118"},"PeriodicalIF":2.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39292732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aging MalePub Date : 2021-12-01DOI: 10.1080/13685538.2021.1920911
Xinyang Liao, Haiyang Bian, Xiaonan Zheng, Jianzhong Ai, Lu Yang, Liangren Liu, Shi Qiu, Qiang Wei
{"title":"Association of the inflammatory potential of diet and lower urinary tract symptoms among men in the United States.","authors":"Xinyang Liao, Haiyang Bian, Xiaonan Zheng, Jianzhong Ai, Lu Yang, Liangren Liu, Shi Qiu, Qiang Wei","doi":"10.1080/13685538.2021.1920911","DOIUrl":"https://doi.org/10.1080/13685538.2021.1920911","url":null,"abstract":"<p><strong>Background: </strong>Inflammation is crucial in the pathogenesis of lower urinary tract symptoms (LUTS) in men. Diet modulates inflammation. Therefore, diet could be a modifiable factor in male LUTS prevention and treatment. We aimed to investigate the association between dietary inflammatory potential and male LUTS.</p><p><strong>Methods: </strong>We used two cycles of National Health and Nutrition Examination Survey (NHANES) with self-report LUTS data. We calculated the dietary inflammatory index (DII) based on a 24 h diet recall and evaluated male LUTS. Clinical LUTS was defined as two or more coexisting symptoms. We used univariate and multivariate logistic regression models, the smooth curve fitting to analyze the relationship between clinical LUTS and the DII score. Subgroup analyses were conducted.</p><p><strong>Results: </strong>We observed a positive non-linear relationship between clinical LUTS and DII. We found that when DII was higher than the inflection point 2.39, a 1-unit increase in DII was associated with 26.1% higher adjusted odds of clinical LUTS. Subgroup analyses showed that the DII score was only positively correlated with clinical LUTS risk in non-drinkers, smokers, and non-obese people (DII >2.39).</p><p><strong>Conclusions: </strong>Inflammation might be the key mechanism bridging dietary consumption to male LUTS. Excessive pro-inflammatory food intake (DII >2.39) warrants special vigilance, especially for non-drinkers, smokers, and non-obese men.</p>","PeriodicalId":55542,"journal":{"name":"Aging Male","volume":"24 1","pages":"72-79"},"PeriodicalIF":2.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13685538.2021.1920911","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39161214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aging MalePub Date : 2021-12-01DOI: 10.1080/13685538.2021.1948992
Selvi Dinçer, Emre Uysal, Tanju Berber, Mustafa Halil Akboru
{"title":"The efficacy and tolerability of ultra-hypofractionated radiotherapy in low-intermediate risk prostate cancer patients: single center experience.","authors":"Selvi Dinçer, Emre Uysal, Tanju Berber, Mustafa Halil Akboru","doi":"10.1080/13685538.2021.1948992","DOIUrl":"https://doi.org/10.1080/13685538.2021.1948992","url":null,"abstract":"<p><strong>Background: </strong>We aimed to investigate the efficacy and tolerability of ultra-hypofractionated radiotherapy (UHRT) in the treatment of low and intermediate-risk prostate cancer patients.</p><p><strong>Methods: </strong>This retrospective study was conducted using data derived from 44 patients who underwent UHRT, and toxicity assessment and clinical response were investigated. Treatment consisted of 35-36.25 Gy in 5 fractions using stereotactic ablative radiotherapy (SABR) with the Linac-based delivery system.</p><p><strong>Results: </strong>The median duration of follow-up was 52 months (8-68 months) and the median age was 71.5 years (54-85 years). Twenty-seven patients were assigned as intermediate-risk, whereas 17 patients had low-risk. The 5-year overall survival rate was 87.8%, while the 5-year biochemical recurrence-free survival (bRFS) rate was 97.4%. Acute grade 3 genitourinary (GU) side effect was not observed in any patient, whereas acute gastrointestinal (GI) system grade 3 side effect was seen in 6.8% of the patients. Late grade 3 GU and GI side effects were seen in 4.6% and 6.8% of the patients, respectively. In patients with planning target volume (PTV) ≥85 ml, acute grade ≥2 GU side effects were more common (<i>p</i>=.034).</p><p><strong>Conclusion: </strong>Our data demonstrated that UHRT administered with volumetric arc therapy (VMAT) can be recommended for selected patients with low-intermediate risk prostate cancer. Further prospective, multicentric, controlled trials on larger series are warranted to reach more accurate conclusions.</p>","PeriodicalId":55542,"journal":{"name":"Aging Male","volume":"24 1","pages":"50-57"},"PeriodicalIF":2.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13685538.2021.1948992","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39161869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aging MalePub Date : 2021-12-01DOI: 10.1080/13685538.2020.1786047
Wei Shen Tan, Anton Wong, Wasim Mahmalji, Asif Raza
