Erectile dysfunction association with physical activity level and physical fitness in men aged 40–75 years

Agostini, Lucas; Netto, José Murilo; Junior, Marcio Vidigal Miranda; Figueiredo, André Avarese de

doi:10.1038/ijir.2011.15

Cited by 29 publications

(31 citation statements)

References 40 publications

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“…An observation by Derby et al (32) confirmed the influence of men’s physical activity on ED and stressed that it remains the only factor whose positive modification, even in mid-life, may reduce the risk of ED. Leisure-time physical activity also figures into physical capacity; both these factors, according to an observation by Agostini et al (33), are related to ED. Intensification of physical activity in the study group, as part of the cardiac rehabilitation treatment, had a beneficial effect on EQ assessed using the IIEF-5 questionnaire.…”

Section: Discussionmentioning

confidence: 92%

Heart rate recovery, cardiac rehabilitation and erectile dysfunction in males with ischaemic heart disease

Kałka

Domagała²,

Rusiecki³

et al. 2015

Anatol J Cardiol

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Objective:Heart rate recovery (HRR) is a recognised marker used in clinical practice for assessing the risk of sudden cardiac death. Physical exercise leads to an improvement in HRR and has a proven beneficial effect on erection quality (EQ) related to the activity of the autonomic nervous system in men with ischaemic heart disease (IHD). This paper evaluates the relationship between HRR and EQ in patients with IHD and erectile dysfunction (ED) who underwent cardiac rehabilitation.Methods:The main analysis was based on the Mann–Whitney U test, Wilcoxon signed-rank test, Spearman correlation coefficient, Pearson’s chi-square test, chi-square test, with the Yates correction and (if possible) parametric tests were used. This prospective, non-randomised intervention study included 124 men with IHD and ED [International Index of Erectile Function (IIEF-5) scores of ≤21]. Of these, 89 patients underwent a 6-month cardiac rehabilitation phase III programme, whereas 35 did not. The results of the participants’ total IIEF-5 scores and their HRR, demographic and clinical data were analysed.Results:The results of the 89 rehabilitated patients (mean age: 60.44±9.29 years) and 35 controls (mean age: 61.43±8.81 years) were analysed. In the rehabilitated patients, the mean baseline IIEF-5 score was 13.15±5.76 (95% CI: 11.93–14.36) and HRR was 16.49±7.68/min (95% CI: 14.88–18.11). After cardiac rehabilitation, the parameters of ED and HRR improved significantly and were significantly higher than those of the controls; the mean IIEF-5 score of the rehabilitated group increased to 15.36±6.51 (95% CI: 13.99–16.73), while HRR increased to 21.40±7.25/min (95% CI: 19.88–22.93). A significant correlation was found between ∆HRR and ∆EQ (r=0.409791) as a result of the 6-month cardiac training programmeConclusion:Cardiac rehabilitation assessed by HRR has a sizable effect on autonomic balance in patients with IHD and ED, which plays a significant role in the mechanism of erection improvement.

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Section: Discussionmentioning

confidence: 92%

Heart rate recovery, cardiac rehabilitation and erectile dysfunction in males with ischaemic heart disease

Kałka

Domagała²,

Rusiecki³

et al. 2015

Anatol J Cardiol

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“…Knowledge that exercise early in life may modulate development of ED is important, such that patients can be evaluated and counseled appropriately. Recent data suggest that ED at a young age is highly correlated with increased cardiovascular morbidity [15]. In fact, a diagnosis of ED in men under 40 has been shown to increase the risk of ischemic heart disease, cardiac arrest, cerebrovascular disease, peripheral vascular disease, or coronary revascularization procedure with a higher standardized incidence ratio rate of 7.4–7.6 (a higher risk than that for men over 40 years old) when compared with a general population reference cohort [16].…”

Section: Discussionmentioning

confidence: 99%

Exercise is Associated with Better Erectile Function in Men Under 40 as Evaluated by the International Index of Erectile Function

Hsiao

Shrewsberry

Moses

et al. 2012

The Journal of Sexual Medicine

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Introduction Studies have shown an association between erectile dysfunction and sedentary lifestyle in middle-aged men, with a direct correlation between increased physical activity and improved erectile function. Whether or not this relationship is present in young, healthy men has yet to be demonstrated. Aim The aim of this study was to assess the association between physical activity and erectile function in young, healthy men. Main Outcome Measures The primary end points for our study were: (i) differences in baseline scores of greater than one point per question for the International Index of Erectile Function (IIEF); (ii) differences in baseline scores of greater than one point per question for each domain of the IIEF; (iii) exercise energy expenditure; and (iv) predictors of dysfunction as seen on the IIEF. Methods The participants were men between the ages of 18 and 40 years old at an academic urology practice. Patients self-administered the Paffenbarger Physical Activity Questionnaire and the IIEF. Patients were stratified by physical activity into two groups: a sedentary group (≤1,400 calories/week) and an active group (>1,400 calories/week). Men presenting for the primary reason of erectile dysfunction or Peyronie’s disease were excluded. Results Seventy-eight patients had complete information in this study: 27 patients (34.6%) in the sedentary group (≤1,400 kcal/week) and 51 patients (65.4%) in the active group (>1,400 kcal/week). Sedentary lifestyle was associated with increased dysfunction in the following domains of the IIEF: erectile function (44.4% vs. 21.6%, P = 0.04), orgasm function (44.4% vs. 17.7%, P = 0.01), intercourse satisfaction (59.3% vs. 35.3%, P = 0.04), and overall satisfaction (63.0% vs. 35.3%, P = 0.02). There was a trend toward more dysfunction in the sedentary group for total score on the IIEF (44.4% vs. 23.5%, P = 0.057), while sexual desire domain scores were similar in both groups (51.9% vs. 41.2%, P = 0.37). Conclusions We have demonstrated that increased physical activity is associated with better sexual function measured by a validated questionnaire in a young, healthy population. Further studies are needed on the long-term effects of exercise, or lack thereof, on erectile function as these men age.

