An inference from this study suggests that sexual function promotes psychological well-being as well as interpersonal relationships. Therefore, monitoring these indices of QOL in men with ED is important to boost their confidence and self-esteem needed for a better QOL.

IntroductionOverweight and obesity are global public health problems because of their effect on individuals, families and communities. The objective of this study was to describe the profile of overweight and obesity amongst adult outpatients in Uyo in the Niger Delta region of Nigeria.MethodThis was a cross-sectional descriptive study done between October 2011 and March 2012. Using a systematic sampling technique, 584 subjects aged 18–65 years were recruited; data were collected with a structured questionnaire. Subjects were measured for height, weight, waist and hip circumferences. Body mass index (BMI) and waist–hip ratio (WHR) were calculated. Subjects with a BMI of 25.0 kg/m2 – 29.9 kg/m2 were regarded as being overweight whilst a BMI of > 30.0 kg/m2 was regarded as obese. Subjects with a WHR of > 0.90 for men or > 0.85 for women were regarded as having abnormal WHR.ResultsOf the 584 subjects, 196 (36.6%) were men and 388 (66.4%) women. The mean age for men and women was 43.3 ± 17.8 years and 50.2 ± 13.6 years, respectively. The prevalence of overweight amongst men was 39.8% versus 31.7% for women; obesity in men was 28.0% versus 52.0% in women. Overweight and obesity were more prevalent in subjects aged 25–54 years and amongst married subjects. There was a significant relationship between obesity and television viewing (p = 0.003). Hypertension (p = 0.008) and osteoarthropathies (p = 0.043) were more prevalent amongst the obese than the non-obese subjects.ConclusionOverweight and obesity are now common in our environment. There is therefore a need for more public education about the health consequences of big body size.

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BackgroundWe sought to determine the prevalence of echocardiographically determined left ventricular systolic dysfunction in asymptomatic hypertensive subjects seen in Abeokuta, Nigeria.MethodsEchocardiography was performed in 832 consecutive hypertensive subjects referred for cardiac evaluation over a three-year period.ResultsData were obtained in 832 subjects (50.1% women) aged 56.0 ± 12.7 years (men 56.9 ± 13.3 years, women 55.0 ± 12.0 years, range 15–88). The prevalence of left ventricular systolic dysfunction (LVSD) was 18.1% in the study population (mild LVSD = 9.6%, moderate LVSD = 3.7% and severe LVSD = 4.8%). In a multivariate analysis, male gender, body mass index and LV mass were the predictors of LVSD.ConclusionSignificant numbers of hypertensive subjects in this study had varying degrees of left ventricular systolic dysfunction. Early introduction of disease-modifying drugs in these patients, such as angiotensin converting enzyme inhibitors or angiotensin receptor blockers may retard or prevent the progression to overt heart failure.

Background:In developing countries, currently there is a paradigm shift from communicable to noncommunicable diseases causing severe morbidity among the elderly population. Despite this, social support system for this slowly increasing population is lacking living them with the full burden of providing for their health care needs. This study is aimed at assessing morbidity pattern among the elderly patients using a tertiary health care institution in Nigeria. Material And Methods: This is a retrospective review of morbidity pattern among elderly patients attending the General outpatients Clinic(GOPC),University of Uyo Teaching Hospital(UUTH) between January 2010 and December 2012 by using their Medical records. Information obtained included their bio data, living condition, dependency, diagnosis made at presentation etc. Results: Out of 37,748 adult patients seen within the study period, 4319 of them were aged 65 years and above, made up of 1755(40.6%) males and 2564(59.4%) females with male to female ratio of 1:1.6.A total of 1905(44.1%) of the geriatric morbidity were due to communicable diseases while 2414(55.9%) were due to noncommunicable diseases. Commonest communicable diseases were Malaria(44.6%) and Typhoid (24.8%) while diseases of the cardiovascular system (28.5%) and Bone/joints (25.8%) were the commonest non-communicable diseases. Conclusion:There is an emerging and overriding trend of non-communicable disease (NCD) among the elderly population in this region. Public health education on Lifestyle modification for the aging population may help in reducing this increasing tide of NCDs-related morbidity. Introduction of social security system would be of immense benefit by helping them to assess health care services.