{"title":"Is there still a role for digital rectal examination in the prostate cancer diagnostic pathway in the COVID-19 and post COVID-19 era?","authors":"Wei Shen Tan, Anton Wong, Wasim Mahmalji, Asif Raza","doi":"10.1080/13685538.2020.1786047","DOIUrl":"https://doi.org/10.1080/13685538.2020.1786047","url":null,"abstract":"<p><p>Digital rectal examination (DRE) is routinely performed as part of a urology clinical assessment in patients with a clinical suspicion of prostate cancer. An abnormal DRE or a raised prostate specific antigen (PSA) level are part of the criteria for primary care referral to secondary care due to a suspicion of prostate cancer. The current Coronavirus-19 (COVID-19) pandemic has resulted in the rapid adoption of virtual consultations in the form of telephone or video consultations making clinical examination difficult. In the case of prostate cancer diagnostic pathways, often clinicians now rely on PSA measurements and MRI, where radiological services are available, without the requirement for a DRE. We discuss the limited role DRE has in the modern prostate cancer diagnostic pathway due to the widespread adoption of MRI particularly in the COVID-19 era.</p>","PeriodicalId":55542,"journal":{"name":"Aging Male","volume":"24 1","pages":"92-94"},"PeriodicalIF":2.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13685538.2020.1786047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39230666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aging MalePub Date : 2021-12-01DOI: 10.1080/13685538.2021.1948993
Jae Joon Park, Hyun Young Lee, Sung Ryul Shim, Sang Wook Lee, Kwang Taek Kim, Jae Heon Kim
{"title":"Prostate cancer specific mortality after 5α-reductase inhibitors medication in benign prostatic hyperplasia patients: systematic review and meta-analysis.","authors":"Jae Joon Park, Hyun Young Lee, Sung Ryul Shim, Sang Wook Lee, Kwang Taek Kim, Jae Heon Kim","doi":"10.1080/13685538.2021.1948993","DOIUrl":"https://doi.org/10.1080/13685538.2021.1948993","url":null,"abstract":"<p><strong>Background: </strong>Our study was conducted to investigate the effect of 5-ARI on the death rate from prostate cancer by means of an updated meta-analysis using related data.</p><p><strong>Methods: </strong>We did comprehensive literature searches using the PubMed, Embase, and Cochrane databases through July 2019. We evaluated the risk of bias in such studies using the ROBINS-I tool and analyzed deaths from cancer and deaths from all causes using HR.</p><p><strong>Results: </strong>The meta-analysis included 11 studies. The pooled overall HRs for cancer-specific deaths between 5-ARI treatment versus non-exposed groups were 0.937 (95% CI: 0.730, 1.201). In the subgroup moderator analysis, the number of patients and additional medication variables were significantly associated with deaths from all causes (<i>p</i> = 0.022 and <i>p</i> = 0.005, respectively). For detecting the publication bias or small-study effect in the included studies, we performed Begg and Mazumdar's correlation test (0.851 and 0.573) and Egger's regression coefficient test (0.035 and 0.245) and suggested that there was no evidence of publication bias or small-study effect in this meta-analysis.</p><p><strong>Conclusions: </strong>Our study indicated that exposure to 5-ARI had no close association between the overall death rate or cancer-specific deaths. To confirm these results, well-designed prospective studies with large samples are required.</p>","PeriodicalId":55542,"journal":{"name":"Aging Male","volume":"24 1","pages":"80-91"},"PeriodicalIF":2.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39573959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Low free testosterone level as a predictor of cardiovascular events in Japanese men with coronary risk factors.","authors":"Yuki Kato, Kazuyoshi Shigehara, Takahiro Inaba, Jiro Sakamoto, Masashi Iijima, Shohei Kawaguchi, Kouji Izumi, Yoshifumi Kadono, Mikio Namiki, Atsushi Mizokami","doi":"10.1080/13685538.2021.1920912","DOIUrl":"https://doi.org/10.1080/13685538.2021.1920912","url":null,"abstract":"<p><p><b>Aim:</b> We investigated whether low plasma free testosterone (FT) levels could predict cardiovascular events (CVE) in Japanese men with coronary risk factors.<b>Methods:</b> Male patients with classical coronary risk factors who had undergone serum FT testing were enrolled. New incidences of CVE were retrospectively investigated among all eligible participants based on their medical records.<b>Results:</b> Overall, 466 male outpatients with coronary risk factors without a previous history of CVE were identified. Throughout the follow-up period (median = 92 months), 126 CVE occurred. The Kaplan-Meier survival analysis according to the tertiles of plasma FT levels revealed that patients with the lowest FT tertile (<6.5 pg/mL) had a higher likelihood of developing CVE than those with the highest tertile (>9.3 pg/mL) (<i>p</i><.01). Multivariate analysis showed that increased frequency of CVE was observed with lower FT tertiles, independent of other coronary risk factors, with hazard ratios of 0.617 (95% CI, 0.389-0.976; <i>p</i>=.030) and 0.524 (95% CI, 0.309-0.887; <i>p</i>=.016) for the second and highest tertile relative to the lowest FT tertile, respectively.<b>Conclusion:</b> Among Japanese men with coronary risk factors, a lower FT level was a predictor for the development of cardiovascular diseases independent of other coronary risk factors and age.</p>","PeriodicalId":55542,"journal":{"name":"Aging Male","volume":"24 1","pages":"8-14"},"PeriodicalIF":2.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13685538.2021.1920912","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38992937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aging MalePub Date : 2021-12-01DOI: 10.1080/13685538.2021.1936482
