勃起功能障碍作为与肥胖相关的老年男性冠状动脉疾病相关的疾病
Małgorzata Biernikiewicz1, Małgorzata Sobieszczańska2, Ewa Szuster3
1Men's Health Centre in Wroclaw, 53-151 Wroclaw, Poland.
Journal of clinical medicine
|April 13, 2024
概括
超过90%的冠状动脉疾病的老年男性经历勃起功能障碍 (ED). 增加腰围,比BMI更好的指标,显著提高了这些患者的ED风险.
科学领域:
- 心脏病学 心脏病学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 老年病的医生 老年病的医生
背景情况:
- 勃起功能障碍 (ED) 是老年男性的一个常见问题.
- 超重和肥胖是冠状动脉疾病 (CAD) 患者中普遍存在的并发症.
研究的目的:
- 确定超重/肥胖和CAD的老年男性中ED的患病率.
- 在这个人群中评估身体质量指数 (BMI),腰围和ED之间的关系.
主要方法:
- 一项涉及661名男性心肌梗塞后心脏康复的横截面研究.
- 采集的人口统计,人类形态数据.
- 使用缩写的国际勃起功能指数5 (IIEF-5) 问卷评估勃起功能障碍.
主要成果:
- 在所有BMI类别中,ED的患病率超过了90%.
- 腰围≥100厘米的男性患ED的几率是ED的3.74倍 (OR 3.74;95% CI:1.0-13.7;p=0.04).
- 腰围是ED风险的更可靠的预测指标,而不是BMI.
结论:
- 勃起障碍在患有CAD的老年男性中非常普遍,超过90%.
- 增加的体重,特别是更高的腰围,是这个队列中ED的重要危险因素.
- 临床医生应对老年CAD患者进行ED查,并管理肥胖,以改善心血管和性健康.
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