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Erectile dysfunction and cardiovascular risk factors in a Mediterranean diet cohort.

Abstract

BACKGROUND

Erectile dysfunction affects more than 100 million men worldwide, with a wide variability in prevalence. An overall association of cardiovascular risk factors, lifestyle and diet in the context of ED in a Mediterranean population is lacking.

AIM

To assess ED prevalence and associated factors in a Mediterranean cohort of non-diabetic patients with cardiovascular risk factors.

METHODS

Observational, cross-sectional study of patients aged over 40 treated at cardiovascular risk units in Catalonia. Anthropometric data, risk factors, lifestyle and diet habits were recorded. ED was assessed using the International Index of Erectile Function.

RESULTS

Four hundred and forty patients included, 186 (42.3%) with ED (24.8% mild, 6.8% moderate and 10.7% severe). ED presence and severity were associated with age, obesity, waist circumference, hypertension, antihypertensive treatment and ischaemic disease. Patients with ED were more frequently smokers, sedentary and consumed more alcohol. In multivariate analysis, consumption of nuts (> twice a week) (OR 0.41 (95% CI 0.25 to 0.67) and vegetables (≥ once a day) (OR 0.47 (95% CI 0.28-0,77)), were inversely related to ED. Obesity (as BMI ≥ 30 kg/m(2) ) (OR 2.49 (95% CI 1.48-4.17)), ischaemic disease (OR 2.30 (95% CI 1.22 to 4.33), alcohol consumption (alcohol-units a day) (OR 1.14 (95% CI 1.04 to 1.26), and age (year) (OR = 1.07 (95% CI 1.04-1.10) were directly related to ED.

CONCLUSION

Erectile dysfunction is a common disorder in patients treated in lipid units in Catalonia for cardiovascular risk factors. This condition is associated with age, obesity, ischaemic disease and unhealthy lifestyle habits.

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  • Authors

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    Source

    Internal medicine journal 46:1 2016 Jan pg 52-6

    MeSH

    Adult
    Cardiovascular Diseases
    Cohort Studies
    Cross-Sectional Studies
    Diet, Mediterranean
    Dyslipidemias
    Erectile Dysfunction
    Humans
    Life Style
    Male
    Middle Aged
    Risk Factors

    Pub Type(s)

    Journal Article
    Multicenter Study
    Observational Study

    Language

    eng

    PubMed ID

    26482327

    Citation

    Ramírez, R, et al. "Erectile Dysfunction and Cardiovascular Risk Factors in a Mediterranean Diet Cohort." Internal Medicine Journal, vol. 46, no. 1, 2016, pp. 52-6.
    Ramírez R, Pedro-Botet J, García M, et al. Erectile dysfunction and cardiovascular risk factors in a Mediterranean diet cohort. Intern Med J. 2016;46(1):52-6.
    Ramírez, R., Pedro-Botet, J., García, M., Corbella, E., Merino, J., Zambón, D., ... Pintó, X. (2016). Erectile dysfunction and cardiovascular risk factors in a Mediterranean diet cohort. Internal Medicine Journal, 46(1), pp. 52-6. doi:10.1111/imj.12937.
    Ramírez R, et al. Erectile Dysfunction and Cardiovascular Risk Factors in a Mediterranean Diet Cohort. Intern Med J. 2016;46(1):52-6. PubMed PMID: 26482327.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Erectile dysfunction and cardiovascular risk factors in a Mediterranean diet cohort. AU - Ramírez,R, AU - Pedro-Botet,J, AU - García,M, AU - Corbella,E, AU - Merino,J, AU - Zambón,D, AU - Corbella,X, AU - Pintó,X, AU - ,, PY - 2015/08/05/received PY - 2015/10/06/revised PY - 2015/10/09/accepted PY - 2015/10/21/entrez PY - 2015/10/21/pubmed PY - 2016/10/25/medline KW - Mediterranean diet KW - cardiovascular risk factor KW - erectile dysfunction SP - 52 EP - 6 JF - Internal medicine journal JO - Intern Med J VL - 46 IS - 1 N2 - BACKGROUND: Erectile dysfunction affects more than 100 million men worldwide, with a wide variability in prevalence. An overall association of cardiovascular risk factors, lifestyle and diet in the context of ED in a Mediterranean population is lacking. AIM: To assess ED prevalence and associated factors in a Mediterranean cohort of non-diabetic patients with cardiovascular risk factors. METHODS: Observational, cross-sectional study of patients aged over 40 treated at cardiovascular risk units in Catalonia. Anthropometric data, risk factors, lifestyle and diet habits were recorded. ED was assessed using the International Index of Erectile Function. RESULTS: Four hundred and forty patients included, 186 (42.3%) with ED (24.8% mild, 6.8% moderate and 10.7% severe). ED presence and severity were associated with age, obesity, waist circumference, hypertension, antihypertensive treatment and ischaemic disease. Patients with ED were more frequently smokers, sedentary and consumed more alcohol. In multivariate analysis, consumption of nuts (> twice a week) (OR 0.41 (95% CI 0.25 to 0.67) and vegetables (≥ once a day) (OR 0.47 (95% CI 0.28-0,77)), were inversely related to ED. Obesity (as BMI ≥ 30 kg/m(2) ) (OR 2.49 (95% CI 1.48-4.17)), ischaemic disease (OR 2.30 (95% CI 1.22 to 4.33), alcohol consumption (alcohol-units a day) (OR 1.14 (95% CI 1.04 to 1.26), and age (year) (OR = 1.07 (95% CI 1.04-1.10) were directly related to ED. CONCLUSION: Erectile dysfunction is a common disorder in patients treated in lipid units in Catalonia for cardiovascular risk factors. This condition is associated with age, obesity, ischaemic disease and unhealthy lifestyle habits. SN - 1445-5994 UR - https://www.unboundmedicine.com/medline/citation/26482327/full_citation L2 - https://doi.org/10.1111/imj.12937 DB - PRIME DP - Unbound Medicine ER -