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Behavior-Related Erectile Dysfunction: A Systematic Review and Meta-Analysis
Lavanyah Sivaratnam1, Diana Safraa Selimin1, Siti Rasidah Abd Ghani1
1Department of Community Health, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.
The Journal of Sexual Medicine
|November 23, 2020
Summary
Behavioral factors significantly impact erectile dysfunction (ED). Smoking, alcohol, and drug use are risk factors, while diet, exercise, and intimacy are protective, aiding in ED prevention and treatment.
Area of Science:
- Urology
- Men's Health
- Behavioral Science
Background:
- Erectile dysfunction (ED) is a prevalent global health issue with multifactorial origins.
- Behavioral factors are increasingly recognized as significant contributors to ED development and overall quality of life.
Purpose of the Study:
- To systematically review and identify behavioral factors associated with erectile dysfunction (ED).
- To determine risk and protective factors related to ED in men.
Main Methods:
- A systematic review was conducted adhering to PRISMA guidelines.
- Searches were performed across major databases including PubMed, PlosOne, Oxford Academic, SCOPUS, and Ovid.
- Study quality was assessed using the Newcastle-Ottawa Scale.
Main Results:
- Twenty-four studies involving adult males (18-80 years) were included.
- Smoking, alcohol consumption, and drug use were identified as significant risk factors for ED.
- Healthy dietary intake, regular physical activity, and intimacy were found to be protective factors against ED.
Conclusions:
- Behavioral factors such as smoking, diet, alcohol, drug use, and physical activity are modifiable contributors to ED.
- Promoting healthy lifestyles and early detection of risk factors are crucial for ED prevention and management.
- Findings can inform clinical practice for ED screening and public health initiatives for sexual wellness.
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