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View the Table of Contents for the January 2007 issue of Cancer Epidemiology, Biomarkers & Prevention.
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Recent studies have shown an inverse association between body mass index (BMI) and prostate-specific antigen (PSA), a commonly used serum marker for the detection and diagnosis of prostate cancer. Werny et al. examined the association between several anthropometric measures and PSA in a nationally representative sample of men. Among white men, the authors report a trend of decreasing PSA with increasing weight, BMI, waist circumference, triceps skinfold thickness, and calculated total body water. Among Mexican American men, there was a trend of decreasing PSA with increasing BMI, and among black men, a trend of decreasing PSA with increasing triceps thickness. Controlling for age and race/ethnicity in the multiple linear regression model, they found moderate declines in PSA with increases in BMI, weight, waist circumference, triceps skinfold, and calculated total body water. A prospective study is needed to establish whether obesity affects the accuracy of PSA as a screening and diagnostic tool.