Prevalence and Determinant of Erectile Dysfunction in Type II Diabetes Mellitus and Healthy Men

Serwaa, Dorcas; Bello, Folasade Adenike; Osungbade, Kayode O.; Nkansah, Charles

doi:10.28991/scimedj-2021-0301-4

Cited by 5 publications

(6 citation statements)

References 34 publications

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“…Type 2 diabetes mellitus (T2DM) is a chronic disease associated with acute and long-term complications [ 1 , 2 ]. Cardiovascular (CV) complication, largely coronary heart disease (CHD), is one of the significant complications that lead to premature death [ 1 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

High atherogenic risk concomitant with elevated HbA1c among persons with type 2 diabetes mellitus in North Ethiopia

et al. 2022

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Background Type 2 diabetes mellitus (T2DM) is a chronic disease associated with worse clinical presentation. However, the current investigation practices in Ethiopia have limitations to demonstrate the scope of the clinical burden. Hence, this study was aimed at assessing the glycemic status and coronary heart disease (CHD) risk of persons with T2DM using HbA1c and atherogenic index of plasma (AIP). Method This institution-based cross-sectional study was conducted among 421 adults with T2DM from September to November 2019. Demographic, socioeconomic, and lifestyle data were collected through a face-to-face interview. Clinical information was retrieved from medical records whereas anthropometric and biochemical measurements were performed using the WHO protocols. Glycemic status was determined using HbA1c and CHD risk assessed using an atherogenic index of plasma (AIP). Gaussian variables were expressed using mean and standard deviation (SD), Log-normal variables using geometric mean and 95% CI and non- Gaussian variables using median and interquartile ranges. Categorical variables were summarized using absolute frequencies and percentages. Multivariable logistic regression was used to identify factors associated with glycemic control with a statistical significance set at 5%. Result A total of 195 male and 226 female subjects were involved in this study. The results demonstrated that 77% (324) had HbA1c value ≥7% and 87.2% (367) had high atherogenic risk for CHD. Besides, 57% and 67.9% of persons with T2DM had metabolic syndrome according to International Diabetes Federation (IDF) and the National Cholesterol Education Program—Adult treatment panel III (NCEP-ATP III) criteria, respectively. About 36.8% had one or more comorbidities. Having healthy eating behavior [AOR 1.95; CI 1.11–3.43] and taking metformin [AOR 4.88; CI 1.91–12.44] were associated with better glycemic outcomes. Conclusion High AIP level concomitant with poor glycemic control indicates increased risk for coronary heart disease among persons with T2DM in Northern Ethiopia.

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Section: Introductionmentioning

confidence: 99%

High atherogenic risk concomitant with elevated HbA1c among persons with type 2 diabetes mellitus in North Ethiopia

et al. 2022

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“…Based on the SHIM questionnaire patients were divided into groups: �22; >22 = No ED. This questionnaire was completed by all patients [16].…”

Section: Anthropometric Variables Measurementsmentioning

confidence: 99%

Prevalence and determinants of low testosterone levels in men with type 2 diabetes mellitus; a case-control study in a district hospital in Ghana

Serwaa

Bello

Osungbade

et al. 2021

PLOS Glob Public Health

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Diabetes mellitus, an endocrine disorder, has been implicated in many including hypogonadism in men. Given the fact that diabetes mellitus is becoming a fast-growing epidemic and the morbidity associated with it is more disabling than the disease itself. This study sought to assess the prevalence of low testosterone levels and predictors in type 2 diabetes mellitus patients and non-diabetic men in a district hospital in Ghana. This hospital-based case-control study comprised 150 type 2 diabetics and 150 healthy men. A pre-structured questionnaire and patient case notes were used to document relevant demographic and clinical information. Venous blood sample of about 6 ml was taken to measure FBS, HbA1c, FSH, LH, and testosterone levels. All data were analyzed using STATA version 12 (STATA Corporation, Texas, USA). The overall hypogonadism in the study population was 48% (144/300). The prevalence of hypogonadism in type 2 diabetic subjects was almost three times more than in healthy men (70.7% vs 25.3%). The odds of having hypogonadism was lower in the men with normal weight and overweight with their underweight counterparts (AOR = 0.33, 95% CI; 0.12–0.96, p = 0.042) and (AOR = 0.29, 95% CI; 0.10–0.84, p = 0.023) respectively. Also, the odds of suffering from hypogonadism was lower in non-smokers compared with smokers (AOR: 0.16, 95% CI; 0.05–0.58, p = 0.005). Participants who were engaged in light (AOR: 0.29, 95% CI; 0.14–0.61, p = 0.001), moderate (AOR: 0.26, 95% CI; 0.13–0.54, p<0.001) and heavy (AOR: 0.25, 95% CI; 0.10–0.67, p = 0.006) leisure time activities had lower odds hypogonadal compared to those engaged in sedentary living. Type 2 diabetic men have high incidence of hypogonadism, irrespective of their baseline clinical, lifestyle or demographic characteristics. Smoking and sedentary lifestyle and BMI were associated with hypogonadism in the study population. Routine testosterone assessment and replacement therapy for high risk patients is recommended to prevent the detrimental effect of hypogonadism in diabetic men.

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“…1 Among these complications is sexual dysfunction, whereby erectile dysfunction (ED) and ejaculation problems are most commonly reported. 2 In Africa, the prevalence of ED in men living with T2DM is between 68% and 73%, 3 but little is known about other sexual disorders occurring in both men and women with T2DM, including reduced sexual desire, orgasmic dysfunction and sexual pain. 4 Sexual dysfunction is problematic.…”

Section: Introductionmentioning

confidence: 99%

‘I accept his manhood is on life‐support’: A qualitative understanding of the impact of diabetes on sexual relationships among men and women living with type 2 diabetes and their partners in South Africa

van Pinxteren,

Delobelle,

Levitt

et al. 2023

Diabet Med

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AimTo explore the impact of diabetes on sexual relationships among men and women living with Type 2 diabetes (PLWD) and their partners in Cape Town, South Africa.MethodsAs part of a larger study developing an intervention to improve type 2 diabetes mellitus (T2DM) self‐management, we conducted in‐depth individual interviews with ten PLWD and their partners without diabetes about experiences living with T2DM, between July 2020 and January 2021. We used inductive thematic analysis.ResultsBoth PLWD and partners felt that their sexual relationships and desires changed post‐diagnosis, in ways beyond biomedical issues. Although couples’ reports on the quality of their sexual relationships were concordant, most participants had not communicated their sexual desires and concerns with each other, causing unhappiness and fears of disappointing or losing their partner. Participants felt uninformed about sexual dysfunction but had not discussed this with their health care provider, leading to increased anxiety.ConclusionPLWD and their partners need more informational support to increase their understanding of diabetes associated sexual dysfunction and to decrease fears and anxiety. Strengthening communication within couples on sexual issues may empower them to find solutions to problems experienced. This may improve couples’ relationships and quality of life, and indirectly result in better self‐management of T2DM.

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Prevalence and Determinant of Erectile Dysfunction in Type II Diabetes Mellitus and Healthy Men

Cited by 5 publications

References 34 publications

High atherogenic risk concomitant with elevated HbA1c among persons with type 2 diabetes mellitus in North Ethiopia

High atherogenic risk concomitant with elevated HbA1c among persons with type 2 diabetes mellitus in North Ethiopia

Prevalence and determinants of low testosterone levels in men with type 2 diabetes mellitus; a case-control study in a district hospital in Ghana

‘I accept his manhood is on life‐support’: A qualitative understanding of the impact of diabetes on sexual relationships among men and women living with type 2 diabetes and their partners in South Africa

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