Impact of early hypothalamic-pituitary-gonadal axis maturation on prostate cancer: Cross-sectional analysis of a Veterans affairs cohort

Rimaz M. Khadir, Rashid K. Sayyid, Brian Matthews, Sherita A. King, Martha K. Terris

Research output: Contribution to journalArticlepeer-review

Abstract

Background: It has been hypothesized that earlier onset of puberty, and thus a more prolonged exposure to high androgen levels, increases risk of prostate cancer development. Our objective was to determine whether earlier age of first shave and height, as surrogates of pubertal onset, were associated with risk of prostate cancer diagnosis. Methods: A prospectively collected outcomes registry of patients presenting for a prostate biopsy at the Charlie Norwood Veterans Affair Medical Center in Augusta, GA between July 1995 and June 2016 was utilized. The associations between age of first shave and height, each, and risks of a positive prostate biopsy, high grade cancer, and high volume disease were evaluated using univariable and multivariable logistic regression analysis, controlling for baseline patient demographic and oncologic characteristics. Results: Our cohort included 2, 456 patients. Biopsies were positive in 1, 257 (51.2%) patients, of whom 293 (23.3%) and 407 (32.4%) had high grade and volume disease, respectively. Median age of first shave was 17.0 years (interquartile range 16.0-19.0) and height was 177.7 cm (172.8-182.9). On multivariable analysis, later of age of first shave was significantly associated with increased odds of a positive prostate biopsy (odds ratio for >18 versus <16 years: 5.34, P=0.02) and taller patients had significantly increased odds of high grade cancer (odds ratio for 175-180 versus <175 cm: 7.46, P=0.037). Conclusions: Amongst patients presenting for a prostate biopsy, those with a later age of first shave and taller height have an increased risk of a positive prostate biopsy and high grade prostate cancer, respectively.

Original languageEnglish (US)
Pages (from-to)3368-3374
Number of pages7
JournalTranslational Andrology and Urology
Volume10
Issue number8
DOIs
StatePublished - Aug 2021
Externally publishedYes

Keywords

  • Biopsy
  • Prostatic neoplasms
  • Puberty
  • Testosterone

ASJC Scopus subject areas

  • Reproductive Medicine
  • Urology

Fingerprint

Dive into the research topics of 'Impact of early hypothalamic-pituitary-gonadal axis maturation on prostate cancer: Cross-sectional analysis of a Veterans affairs cohort'. Together they form a unique fingerprint.

Cite this