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“…Nesse contexto complexo, o exercício físico regular, com seus múltiplos efeitos, destaca-se como estratégia a ser considerada no tratamento da disfunção sexual, pois altera positivamente o funcionamento oxidativo das células e tecidos, aumentando os níveis de óxido nítrico que, por sua vez, aciona proteínas com função de reparo e prevenção de danos teciduais colaborando assim para melhora da função sexual, além dos seus efeitos psicológicos e sociais (maior autoestima, maior confiança no esforço físico, redução da ansiedade e depressão, maior convívio social etc.) 5,[32][33][34][35][36] . Dentre as modalidades de exercício físico, destaca--se a dança, que proporciona diversão, facilita a interação afetiva entre os parceiros 37 favorece uma interação social positiva 38 , tendo sido evidenciados benefícios na função endotelial, aptidão cardiorrespiratória 39,40 , consumo pico de oxigênio(VO2pico) 40,41 , equivalente ven- …”

Section: Função Sexual E Exercíciounclassified

Exercício Físico E Sua Influência Na Saúde Sexual

et al. 2015

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RESUMOAssim como a saúde em geral, o desempenho sexual depende do bem estar físico, mental e social, sendo influenciado pelo estilo de vida, contexto no qual merece destaque a atividade física. Neste ensaio apresentamos alguns dos mecanismos pelos quais a prática regular de exercícios físicos por múltiplos mecanismos fisiológicos contribui para a saúde do corpo e da mente, e defendemos a hipótese de que a dança de salão pode ser considerada como excelente opção quando se objetiva ao mesmo tempo o aprimoramento da função cardiovascular e sexual. INTRODUÇÃOA sexualidade se expressa em valores e comportamentos, como o desejo, o prazer e a corporeidade, que são frequentemente relacionadas à qualidade de vida. Considerando que, segundo a Organização Mundial de Saúde (OMS) ter boa saúde significa estar bem do ponto de vista físico, mental e social, os termos saúde e qualidade de vida devem ser considerados termos coadjuvantes. A boa expressão da sexualidade depende da saúde vista de uma forma ampla, podendo-se afirmar que saúde, qualidade de vida e função sexual estão intimamente relacionadas. Nesse contexto, a expressão da sexualidade, que contribui decisivamente para a qualidade e a longevidade das relações afetivas, deve ser considerada um componente relevante da saúde global [1][2][3] . A disfunção sexual (DS) é um problema de saúde de grande relevância, que afeta igualmente homens e mulheres, sendo definida pela Organização Mundial da Saúde como a situação em que um indivíduo é incapaz de participar de uma relação sexual como gostaria 4 . No sexo masculino, a discussão se restringe, frequentemente, à disfunção erétil (DE) caracteriza-se pela inabilidade persistente ou recorrente para atingir ou manter a ereção suficiente para completar a relação sexual 5 . Existem diversas definições para a disfunção sexual feminina (DSF), condição frequentemente descrita como sendo a "diminuição persistente ou recorrente do desejo sexual, da excitação sexual, da dificuldade ou inabilidade para atingir o orgasmo, e da ocorrência de dor, durante a relação sexual", sendo esta última situação denominada dispaurenia 6 e a sua investigação bem complexa 7 . Os fatores que causam as doenças crônicas não transmissíveis (doenças cardiovasculares, câncer, diabetes, etc.) são os mesmos que podem causar a DS, que devem ser considerados importantes preditores de eventos cardiovasculares, principalmente, quando ocorre em indivíduos mais jovens, com menos de 60 anos. A DE deve ser considerada um relevante fator relacionado à doença cardiovascular, assim como o diabetes, a dislipidemia, o sedentarismo e o tabagismo, reconhecidos como importantes fatores de risco para doença cardíaca. Essa doença costuma preceder em 2 a

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Erectile dysfunction association with physical activity level and physical fitness in men aged 40–75 years

Cited by 29 publications

References 40 publications

Heart rate recovery, cardiac rehabilitation and erectile dysfunction in males with ischaemic heart disease

Heart rate recovery, cardiac rehabilitation and erectile dysfunction in males with ischaemic heart disease

Exercise is Associated with Better Erectile Function in Men Under 40 as Evaluated by the International Index of Erectile Function

Exercício Físico E Sua Influência Na Saúde Sexual

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