Association between leucocyte telomere length and erectile dysfunction in US adults: a secondary study based on 2001–2002 NHANES data

Abstract

ObjectiveWe aimed to explore the association between the leucocyte telomere length (LTL) and erectile dysfunction (ED) among a nationally representative sample of US adults.DesignSecondary population-based study.SettingThe National Health and Nutrition Examination Survey (NHANES) (2001–2002).ParticipantsA total of 1694 male participants were extracted from the NHANES database for 2001–2002.Primary and secondary outcome measuresThe primary focus of the study was to determine the association between the LTL and ED, using multivariate logistic regression and restricted cubic spline models for examination. The secondary outcome measures involved conducting stratified subgroup analyses to exclude interactions of different variables with the LTL.ResultsParticipants with ED had shorter LTLs than those without ED (p<0.05). After adjusting for confounding factors, compared with the reference lowest LTL quartile, the ORs and 95% CIs for the second, third and fourth LTL quartiles were (OR 1.51; 95% CI 1.01 to 2.26), (OR 1.79; 95% CI 1.24 to 2.58) and (OR 1.25; 95% CI 0.74 to 2.11), respectively. In addition, restricted cubic splines showed an inverted J-curve relationship between the LTL and ED. At an LTL of 1.037, the curve showed an inflection point. The ORs (95% CI) of ED on the left and right sides of the inflection point were (OR 1.99; 95% CI 0.39 to 10.20; p=0.385) and (OR 0.17; 95% CI 0.03 to 0.90; p=0.039).ConclusionOur results demonstrated an inverted J-curve relationship between the LTL and ED. When the LTL was ≥1.037, the incidence of ED decreased with increasing LTL.

Association between telomere length and erectile dysfunction: a cross-sectional study

“…Recently, Dilixiati et al. ( 33 ) presented a study that closely aligns with our investigation of the relationship between LTL and ED. Their research suggests an inverted J-curve relationship between LTL and ED, which is an intriguing concept.…”