Cycling, and Male Sexual and Urinary Function: Results from a Large, Multinational, Cross-Sectional Study

Awad, Mohannad A.; Gaither, Thomas W.; Murphy, G.P.; Chumnarnsongkhroh, Thanabhudee; Metzler, Ian; Sanford, Thomas; Sutcliffe, Siobhan; Carroll, Peter R.; Osterberg, E. Charles; Breyer, Benjamin N.

doi:10.1016/j.juro.2017.10.017

Cited by 38 publications

(46 citation statements)

References 43 publications

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“…The relationship between cycling and sexual dysfunction is of particular interest, as some studies report evidence that cycling increases the risk of ED in men. 27,28 On the other hand, these findings were not replicable in subsequent studies, 16,29,30 and cycling may be more closely associated with genital numbness. 31 Future research should investigate the net effect of cardiovascular benefits for cyclists, who also experience prolonged perineal compression as they increase exercise duration.…”

Section: Discussioncontrasting

confidence: 61%

“…After obtaining institutional review board approval, our study team recruited cyclists, runners, and swimmers in the United States, Canada, Great Britain, Australia, and New Zealand who were willing to complete an anonymous online survey. Methods of recruitment have been discussed previously, 16 and in brief included outreach through Facebook advertisements and to sporting clubs directly via e-mail between April and December 2016. Our study population is thus composed of physically active adults, who engage in activities ranging from casual recreational activities to preparation for competitions.…”

Section: Study Populationmentioning

confidence: 99%

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Exercise Improves Self-Reported Sexual Function Among Physically Active Adults

Fergus

Gaither

Baradaran

et al. 2019

The Journal of Sexual Medicine

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Background: Sexual dysfunction is common among adults and takes a toll on quality of life for both men and women. Aim: To determine whether higher levels of weekly cardiovascular exercise are protective against self-reported sexual dysfunction among men and women. Methods: We conducted an international online, cross-sectional survey of physically active men and women between April and December 2016, assessing exercise activity categorized into sextiles of weekly metabolic equivalent-hours. Odds ratios (ORs) of sexual dysfunction for each activity sextile compared with the lowest sextile were calculated using multivariable logistic regression, controlling for age, body mass index, diabetes mellitus, tobacco/alcohol use, sport, and marital status. Main Outcome Measures: Female sexual dysfunction was defined as a score 26.55 on the Female Sexual Function Inventory and erectile dysfunction (ED) was defined as a score 21 on the Sexual Health Inventory for Men. Results: 3,906 men and 2,264 women (median age 41e45 and 31e35 years, respectively) met the inclusion criteria for the study. Men in sextiles 2e6 had reduced odds of ED compared with the reference sextile in adjusted analysis (P trend ¼ .03), with an OR of 0.77 (95% CI ¼ 0.61e0.97) for sextile 4 and 0.78 (95% CI ¼ 0.62e0.99) for sextile 6, both statistically significant. Women in higher sextiles had a reduced adjusted OR of female sexual dysfunction (P trend ¼ .02), which was significant in sextile 4 (OR ¼ 0.70; 95% CI ¼ 0.51e0.96). A similar pattern held true for orgasm dissatisfaction (P trend < .01) and arousal difficulty (P trend < .01) among women, with sextiles 4e6 reaching statistical significance in both. Clinical Implications: Men and women at risk for sexual dysfunction regardless of physical activity level may benefit by exercising more rigorously. Strengths & Limitations: Strengths include using a large international sample of participants with a wide range of physical activity levels. Limitations include the cross-sectional design, and results should be interpreted in context of the study population of physically active adults. Conclusion: Higher cardiovascular exercise levels in physically active adults are inversely associated with ED by self-report in men and protective against female sexual dysfunction in women. Fergus KB, Gaither TW, Baradaran N, et al. Exercise Improves Self-Reported Sexual Function Among Physically Active Adults. J Sex Med 2019;XX:XXXeXXX.

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Section: Discussioncontrasting

confidence: 61%

Section: Study Populationmentioning

confidence: 99%

Exercise Improves Self-Reported Sexual Function Among Physically Active Adults

Fergus

Gaither

Baradaran

et al. 2019

The Journal of Sexual Medicine

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“…In a large cross-sectional survey, Marceau et al [35] seem to isolate the association of ED and cycling to sports cyclists (cycling more than 3 h/wk) and show a protective effect of cycling on ED in moderate cyclists (cycling less than 3 h/wk). Following up to see impacts on recreational bicycling, Awad et al [36] conducted a large cross-sectional study of almost 4000 men, evaluating the impact of bicycling on sexual function. The researchers found no significant difference in sexual function, including ED, in bicyclists compared with the control athletic group of swimmers and runners.…”

Section: Bicyclingmentioning

confidence: 99%

Adverse Effects of Common Sports and Recreational Activities on Male Reproduction

Panara

Masterson

Sávio

et al. 2019

European Urology Focus

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“…Recently our group studied the association of recreational cycling and urinary and sexual function in a large multinational, cross‐sectional sample . We found that cyclists had no worse sexual or urinary function than swimmers or runners.…”

Section: Introductionmentioning

confidence: 97%