Prostate Problems Are Common

Here’s some eye-opening facts: about one in eight men will be diagnosed with prostate cancer in their lifetime. Additionally, half of all men between the ages of 51 and 60 will experience benign prostatic hyperplasia (BPH) or enlarged prostate. This number increases to 70% for men aged 60 to 69 and reaches 90% for men over 85.

And while many men stay silent about their prostate problems, ignoring this widespread health issue won't make it disappear.

Benign Prostatic Hyperplasia (BPH) (Enlarged prostate)

The prostate, a walnut-sized gland, helps produce semen, the fluid that carries sperm. It surrounds the urethra, the tube that carries urine out from the bladder. As the prostate grows, it can squeeze the urethra.

As men get older, the prostate often enlarges such that the gland can double or even triple in size —imagine a walnut growing to the size of a lime. The resultant squeezing of the urethra can make urination difficult and prevent the bladder from emptying fully. Those affected may need to urinate more often, especially at night, experience extreme urgency to urinate, or may even experience involuntary urination.

What causes an enlarged prostate?

There isn’t enough confirmed scientific evidence about the precise blend of genetic, environmental, dietary, and other influences that lead to prostate issues as men grow older. This uncertainty means there's no simple way to avoid these problems.

Growing older appears to be the biggest factor in developing an enlarged prostate.

However, research has also shown that men who are overweight, or who have risk factors for cardiovascular disease and diabetes, may be more likely to have an enlarged prostate. So improving cardiometabolic health could potentially have a significant - and seemingly unrelated - side benefit in men.

In the extreme, an enlarged prostate can have serious consequences such as recurrent urinary tract infections or kidney malfunction, but for most men, symptoms are more about quality of life, and treatments aim to ease urinary difficulties. Cutting down on fluids in the evenings and limiting diuretics like caffeine and alcohol can help. For more significant relief, medications can relax or shrink the prostate, and surgical options can reduce its size.

Prostate cancer and at-risk groups

Men who live long enough are likely to develop prostate cancer; 70% of those over 70 have some cancerous cells in their prostate. Indeed, prostate cancer is the most common cancer in men. In the U.S. and U.K., prostate cancer is the second leading cause of cancer deaths among men, following lung cancer. The average age at diagnosis is 67, with cases rare in men under 40.

Genetic mutations play a role, with family history increasing risk significantly. Men with two or more close male relatives with prostate cancer are 5-10 times more likely to be diagnosed. Additionally, Black men face a 70% higher risk of getting and dying from prostate cancer for reasons not yet fully understood.

When it comes to prostate cancer, the best offense is a good defense. Meaning - getting screened and catching it early. According to the American Cancer Society, starting screening is appropriate at:

• Age 50 for men who are at average risk of prostate cancer
• Age 45 for men at higher risk of developing prostate cancer. This includes African American men and men who have a first-degree relative (father or brother) diagnosed with prostate cancer at an early age (younger than age 65).
• Age 40 for men at even higher risk (those with more than one first-degree relative who had prostate cancer at an early age)

Prostate gland enlargement does not mean you have prostate cancer or that you will develop it. Prostate cancer and BPH are different conditions.

Treatment for enlarged prostate

Beta-sitosterol, a specific plant sterol, has been shown to improve urinary symptoms and even reduce the risk of prostate cancer. While the data on plant sterols and prostate health isn't as strong as that for heart health, the benefits are promising.

The actual way plant sterols do this is unclear, but multiple potential mechanisms have been documented. For example, beta-sitosterol has been shown to induce apoptosis (programmed cell death) in the cells involved in the genesis/growth of prostate cancer. In terms of BPH, multiple studies have also shown that beta-sitosterol can significantly improve urinary tract symptoms, but as effectively as pharmaceuticals (though without side effects).

Most plant sterol supplements used for BPH symptoms deliver between 300 and 400 mg of beta sitosterol. That means if you’re a man and you’re eating even one serving of Step One Foods per day, you’re getting plenty of beta sitosterol for supporting prostate health as well! One serving of Step One Foods delivers 750 milligrams of beta-sitosterol. Each product contains at least 1000 mg of plant sterols, with around 75% being beta-sitosterol.

Beyond prostate support, Step One products offer extra health benefits, including improved heart health—the leading cause of death for men and women. Prostate cancer is clearly a scary prospect. But so is a heart attack or stroke.

Cholesterol and Prostate Cancer Recurrence

Although we think about cholesterol as only affecting heart disease risk, it turns out high cholesterol can also be a risk for cancer recurrence.

A study from Duke University evaluating more than 800 men who had had their prostate gland removed, revealed that those with higher cholesterol levels were more likely to have their cancer come back.

Specifically, the researchers found that men who had triglyceride levels of 150 mg/dL or higher had a 35 percent increased risk of their cancer coming back, compared with men with normal triglyceride levels. And every 10 mg/dL increase in total cholesterol above 200 mg/dL was linked with a 9 percent increase in risk for the return of prostate cancer.

Cholesterol levels can be markedly improved with dietary change. So eating right for your heart goes way beyond the heart itself. It also means you are eating in a way that may prevent a whole host of other devastating illnesses.

Food matters.