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Is the Metabolic Syndrome an Independent Risk Factor for Erectile Dysfunction?

2007; Lippincott Williams & Wilkins; Volume: 177; Issue: 2 Linguagem: Inglês

10.1016/j.juro.2006.09.043

1527-3792

Stefan Heidler, Christian Temml, Clemens Broessner, Karl Mock, Michael Rauchenwald, Stephan Madersbacher, Anton Ponholzer,

Pharmacology and Obesity Treatment

No AccessJournal of UrologyAdult urology1 Feb 2007Is the Metabolic Syndrome an Independent Risk Factor for Erectile Dysfunction? Stefan Heidler, Christian Temml, Clemens Broessner, Karl Mock, Michael Rauchenwald, Stephan Madersbacher, and Anton Ponholzer Stefan HeidlerStefan Heidler , Christian TemmlChristian Temml Department of Urology and Andrology, Donauspital and Department of Preventive Health, City of Vienna, Vienna, Austria , Clemens BroessnerClemens Broessner , Karl MockKarl Mock , Michael RauchenwaldMichael Rauchenwald , Stephan MadersbacherStephan Madersbacher , and Anton PonholzerAnton Ponholzer View All Author Informationhttps://doi.org/10.1016/j.juro.2006.09.043AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determined the role of the metabolic syndrome as an independent risk factor for erectile dysfunction. Materials and Methods: Men participating in a health screening project completed the International Index of Erectile Function-5. The metabolic syndrome was defined according to the 2005 International Diabetes Federation consensus definition. Multiple linear regression, ANOVA and chi-square tests were used to investigate the impact of the metabolic syndrome on erectile dysfunction. Results: A total of 2,371 men with a mean age of 46.1 years (SD 9.9, range 30 to 69) were analyzed. Of the men 33.4% (652) had no erectile dysfunction (International Index of Erectile Function-5 score 22 to 25), 59.7% (1,166) had mild erectile dysfunction (International Index of Erectile Function-5 score 17 to 21) and 6.9% (134) had moderate to severe erectile dysfunction (International Index of Erectile Function-5 score 5 to 16). The metabolic syndrome was present in 33.8% (794). In a multiple linear regression analysis an increased waist-to-hip ratio (p = 0.01) and metabolic syndrome (p = 0.01) turned out to be independently associated with a decreased International Index of Erectile Function-5 score. When stratified according to age, the metabolic syndrome was correlated to erectile dysfunction only in men 50 years old or older with an increase of severe erectile dysfunction by 48% (p = 0.01). Conclusions: The metabolic syndrome and an increased waist-to-hip ratio are independently associated with a decreased International Index of Erectile Function-5 score. The metabolic syndrome in men older than 50 years is significantly associated with a higher proportion of moderate to severe erectile dysfunction. References 1 : The likely worldwide increase in erectile dysfunction between 1995 and 2025 and some possible policy consequences. BJU Int1999; 84: 50. Google Scholar 2 : Erectile dysfunction. N Engl J Med2000; 342: 1802. 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Google Scholar © 2007 by American Urological AssociationFiguresReferencesRelatedDetailsCited byKaplan S (2018) Re: Metabolic Syndrome Does Not Increase the Risk of Ejaculatory Dysfunction in Patients with Lower Urinary Tract Symptoms and Benign Prostatic Enlargement: An Italian Single-Center Cohort StudyJournal of Urology, VOL. 199, NO. 2, (320-321), Online publication date: 1-Feb-2018. Volume 177Issue 2February 2007Page: 651-654 Advertisement Copyright & Permissions© 2007 by American Urological AssociationKeywordshyperinsulinismobesityimpotenceMetricsAuthor Information Stefan Heidler More articles by this author Christian Temml Department of Urology and Andrology, Donauspital and Department of Preventive Health, City of Vienna, Vienna, Austria More articles by this author Clemens Broessner More articles by this author Karl Mock More articles by this author Michael Rauchenwald More articles by this author Stephan Madersbacher More articles by this author Anton Ponholzer More articles by this author Expand All Advertisement PDF downloadLoading ...