Effect of life-style factors on incidence of erectile dysfunction

Abstract

We estimated the incidence of erectile dysfunction (ED) in a population-based sample during 5-y follow-up and determined how the rate was affected by sociodemographic and life-style factors. The target population comprised all men aged 50, 60 or 70 y residing in the city of Tampere or 11 surrounding municipalities in Finland at the start of follow-up. A questionnaire was mailed to 3143 men in 1994 and to 2864 in 1999. The follow-up sample consisted of 1442 men who responded to both baseline and follow-up questionnaires. We estimated the effect of sociodemographic and lifestyle factors on the incidence of ED among the 1130 men free of ED at baseline. We found no differences in the incidence of ED by the level of education, marital status, urban/rural place of residence, amount of alcohol and coffee consumption. Obesity (rate ratio (RR) ¼ 1.7, 95% confidence interval (CI): 1.1-2.5) and current smoking (RR ¼ 1.5, 95% CI: 0.9-2.2) increased the incidence of ED. Current smokers free of comorbidity were also at higher risk of ED (RR ¼ 1.3, 95% CI: 0.8-2.1), but no effect was observed among past smokers. Our results indicate that sociodemographic and lifestyle factors, except age and obesity, have little influence on ED. IntroductionErectile dysfunction (ED) is a common public health problem affecting millions of men worldwide. 1There are substantial gaps in our knowledge of the occurrence and etiology of ED.2-3 The use of tobacco and consumption of alcohol are major public health problems worldwide, and the available evidence on the role of smoking 2-7 and alcohol consumption [4][5][8][9][10][11][12] on erectile function is controversial. Few population-based follow-up studies have been published on the effect of smoking and alcohol consumption on erectile function. The association between these factors and ED has been assessed mainly in prevalence studies, which have serious limitations for etiological purposes. Only one population-based follow-up study has evaluated the role of alcohol intake on erectile function and failed to show an effect of alcohol consumption on ED. 4 Only two longitudinal studies have evaluated the effect of smoking on erectile function. One showed clearly negative result 3 and the other a negative overall result, but doubling of risk in a subgroup of men free of vascular disease at baseline. 4 We estimated the effect of sociodemographic and life-style factors on the incidence of ED in a population-based sample of the 1130 men who were free of ED at baseline and followed up for a period of 5 y. Materials and methodsDetails of the Tampere Aging Male Urological Study population have been previously described elsewhere. [13][14][15] In this population-based follow-up study, the target population comprised all 3152 men born in 1924, 1934 or 1944 residing in Tampere or 11 surrounding municipalities in 1994, identified from the National Population Register. Information was collected by means of a mailed self-administered questionnaire comprising items on sociodemographic status, life-style factors,...

Análisis psicométrico de la versión española del Brief Sexual Function Inventory (BSFI) en una muestra de hombres con historia de abuso de drogas

“…A dosis más elevadas y/o en periodos de tiempo más prolongados, los efectos de las drogas son devastadores, afectando tanto a los aspectos físiológicos del ciclo sexual (Argiolas, 1999;Crenshaw y Goldberg, 1996;Cocores, Miller, Pottash y Gold, 1988;Johnson, Phelps y Cottler, 2004), como a los aspectos psicológi-cos de la sexualidad (Aguilar et al, 2008;Ávila Escribano, Pérez Madruga, Ólazabal Ulacia y López Fidalgo, 2004;La Pera et al, 2003;Lévy y Garnier, 2006;Peugh y Belenko, 2001;Rosen, 1991;Smith, 2007). Asimismo, es importante destacar la influencia que el tabaco tiene sobre la respuesta sexual humana, tanto a corto, como a largo plazo (Gades et al, 2005;Shiri et al, 2004).…”

The prevalence of erectile dysfunction in men visiting outpatient clinics

“…4,8 ED is the most common sexual dysfunction among men aged above 40 years and its prevalence is between 41.7 and 53.4% in different countries of America. 2,3,5,9,10 In Europe, a study of 2869 Austrian men found a prevalence of 32.2% (all degrees of severity). 11 In Finland in 3787 men aged 50-75 years, the prevalence of ED was 76.5%.…”

“…2 Documented behavioral correlates of ED include lifestyle issues such as cigarette smoking, obesity, stress, alcohol and drug abuse. 2,5 ED can have negative effects on male social and psychological well-being, mood state, interpersonal relationships and quality of life, leading to the lack of emotional and physical intimacy, lower satisfaction with their relationship and sexual life. 6,7 The heavy educational, marketing and media awareness campaigns after the market launch of phosphodiesterase type 5 inhibitors (PDE5I): sildenafil and vardenafil or the first representative of second-generation PDE5I (tadalafil) were expected to change the perception of ED among both patients and physicians.…”

The effect of alcohol drinking on erectile dysfunction in Chinese men

“…The association between drinking and ED was also found to be inconsistent in prospective studies. 5,13,23 One of the possible explanations for the unclear effect of drinking on ED may be due to the J-shaped relationship. For example, if there are equal proportion of light drinkers and heavy drinkers in the population, the comparison of drinkers (light and heavy) and nondrinkers may results in null effect.…”

“…12 The relationship between alcohol drinking and ED remained inconsistent in earlier studies. 13,14 Only two studies examined such relationship among Chinese subjects, 15,16 but the results were also indefinite. Even alcohol drinking and smoking are concurrent habits for many subjects, the effect of alcohol intake on ED among smokers has been infrequently addressed.…”