Association between physical exercise and quality of erection in men with ischaemic heart disease and erectile dysfunction subjected to physical training

Abstract

1. In subjects with IHD and ED, erection quality is significantly correlated with exercise tolerance. 2. Exercise training had a positive effect on both exercise tolerance and erection quality but the size of these two effects was different and they ran independently of each other.

A Home-Based Walking Program Improves Erectile Dysfunction in Men With an Acute Myocardial Infarction

“…Another recent study demonstrated that higher exercise tolerance is also an important factor for satisfactory sexual activity, and the quality of erections in men with CAD and ED. 1 These findings are similar to those of the present study; subjects with higher functional capacity reported lower ED, supported by the significant negative correlation between 6-minute walk distance and ED identified through the IIEF questionnaire.…”

Physical activity and exercise for erectile dysfunction: systematic review and meta-analysis

“…The studies were performed in three continents: five from Europe,18 19 21 23 24 one from Asia20 and one in Africa 22. Follow-up ranged from 8 weeks to 2 years.…”

“…The mean age among participants ranged from 43 to 69 years. The mean severity of erectile dysfunction was identified as severe,20 24 moderate19 22 and mild to moderate18 21 23 according to the IIEF-5 classification of severity 10. Predisposing factors for erectile dysfunction also varied among studies: one described no predisposing conditions,24 two enrolled radical prostatectomy20 and invasively treated patients with ischaemic heart disease18, and the remainder included patients with one or more cardiovascular risk factors alone 19 21–23…”

“…The treatment approach (type of activity) differed among RCTs: four predominantly involved aerobic exercise;19 21–23 one used a combined18 (aerobic and resistance exercises) programme; two involved pelvic floor muscle-specific exercises 20 24. Three trials evaluated physical activity without usual care for erectile dysfunction,20 23 24 while the remaining four combined physical activity with pharmacological treatment 18 19 21 22.…”

“…Three trials evaluated physical activity without usual care for erectile dysfunction,20 23 24 while the remaining four combined physical activity with pharmacological treatment 18 19 21 22. Four studies included a specific and monitored exercise regimen18 19 22 24 and three consisted of unsupervised physical activity 20 21 23. The tool used to evaluate erectile dysfunction was homogeneous among studies since the IIEF questionnaire was applied in all studies.…”