Sexual Function in Men Older Than 50 Years of Age: Results from the Health Professionals Follow-up Study

Bacon, Constance G.; Mittleman, Murray A.; Kawachi, Ichiro; Giovannucci, Edward; Glasser, Dale B.; Rimm, Eric B.

doi:10.7326/0003-4819-139-3-200308050-00005

Cited by 715 publications

(586 citation statements)

References 31 publications

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“…Moreover, when we compare the men in our study with those in other populationbased studies, they were similar with regard to frequency of sexual activity, but the frequency of sexual problems reported by the men in our study (80%) was more than the 33-50% reported in other studies. 1,29 This is possibly the result of the lownormal testosterone levels of our study participants, on the basis of which they were selected.…”

Section: Discussionmentioning

confidence: 99%

Effect of testosterone supplementation on sexual functioning in aging men: a 6-month randomized controlled trial

et al. 2009

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Serum testosterone levels decline significantly with aging and this has been associated with reduced sexual function. We have conducted a double-blind, randomized, placebo-controlled trial to investigate the effect of testosterone supplementation on sexual function in 237 elderly men with a testosterone level o13.7 nmol l À1 . Participants were randomly assigned to receive oral testosterone undecanoate or a placebo for 6 months. A total of 207 men completed the study. After treatment, there were no differences in scores on sexual function between the groups. Subanalysis showed that although a baseline testosterone level in the lowest tertile was associated with significantly lower scores for sexual fantasies, desire of sexual contact and frequency of sexual contact, supplementation of testosterone did not result in improvement on any of these items in this group. In conclusion, the findings do not support the view that testosterone undecanoate supplementation for 6 months to elderly men with low-normal testosterone concentrations favorably affects sexual function.

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Section: Discussionmentioning

confidence: 99%

Effect of testosterone supplementation on sexual functioning in aging men: a 6-month randomized controlled trial

et al. 2009

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“…In the Health Professionals Follow-up Study, 16 several modifiable lifestyle factors, including leanness, were associated with maintenance of good erectile function. For instance, men with a BMI (calculated as weight in kilograms divided by the square of height in meters) higher than 28.7 are likely to carry a 30% higher risk for ED than those with a normal BMI (25 or lower).…”

Section: Obesity and Erectile Dysfunctionmentioning

confidence: 99%

“…Moreover, epidemiological evidence suggests that physical activity is associated with a 30% lower risk of ED. 16 A more recent assessment of the association between physical activity and ED comes from a meta-analysis of population-based studies demonstrating the existence of a simple dose-response relationship, with higher physical activity conferring lower risks. The adjusted reduction of the risk of having ED was 58% for high activity and 37% for moderate activity, as compared with men with low physical activity.…”

Section: Lifestyle and Sexual Functionmentioning

confidence: 99%

Obesity and sexual dysfunction, male and female

et al. 2008

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Obesity has become a worldwide public health problem of epidemic proportions, as it may decrease life expectancy by 7 years at the age of 40 years: excess bodyweight is now the sixth most important risk factor contributing to the overall burden of disease worldwide. Overweight and obesity may increase the risk of erectile dysfunction (ED) by 30-90% as compared with normal weight subjects. On the other hand, subjects with ED tend to be heavier and with a greater waist than subjects without ED, and also are more likely to be hypertensive and hypercholesterolemic. The metabolic syndrome, characterized by a clustering of risk factors associated with insulin resistance and abdominal obesity, associates with ED. Moreover, women with the metabolic syndrome have an increased prevalence of sexual dysfunctions as compared with matched control women. Lifestyle changes aimed at reducing body weight and increasing physical activity induce amelioration of both erectile and endothelial functions in obese men. Moreover, preliminary evidence suggests that a Mediterranean-style diet might be effective in ameliorating sexual function in women with the metabolic syndrome. Lifestyle changes, mainly focussing on regular physical activity and a healthy diet, are effective and safe ways to reduce cardiovascular diseases and premature mortality in all population groups; they may also prevent and treat sexual dysfunctions in both sexes.

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“…Most of these studies have involved the populations of industrially developed nations around the world, particularly in Europe, [1][2][3] and in the Americas. [4][5][6][7][8][9][10][11][12] The prevalence of the male sexual problems of erectile dysfunction and early ejaculation and their related risk factors have been investigated most extensively, whereas fewer studies have focused specifically on female sexual dysfunction. 13,14 Moreover, relatively little is known about the average frequency of sexual activity and the importance of sexual relationships among older men and women, although the few studies that have examined sexuality in mature adults have reported that sexual interest and activity persist well into older age.…”

Section: Introductionmentioning

confidence: 99%

A population-based survey of sexual activity, sexual problems and associated help-seeking behavior patterns in mature adults in the United States of America

et al. 2009

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To study sexual activity, the prevalence of sexual dysfunction and related help-seeking behaviors among mature adults in the United States of America, a telephone survey was conducted in [2001][2002]. A total of 1491 individuals (742 men/749 women) aged 40-80 years completed the survey. Overall, 79.4% of men and 69.3% of women had engaged in sexual intercourse during the 12 months preceding the interview. Early ejaculation (26.2%) and erectile difficulties (22.5%) were the most common male sexual problems. A lack of sexual interest (33.2%) and lubrication difficulties (21.5%) were the most common female sexual problems. Less than 25% of men and women with a sexual problem had sought help for their sexual problem(s) from a health professional. Many men and women in the United States report continued sexual interest and activity into middle age and beyond. Although a number of sexual problems are highly prevalent, few people seek medical help.

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Sexual Function in Men Older Than 50 Years of Age: Results from the Health Professionals Follow-up Study

Abstract: Several modifiable health behaviors were associated with maintenance of good erectile function, even after comorbid conditions were considered. Lifestyle factors most strongly associated with erectile dysfunction were physical activity and leanness.

Cited by 715 publications

References 31 publications

Effect of testosterone supplementation on sexual functioning in aging men: a 6-month randomized controlled trial

Effect of testosterone supplementation on sexual functioning in aging men: a 6-month randomized controlled trial

Obesity and sexual dysfunction, male and female

A population-based survey of sexual activity, sexual problems and associated help-seeking behavior patterns in mature adults in the United States of America

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