Increased risk of erectile dysfunction among patients with sleep disorders: a nationwide population-based cohort study

Lin, Hung Hsin; Ho, Feng-Ming; Chen, Y.-F.; Tseng, Ching Min; Ho, Chien-Chang; Chung, Wei‐Sheng

doi:10.1111/ijcp.12629

Cited by 12 publications

(14 citation statements)

References 36 publications

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“…O stress e as exigências do trabalho fazem, também, com que os ritmos humanos sejam alterados, tendo consequências diretas nos sistemas orgânicos e no ciclo do sono-vigília, verificando-se também alterações físicas e psicológicas que, consequentemente, condicionam o funcionamento sexual. Os nossos resultados são congruentes com os de outras investigações que demonstram que a qualidade do sono interfere na saúde sexual 8,19,20,21,22,23,24,25,26 pequenas e terem sido realizados com populações clínicas que apresentaram algum tipo de diagnóstico (por exemplo, diabetes ou depressão). Assim, o nosso estudo tem duas grandes contribuições: primeiro, apresenta uma dimensão amostral elevada, quando comparada com outros estudos, e, segundo, foi realizado na população normativa, sem doenças ou comorbilidades associadas.…”

Section: Discussionunclassified

Qualidade do sono e funcionamento sexual em adultos saudáveis

Pereira

Fernandes

Aurélio

et al. 2020

Revista Internacional de Andrología

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Qualidade do sono; Funcionamento sexual Resumo Introdução: Não existem investigações científicas suficientes, sobretudo com população normativa, que evidenciem a associação entre a qualidade do sono e o funcionamento sexual. Método: Participaram deste estudo 945 indivíduos saudáveis, 62% mulheres, 38% homens, média de 34,27 anos (desvio-padrão = 15,82), que preencheram um questionário sociodemográfico, a versão portuguesa do Questionário de Sono de Oviedo e a versão portuguesa do Questionário de Funcionamento Sexual do Massachusetts General Health Hospital. Resultados: Verificaram-se níveis moderados de satisfação subjetiva com o sono e níveis baixos de insónia e hipersónia. No entanto, as mulheres sofrem mais deste tipo de perturbações do sono. A satisfação subjetiva com qualidade do sono está positivamente correlacionada com o funcionamento sexual geral e todas as suas respetivas dimensões e a insónia está negativamente correlacionada com o funcionamento sexual e todas as suas respetivas dimensões. Da submissão dos itens à análise de regressão linear, testou-se o modelo de predição do funcionamento sexual geral em função das variáveis da qualidade do sono, tendo-se obtido um modelo estatisticamente significativo (p < 0,001), sendo que as variáveis em questão explicam 7% do funcionamento sexual geral, com valoresˇpara a satisfação subjetiva com o sono de 0,189 e para a insónia de-0,140. Discussão: Com base nos resultados obtidos, é possível comprovar que quanto maior a qualidade do sono, maior é o funcionamento sexual e que o mesmo é influenciado negativamente sobretudo pela insónia.

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Section: Discussionunclassified

Qualidade do sono e funcionamento sexual em adultos saudáveis

Pereira

Fernandes

Aurélio

et al. 2020

Revista Internacional de Andrología

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“…Finally, the classification of sexual risk here did not account for the individual’s PrEP status nor the HIV status of the casual partner with respect to viral load detectability or PrEP usage. Finally, we did not assess for clinical sleep problems or other physical conditions which may be associated with reduced sexual activity (e.g., Allen & Desille, 2017; Budweiser et al, 2009; Lin et al, 2015). …”

Section: Discussionmentioning

confidence: 99%

“…Leaving aside clinical studies linking chronic sleep disorders with reduced sexual functioning (e.g., Allen & Desille, 2017; Kling et al, 2017; Budweiser et al, 2009; Lin et al, 2015), we are aware of only five studies that have considered tiredness or poor sleep in connection with increased sexual interest, behavior, and/or risk-taking. Two experimental studies have shown that sleep deprivation led men to pay greater attention to images of attractive women (Zarcone, de la Pena, & Dement, 1974), and that poorer overall sleep quality in women was associated with greater sexual arousal after an induced sexual fantasy exercise (Costa & Oliveira, 2016).…”