Dursun Hakan Delibaş, Neslihan Eşkut, Birkan İlhan, Esin Erdoğan, Dilek Top Kartı, Özge Yılmaz Küsbeci, Gülistan Bahat
{"title":"Clarifying the relationship between sarcopenia and depression in geriatric outpatients.","authors":"Dursun Hakan Delibaş, Neslihan Eşkut, Birkan İlhan, Esin Erdoğan, Dilek Top Kartı, Özge Yılmaz Küsbeci, Gülistan Bahat","doi":"10.1080/13685538.2021.1936482","DOIUrl":"https://doi.org/10.1080/13685538.2021.1936482","url":null,"abstract":"<p><strong>Objective: </strong>We investigate the relationship between sarcopenia components and depression in geriatric outpatients, considering the effects of potential confounding factors.</p><p><strong>Methods: </strong>Adults ≥60 years of age were selected from outpatient clinics. Muscle strength was assessed using handgrip strength (HGS) measured using a hydraulic hand dynamometer and chair stand test (CSST). Physical performance was evaluated by usual gait speed (UGS), nutritional status, and frailty were screened by mini-nutritional assessment (MNA) questionnaire and FRAIL scale. Depression was diagnosed through a psychiatric interview and the administration of the Geriatric Depression Scale (GDS).</p><p><strong>Results: </strong>Participants with depression were similar to participants without depression regarding age (<i>p</i> = .055), education (<i>p</i> = .095), frailty (<i>p</i> = .857), and HGS scores (<i>p</i> = .053). The group with depression had longer CSST duration (<i>p</i> = .023), slower UGS (<i>p</i> = .027), and more malnutrition (<i>p</i> = .001). Multivariate regression analysis revealed that only the malnutrition was independently associated factor with depression after adjusting for confounding factors.</p><p><strong>Conclusions: </strong>Depression is associated with malnutrition and some components of sarcopenia in geriatric outpatients. Our results revealed that sarcopenia might be associated with depression through malnutrition. If malnutrition lasts for a long time, sarcopenia may become evident in the later stages of depression.</p>","PeriodicalId":55542,"journal":{"name":"Aging Male","volume":"24 1","pages":"29-36"},"PeriodicalIF":2.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/13685538.2021.1936482","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39252515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence and associated factors of metabolic syndrome in Chinese middle-aged and elderly population: a national cross-sectional study.","authors":"Yang Xiong, Yangchang Zhang, Fuxun Zhang, Changjing Wu, Feng Qin, Jiuhong Yuan","doi":"10.1080/13685538.2021.1998432","DOIUrl":"https://doi.org/10.1080/13685538.2021.1998432","url":null,"abstract":"<p><strong>Background: </strong>Currently, China has an increasingly aging population. However, the prevalence of metabolic syndrome (MetS) in this high-risk population for metabolic diseases remains unknown. This study investigates the age- and gender-specific prevalence and associated factors of MetS in the middle-aged and elderly Chinese population.</p><p><strong>Methods: </strong>Data were collected and subjected to descriptive statistics. Further, univariate logistic regression was used to evaluate the relevant factors, and then multivariate logistic regression was selected to construct the final model.</p><p><strong>Results: </strong>A total of 10,834 participants were included in the present study. The overall prevalence of MetS is 32.97% as defined by International Diabetes Federation (IDF) and 29.75% under National Cholesterol Education Program-The Adult Treatment Panel III (NCEP-ATP III) criteria. With aging, the prevalence of MetS descends in males while ascends in females. In the >70 years old group, the prevalence of MetS is three times higher in females than that in males (50.43% versus 16.03%). Across all age groups and sexes, the prevalence of MetS in urban areas is significantly higher than in rural areas. Besides, regardless of gender, the prevalence of MetS is the highest for those living in the north region (28.41% for males and 51.74% for females) and the lowest for those living in the southwest region (13.91% for males and 31.58% for females). Finally, an afternoon nap has been identified as a positively associated factor, while blood urea nitrogen (BUN) has been identified as a negatively associated factor (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>The prevalence of MetS varies in different age groups, sexes, living areas, and regions. An afternoon nap is positively associated with the prevalence of MetS, while BUN is negatively associated with MetS.</p>","PeriodicalId":55542,"journal":{"name":"Aging Male","volume":"24 1","pages":"148-159"},"PeriodicalIF":2.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39602724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}