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Heidler, S; Temml, C; Broessner, C; Mock, K; Rauchenwald, M; Madersbacher, S; Ponholzer, A.
Is the metabolic syndrome an independent risk factor for erectile dysfunction?
J Urol. 2007; 177(2): 651-654. Doi: 10.1016/j.juro.2006.09.043
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Führende Autor*innen der Med Uni Graz
Heidler Stefan
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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.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Cross-Sectional Studies -
Erectile Dysfunction - etiology
Humans - etiology
Male - etiology
Metabolic Syndrome X - complications
Middle Aged - complications
Risk Factors - complications

Find related publications in this database (Keywords)
impotence
obesity
hyperinsulinism
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