Assessing the Risk of Prostate Cancer with Nutritional and Environmental Factors: A Cross-Sectional Study from National Health and Nutrition Examination Survey 2001-2010.

Screening for prostate cancer (PCa) using prostate-specific antigen (PSA) is common. This study aimed to identify potential nutritional variables associated with PSA levels and develop a PCa risk prediction model. A total of 5,725 participants from the 2001-2010 National Health and Nutrition Examina...

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Publicado en:Nutrition & Cancer Vol. 75; no. 5; pp. 1361 - 1373
Autores principales: Shuai Li, Xiaopeng Hu
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2023
      vid: 75
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/01635581.2023.2197687
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        atl: Assessing the Risk of Prostate Cancer with Nutritional and Environmental Factors: A Cross-Sectional Study from National Health and Nutrition Examination Survey 2001-2010.
      aug:
        au:
          Shuai Li
          Xiaopeng Hu
        affil: Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China
      sug:
        subj:
          Prostatic Neoplasms Risk Factors
          Nutrition
          Environmental Health
          Risk Assessment
          Prostate-Specific Antigen
          Cancer Screening
          Prediction Models
          Tumor Markers, Biological Diagnostic Use
          Human
          Male
          Cross Sectional Studies
          Surveys
          Machine Learning
          Algorithms
          Erythrocytes
          Lipoproteins, LDL Cholesterol
          Lipoproteins, HDL Cholesterol
          Questionnaires
          Scales
          Logistic Regression
          Male
      ab: Screening for prostate cancer (PCa) using prostate-specific antigen (PSA) is common. This study aimed to identify potential nutritional variables associated with PSA levels and develop a PCa risk prediction model. A total of 5,725 participants from the 2001-2010 National Health and Nutrition Examination Survey (NHANES) database were recruited and divided into discovery and validation sets. Three machine learning (ML) algorithms were performed in discovery set to select features associated with a high-risk PSA level. Age, red blood cell (RBC), blood cholesterol, blood lead, and prognostic nutritional index (PNI) were overlapping important contributors among the three ML models. Furthermore, the relationship between the selected variables and the high-risk PSA level was verified using weighted logistic regression models and restricted cubic spline (RCS) curves. After adjustment, age and blood lead were significantly positively associated with high-risk PSA, while PNI was significantly negatively associated with high-risk PSA. A nomogram including age, RBC, blood cholesterol, and PNI was constructed for predicting the PCa risk according to PSA levels, and the area under the receiver operating characteristic curve (AUROC) of discovery and validation sets was 0.755 and 0.756, respectively. The constructed nomogram may be used for targeted PSA testing and cancer screening in community healthcare.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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