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Prevalence of metabolic syndrome and its association with erectile dysfunction among urologic patients: metabolic backgrounds of erectile dysfunction.
Urology 2007; 69(2):356-60U

Abstract

OBJECTIVES

To identify the prevalence of metabolic syndrome (MS) and its association with erectile dysfunction (ED) among urologic patients.

METHODS

The study population consisted of 393 male patients aged 40 to 70 years, who were admitted to the urology clinics of four different institutions from February to March 2005. The waist circumference (WC) and triglyceride (TG) and high-density lipoprotein (HDL) cholesterol levels were measured. Patients were divided into two groups: group 1 consisted of patients with a WC greater than 102 cm, and group 2 consisted of patients with a WC of less than 102 cm. The erectile status of the two groups was compared.

RESULTS

Of the 393 patients, 157 (39.9%) had MS. Of the 393 patients, 124 with MS (79%) and 146 without MS (61.9%) had ED. The presence of MS was significantly associated with ED (P <0.001). In the presence of an increased WC with normal serum HDL and TG levels, the relative risk of ED was 1.94. If the patient with an increased WC had a pathologic level of HDL or TG, the relative risk of ED increased up to 2.97-fold. The relative risk of ED in the presence of an increased WC, together with pathologic levels of HDL and TG, was 3.38.

CONCLUSIONS

In our study, MS was strongly associated with ED. Fasting blood glucose levels, hypertension, and WC are the most significant risk factors predicting the risk of ED. A more pronounced increase in ED risk in the presence of abdominal obesity, together with altered TG and HDL cholesterol levels, may indicate a special metabolic background of ED regarding lipid metabolism.

Authors+Show Affiliations

Department of Urology, Atatürk Research and Education Hospital, Izmir, Turkey. kaan_bal@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

17275074

Citation

Bal, Kaan, et al. "Prevalence of Metabolic Syndrome and Its Association With Erectile Dysfunction Among Urologic Patients: Metabolic Backgrounds of Erectile Dysfunction." Urology, vol. 69, no. 2, 2007, pp. 356-60.
Bal K, Oder M, Sahin AS, et al. Prevalence of metabolic syndrome and its association with erectile dysfunction among urologic patients: metabolic backgrounds of erectile dysfunction. Urology. 2007;69(2):356-60.
Bal, K., Oder, M., Sahin, A. S., Karataş, C. T., Demir, O., Can, E., ... Esen, A. A. (2007). Prevalence of metabolic syndrome and its association with erectile dysfunction among urologic patients: metabolic backgrounds of erectile dysfunction. Urology, 69(2), pp. 356-60.
Bal K, et al. Prevalence of Metabolic Syndrome and Its Association With Erectile Dysfunction Among Urologic Patients: Metabolic Backgrounds of Erectile Dysfunction. Urology. 2007;69(2):356-60. PubMed PMID: 17275074.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of metabolic syndrome and its association with erectile dysfunction among urologic patients: metabolic backgrounds of erectile dysfunction. AU - Bal,Kaan, AU - Oder,Mehmet, AU - Sahin,Ali S, AU - Karataş,Cüneyt T, AU - Demir,Omer, AU - Can,Ertan, AU - Gümüş,Bilali H, AU - Ozer,Kutan, AU - Sahin,Oğuz, AU - Esen,A Adil, Y1 - 2007/01/31/ PY - 2006/02/02/received PY - 2006/07/05/revised PY - 2006/09/28/accepted PY - 2007/2/6/pubmed PY - 2007/3/28/medline PY - 2007/2/6/entrez SP - 356 EP - 60 JF - Urology JO - Urology VL - 69 IS - 2 N2 - OBJECTIVES: To identify the prevalence of metabolic syndrome (MS) and its association with erectile dysfunction (ED) among urologic patients. METHODS: The study population consisted of 393 male patients aged 40 to 70 years, who were admitted to the urology clinics of four different institutions from February to March 2005. The waist circumference (WC) and triglyceride (TG) and high-density lipoprotein (HDL) cholesterol levels were measured. Patients were divided into two groups: group 1 consisted of patients with a WC greater than 102 cm, and group 2 consisted of patients with a WC of less than 102 cm. The erectile status of the two groups was compared. RESULTS: Of the 393 patients, 157 (39.9%) had MS. Of the 393 patients, 124 with MS (79%) and 146 without MS (61.9%) had ED. The presence of MS was significantly associated with ED (P <0.001). In the presence of an increased WC with normal serum HDL and TG levels, the relative risk of ED was 1.94. If the patient with an increased WC had a pathologic level of HDL or TG, the relative risk of ED increased up to 2.97-fold. The relative risk of ED in the presence of an increased WC, together with pathologic levels of HDL and TG, was 3.38. CONCLUSIONS: In our study, MS was strongly associated with ED. Fasting blood glucose levels, hypertension, and WC are the most significant risk factors predicting the risk of ED. A more pronounced increase in ED risk in the presence of abdominal obesity, together with altered TG and HDL cholesterol levels, may indicate a special metabolic background of ED regarding lipid metabolism. SN - 1527-9995 UR - https://www.unboundmedicine.com/medline/citation/17275074/Prevalence_of_metabolic_syndrome_and_its_association_with_erectile_dysfunction_among_urologic_patients:_metabolic_backgrounds_of_erectile_dysfunction_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(06)02326-0 DB - PRIME DP - Unbound Medicine ER -