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Association of glycemic control with risk of erectile dysfunction in men with type 2 diabetes.
Lu, Chih-Chen; Jiann, Bang-Ping; Sun, Chun-Chin; Lam, Hing-Chung; Chu, Chih-Hsun; Lee, Jenn-Kuen.
Afiliación
  • Lu CC; Department of Internal Medicine, Division of General Medicine, Kaohsiung, Taiwan; Department of Internal Medicine, Division of Endocrinology and Metabolism, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Internal Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan.
  • Jiann BP; Department of Surgery, Division of Urology, Kaohsiung, Taiwan; Internal Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan. Electronic address: bpjiaan@vghks.gov.tw.
  • Sun CC; Department of Internal Medicine, Division of Endocrinology and Metabolism, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Internal Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan.
  • Lam HC; Department of Internal Medicine, Division of Endocrinology and Metabolism, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Internal Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan.
  • Chu CH; Department of Internal Medicine, Division of Endocrinology and Metabolism, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Internal Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan; Department of Rehabilitation Technology, TzuHui Institute of Technology, Pingtung, T
  • Lee JK; Department of Pathology and Laboratory Medicine, Division of Biochemistry, Kaohsiung, Taiwan; Department of Internal Medicine, Division of Endocrinology and Metabolism, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Internal Medicine, National Yang-Ming University School of Medicine, Taipei
J Sex Med ; 6(6): 1719-1728, 2009 Jun.
Article en En | MEDLINE | ID: mdl-19473477
INTRODUCTION: Improvement in glycemic control is likely to reduce the risk of diabetic complication, while its effect on erectile dysfunction (ED) remains unclear. AIM: The aim of this study was to evaluate the association of glycemic control with risk of ED in type 2 diabetics. METHODS: A self-administered questionnaire containing Sexual Health Inventory for Men was obtained from 792 subjects with type 2 diabetes at our institution. Clinical data were obtained through chart review. MAIN OUTCOME MEASURES: The contribution of glycemic control assessed by glycated hemoglobin (HbA(1c)) level as well as age, duration of diabetes, hypertension (HT), dyslipidemia, and cigarette smoking to risk of ED was evaluated. RESULTS: Of 792 subjects, 83.6% reported having ED and 43.2% had severe ED. HbA(1c) level (%) adjusted for age and duration of diabetes was significantly associated with ED (OR 1.12, 95% CI: 1.01-1.25). None of HT, dyslipidemia, and cigarette smoking was a significant risk factor for ED after adjusted for age and duration of diabetes. HbA(1c) level, age, and duration of diabetes were significant independent risk factors for ED among the younger group (age < or = 60 years), and only age and duration of diabetes were independent risk factors among the older group (age > 60 years). For the risk of severe ED, compared with no and mild to moderate ED, HbA(1c) level, duration of diabetes, and HT were independent risk factors among the younger group, and only age was an independent factor among the older group. CONCLUSIONS: Better glycemic control probably would reduce the prevalence of ED and its severity among the younger men with type 2 diabetes. For the older group, aging was the major determinant for ED risk among this population with type 2 diabetes.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 2_ODS3 Problema de salud: 2_muertes_prematuras_enfermedades_notrasmisibles Asunto principal: Diabetes Mellitus Tipo 2 / Hipoglucemiantes / Disfunción Eréctil Tipo de estudio: Diagnostic_studies / Etiology_studies / Prevalence_studies / Risk_factors_studies Límite: Adult / Aged / Aged80 / Humans / Male / Middle aged Idioma: En Revista: J Sex Med Asunto de la revista: GINECOLOGIA / MEDICINA REPRODUTIVA / UROLOGIA Año: 2009 Tipo del documento: Article País de afiliación: Taiwán

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 2_ODS3 Problema de salud: 2_muertes_prematuras_enfermedades_notrasmisibles Asunto principal: Diabetes Mellitus Tipo 2 / Hipoglucemiantes / Disfunción Eréctil Tipo de estudio: Diagnostic_studies / Etiology_studies / Prevalence_studies / Risk_factors_studies Límite: Adult / Aged / Aged80 / Humans / Male / Middle aged Idioma: En Revista: J Sex Med Asunto de la revista: GINECOLOGIA / MEDICINA REPRODUTIVA / UROLOGIA Año: 2009 Tipo del documento: Article País de afiliación: Taiwán
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