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Obesity: Unhealthy and unmanly

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Men who lost the most weight enjoyed the greatest benefit. Reproductive function Obesity takes a toll on sexuality, and it may also impair fertility.

American research has linked obesity to low sperm counts and reduced sperm motility; German scientists reported similar findings in men between 20 and Kidney stones ED can cause great psychological pain for men and their partners.

Kidney stones are much less personal but cause much more physical pain. Stones strike men twice as often as women, and obesity increases a man's risk. A Harvard study of 45, men ages 40 to 75 found that high BMIs and large waist circumferences are both linked to an increased risk of kidney stones.

These American results don't explain the reason for the link, but research from Europe and Asia shows that overweight people dump excess amounts of calcium and other chemicals into their urine, where the chemicals form stones.

Benign prostatic hyperplasia Benign prostatic hyperplasia BPH becomes more common as men get older. It also becomes more common as men gain girth. A Harvard study of 25, men found that waist circumference was strongly associated with a man's risk of developing BPH symptoms.

Men with waists of 43 inches or larger were 2. And scientists in Baltimore and China provide an explanation; they used ultrasounds and MRIs to measure the prostate gland and found that men with bigger bellies have bigger prostates. PSA levels The prostate gland is known for scientific puzzles and paradoxes. Here's another: prostate-specific antigen PSA levels rise as the prostate gland enlarges, and although obesity appears to grow the prostate, it also lowers the PSA level.

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According to the — National Health and Nutrition Examination Survey of Caucasian men ages 40 and older, each five-inch increase in waist circumference results in a 6. But unlike many prostate puzzles, this one has a solution. A study of 13, prostate cancer patients found that men with higher BMIs had lower PSA levels, not because their prostates produced less PSA, but because obesity increases blood volume, so PSA is more diluted in the blood.

Prostate cancer Because obesity lowers PSA levels, it can make it harder for doctors to use PSA measurements to detect prostate cancer in overweight guys.

That's a numbers game caused by an artificial lowering of PSA.

But obesity also has an adverse effect on the biology of prostate cancer. Research from around the world shows that extra body fat increases a man's risk of developing prostate cancer.

And that's not all.

Obesity increases the odds that prostate cancer will spread beyond the gland, and it also makes relapse after treatment more likely. In addition, obesity boosts a man's chance of developing urinary incontinence after a radical prostatectomy operation. Why is obesity such bad news for prostate cancer?

Overweight men tend to put off medical care and they have lower PSA levels, so delayed diagnosis is part of the explanation.

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But obesity also alters the metabolism of sex hormones, which could affect the growth of prostate cancer. Most important, perhaps, obesity increases the body's production of growth factors such as insulin and insulin-like growth factor 1 IGF Both increase the rate of cell multiplication, and high blood levels of IGF-1 have been linked to an increased risk of prostate cancer, colon cancer, and other malignancies.

Why weight? In today's America, being overweight is the norm — but it's not normal.

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In fact, this common problem is one of the things that make diabetes, high blood pressure, stroke, heart attack, and arthritis so common. And if that's not bad enough, it also increases the risk of male maladies, ranging from erectile dysfunction to BPH and prostate cancer.

It's hard to shed excess pounds, but it is possible. There is no quick fix, but there is a slow fix: adjust your diet to take in fewer calories and ramp up your exercise to burn off more calories.Excess body fat raises levels of LDL "bad" cholesterol and triglycerides while also lowering HDL "good" cholesterol levels. Why weight?

That's a numbers game caused by an artificial lowering of PSA. There is no quick fix, but there is a slow fix: adjust your diet to take in fewer calories and ramp up your exercise to burn off more calories.

Discover all training contents on the Explore page and get inspired by the most popular training plans and workouts as well as our individual recommendations.

You can calculate your BMI by multiplying your weight in pounds by and then dividing by your height in inches squared or by dividing your weight in kilograms by your height in meters squared.