Prevalence and risk factors for erectile dysfuntion in primary care: results of a Korean study

Abstract

In order to assess the prevalence and associated factors for erectile dysfunction (ED) in primary care, a cross-sectional study was undertaken by questionnaire distributed to consecutive adult male attendees at 32 family practices. ED was assessed by the Korean five-item version of the International Index of Erectile Function (IIEF-5). In total, 3501 completed questionnaires were available for analysis. The prevalence of ED was severe (IIEF-5 score: 5-9) in 1.6% of cases, moderate (10-13) in 10.2%, mild (14-17) in 24.7%, and normal (18-25) in 63.4%. The prevalence of ED increased with age, lower educational status, heavy job-related physical activity, and lower income. ED prevalence was significantly higher in patients with chronic diseases such as diabetes, depression, and anxiety. These results suggest that the age-adjusted prevalence of ED among Korean men can be estimated as 32.2% (95% CI 30.6-33.7). Low socioeconomic status and several diseases such as diabetes, anxiety, and depression, as well as age, were associated with ED.

Body mass index, physical activity and erectile dysfunction: An U-shaped relationship from population-based study

“…This might partly explain the lack of association between high BMI (427.0) and ED in a large-scale Korean ED study. 26 A low BMI can be an extreme end of a physiological spectrum or the result of a pathological process (such as cachexia). Since this was a population representative sample that included healthy and infirm subjects, it was hard to pinpoint whether the low BMI was attributed to or confounded by poor general health.…”

Alcohol consumption and erectile dysfunction: meta-analysis of population-based studies

“…Our initial search identified 221 articles, but only 11 cross-sectional studies [13][14][15][16][17][18][19][20][21][22] documented the adjusted OR for alcohol, another cross-sectional study 23 and a prospective cohort 24 from the same study population provided adjusted relative risks (RR), one cohort study 25 provided adjusted OR. Only the 11 cross-sectional studies that provided adjusted ORs will be included in the meta-analysis, since the other two cohort studies were of different study design, and the RR reported by the cross-sectional and cohort studies were derived with a different statistical method (Mantel-Haenszel rather than logistic regression).…”

“…Alcohol consumption and erectile dysfunction JYW Cheng et al (95% CI, 12-22), 16% (11-23) and 15% (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24) in those with o1 drink/day, 1-3 drinks/day and X4 drinks/day of alcohol consumption respectively. This incidence figure was adjusted for age, active and passive smoking, overweight, hypertension, physical activity, cholesterol, fat intake, testosterone, depression and antihypertensive medication intake.…”

Prevalence of erectile dysfunction among middle-aged men in a metropolitan area in Germany

“…However, the prevalence rates found in these studies have varied widely. [3][4][5][6][7][8][9][10] The first epidemiological study of male sexual behavior was published in 1948 by Kinsey et al 11 They recruited a total of 15 781 men up to 80 years of age and found a prevalence of erectile dysfunction ranging from o1% for young men to 80% in the uppermost age group. The Massachusetts Male Aging Study, a community-based observational study of a random sample of men between 40 and 70 years of age, showed a 52% overall prevalence rate for impotence.…”