Section: Introductionmentioning

confidence: 99%

Three Reasons to Consider the Role of Tiredness in Sexual Risk-Taking Among Gay and Bisexual Men

et al. 2018

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Numerous factors have been shown to increase sexual risk-taking-especially among gay and bisexual men (GBM), who remain disproportionately affected by HIV and STIs. We present three lines of evidence that highlight the need to consider a previously under-explored situational factor in sexual risk-taking: tiredness. While tiredness has been shown, in sleep science literature, to impair cognition, emotional functioning, and decision-making in a wide range of behaviors, it has yet to be considered in-depth as a risk factor in sexual behavior. Counter to the common-sense assumption that being tired should impede the performance of active, effortful behaviors such as sex, we propose that tiredness may actually increase sexual risk-taking. Analyzing data from an online survey of 1113 HIV-negative GBM, we found that sex with casual partners most commonly occurred at night, especially among younger GBM and those with an evening chronotype, and that sex without condoms more often occurred at or later than one's usual time of feeling tired (as was reported by 44.2% of men) than did sex with condoms (reported by 36.6%). We also found that tiredness can increase sexual desire in many GBM (endorsed by 29.9%), and increases the likelihood of engaging in receptive positioning in anal sex (endorsed by almost 40% of men with a versatile sexual positioning identity). These findings highlight the importance of considering tiredness as a situational risk factor in sexual health-especially among younger GBM-and of counting sex among the behaviors that can be adversely impacted by poor or overdue sleep.

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“…A variety of chronic diseases, including diabetes, hypertension, cardiovascular disease (CVD), chronic renal failure, and depression, were also shown to be related to ED [5]. Recently, our studies showed that gout [6] and sleep disorder [7] were also strongly associated with ED. Ischemic heart disease is associated with ED, which in turn is deemed as an efficient predictor of ischemic heart disease [8].…”

Section: Introductionmentioning

confidence: 98%

“…Moreover, according to the nationwide population-based cohort study which examined 34,548 sleep disorder (SD) patients with a follow-up period of approximately 250,000 person-years, it was discovered that SD patients are at a 2.11-fold increased risk of developing ED, compared with the general population [7].…”

Section: Introductionmentioning

confidence: 99%

Decision Support Systems for Predicting Erectile Dysfunction

Lin¹,

Chan²,

Lee³

et al. 2017

Proceedings of the International Conference on Computer Networks and Communication Technology (CNCT 2016)

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Abstract. Men with ED generally complain failure to attain or maintain an adequate erection during sexual activity. The prevalence of ED is strongly correlated with age, affecting about 40% of men at age 40 and nearly 70% at aged 70. A variety of chronic diseases, including diabetes, hypertension, cardiovascular disease (CVD), chronic renal failure, depression, sleep disorder, and gout were shown to be associated with ED. In this study, the data used for designing the clinical decision support system (CDSS) was retrieved from a subset of the National Health Insurance Research Database (NHIRD) of Taiwan. The positive cases were male patients with age ranging from 20 to 65 years old who were diagnosed with ED (ICD-9-CM Code 607.84) between Jan. 2000 and Dec. 2010 confirmed by at least 3 outpatient visits, while the negative cases were randomly selected from the database with no history of ED and 1:1 frequency-and age-matched with the ED patients. Experiments of 1 cross validation (10 folds) and 2 independent training and testing (ITT) were conducted to verify the effectiveness of the predictive models. The results show that the sensitivity, specificity, and accuracy of tenfold cross validation achieved 69.45%, 69.45%, and 69.54%, respectively. For the ITT experiments, the sensitivity, specificity, accuracy, and the area under ROC curve were 70.28%, 72.48%, 71.32%, and 0.7226, respectively in the first experiment, and 69.42%, 70.74%, 70.06%, and 0.7143, respectively, in the second experiment. Future works will focus on designing the CDSSs with ensemble classifiers consisting of multiple SVM models by adopting the laboratory data to improve the predictive performance for ED prediction.

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Increased risk of erectile dysfunction among patients with sleep disorders: a nationwide population-based cohort study

Abstract: This nationwide cohort study determined that ED risk evidently increased in SD patients compared with the general population.

Cited by 12 publications

References 36 publications

Qualidade do sono e funcionamento sexual em adultos saudáveis

Qualidade do sono e funcionamento sexual em adultos saudáveis

Three Reasons to Consider the Role of Tiredness in Sexual Risk-Taking Among Gay and Bisexual Men

Decision Support Systems for Predicting Erectile Dysfunction

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