维生素D水平与男性勃起功能障碍之间的关联:系统性审查
Radvilė Matukaitienė1, Augustė Pikelytė2, Birutė Žilaitienė1
1Institute of Endocrinology, Lithuanian University of Health Sciences, Eivenių Str. 2, LT-50161 Kaunas, Lithuania.
Journal of clinical medicine
|December 30, 2025
概括
维生素D缺乏与男性勃起功能障碍 (ED) 有关,尤其是严重的病例. 然而,目前随机试验的证据并不能证实维生素D补充剂有效治疗ED.
科学领域:
- 内分泌学 在内分泌学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 营养科学 营养科学
背景情况:
- 勃起功能障碍 (ED) 在男性中很普遍,通常与内皮功能障碍和心血管风险因素有关.
- 维生素D (VD) 状态可能会影响内皮功能和勃起功能.
- 静脉动脉缺陷与导致ED的心血管风险有关.
研究的目的:
- 系统地审查维生素D水平与男性勃起功能障碍之间的关系.
- 评估随机对照试验和观察性研究的证据.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在PubMed和Cochrane数据库中进行了搜索 (2010-2025年).
- 包括随机对照试验,观察性研究和关于男性阴道疾病和ED的试点试验.
主要成果:
- 10项研究 (超过13,000名男性) 符合纳入标准.
- 观察性研究表明,中度至重度或动脉性ED的男性的VD水平较低.
- 静脉缺陷独立与更高的ED患病率相关;RCT显示不一致的补充效应.
结论:
- 维生素D状态和ED之间存在关联,特别是在严重或动脉性病例中.
- 证据主要来自低确定性观察性研究.
- 精心设计的RCT对于确认因果关系和治疗潜力至关重要.
相关概念视频
Disorders of the Male Reproductive System
3.9K
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
3.9K
Connective Tissue Cell Types
4.0K
Connective tissue develops from the mesoderm of a developing embryo and consists of cells, fibers, and ground substance: a gel-like material containing large complexes of carbohydrates and proteins. Connective tissue was first identified as a separate tissue family in the 18th century, and Johannes Peter Muller coined the term connective tissue.
Fat cells (adipocytes), smooth muscle cells (myoblasts), and bone cells (osteoblasts) are some connective tissue cell types. Some immune system cells...
Fat cells (adipocytes), smooth muscle cells (myoblasts), and bone cells (osteoblasts) are some connective tissue cell types. Some immune system cells...
4.0K
Effect of Hepatic Disease on Pharmacokinetics: Dose Adjustments Due to Hepatic Impairment
234
Hepatic impairment, characterized by decreased liver function, does not uniformly mandate adjustments in drug dosage. Whether dosage modifications are necessary depends on various factors related to the drug's metabolism and elimination pathways. If a drug is primarily excreted via the kidneys and bypasses significant hepatic processing, if it undergoes minimal metabolic transformation in the liver, or if it is volatile and primarily expelled through the lungs, dose adjustments may not be...
234
Role of Vitamins in Maintaining Bone Health
4.9K
The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
4.9K
Role of Skin in Vitamin D Synthesis
7.5K
The skin plays a crucial role in the synthesis of vitamin D, a vital nutrient for various physiological processes in the body. Vitamin D is unique because it can be synthesized in the skin through a series of chemical reactions triggered by exposure to ultraviolet B (UVB) radiation from sunlight.
The solar UV B rays (290-315 nm) are absorbed by the skin, and 7-dehydrocholesterol (provitamin D3) photolyzes it to previtamin D3, which undergoes a rapid transformation to vitamin...
The solar UV B rays (290-315 nm) are absorbed by the skin, and 7-dehydrocholesterol (provitamin D3) photolyzes it to previtamin D3, which undergoes a rapid transformation to vitamin...
7.5K
Male Sexual Response: Erection & Ejaculation
17.5K
Sexual stimulation can take various forms, such as physical touch and visual or auditory cues. When this happens, the parasympathetic reflex in the sacral portion of the spinal cord is activated. This reflex stimulates the release of nitric oxide (NO), which then dilates the arterioles in the penis, increasing blood flow to the erectile tissues - the corpora cavernosa and corpus spongiosum.
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
17.5K

