The relationship between body fat mass and erectile dysfunction in Korean men: Hallym Aging Study

Yg, Cho; Song, Hwangjun; Sk, Lee; Jang, Soong-Nang; Jy, Jeong; Yh, Choi; Ks, Hong; Choi, Myung-Gyu; Kang, Sung-Myung; Kang, Jun‐Myung; Kim, Do-Hyung; Caterson, Ian D.

doi:10.1038/ijir.2009.8

Cited by 18 publications

(21 citation statements)

References 35 publications

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“…In turn, significant correlations were found between the above mentioned sexual parameters and BMI or WHR. The results of our study are in agreement with other studies on cohorts of older men showing that several measures of obesity and central adiposity are significantly associated with ED prevalence [8,[41][42][43]. Orgasmic function was not correlated with any studied parameters.…”

Section: Sexual Fantasiessupporting

confidence: 83%

Zależność pomiędzy funkcją seksualną a wskaźnikiem masy ciała i stężeniem hormonów steroidowych u młodych mężczyzn

Jastrzebska¹,

Walczak-Jędrzejowska²,

Kramek³

et al. 2014

Endokrynologia Polska

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Introduction: In older men, sexual disorders may be the result of a decrease in testosterone and an increase in sex hormone binding globulin (SHBG) serum levels. Although obesity may enhance the decline of testosterone, it is also the cause of metabolic disorders, which are additional risk factors of erectile dysfunction. The purpose of this study was to investigate whether elevated body weight is associated with decreased serum testosterone concentrations and reduced sexual function in young men. Material and methods: Data on general health, medication, depressive symptomatology and sexual life was obtained from 136 men aged 20-49 years. Blood levels of LH, total testosterone (TT), dehydroepiandrosterone sulfate (DHEA-S), oestradiol, SHBG, total cholesterol, LDL-and HDL-cholesterol, and triglycerides were determined. Body mass index (BMI), waist to hip ratio (WHR) and free testosterone index (FTI) were calculated. Results: A significantly reduced occurrence of sexual fantasies, morning erections and erectile function scores was observed in the oldest group compared to the youngest men with normal BMI, although orgasmic function was unchanged. A significant decrease in TT serum levels was observed in obese 30-year-olds compared to men with normal BMI, while in obese 40-year-olds decreased LH and SHBG levels were also found. No differences in the levels of lipids and sexual achievements were found among men with different BMI. However, erectile function and morning erections significantly negatively correlated with age, BMI and WHR, and positively with FTI, but not with other studied hormones and lipids.

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Section: Sexual Fantasiessupporting

confidence: 83%

Zależność pomiędzy funkcją seksualną a wskaźnikiem masy ciała i stężeniem hormonów steroidowych u młodych mężczyzn

Jastrzebska¹,

Walczak-Jędrzejowska²,

Kramek³

et al. 2014

Endokrynologia Polska

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“…Details of the HAS have been published elsewhere [21-24]. The first wave began in 2003 and an in-depth clinical study was started in 2004.…”

Section: Methodsmentioning

confidence: 99%

Gender differences in adiponectin levels and body composition in older adults: Hallym aging study

Song

Quan

et al. 2014

BMC Geriatr

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BackgroundBody composition changes with ageing can influence the adiponectin concentration. However, the component of body composition that is associated with adiponectin concentrations in older adults remains unclear.MethodsThere were 152 males and 168 females aged 65 years or older that participated in the 2010 Hallym Aging Study (HAS). Body composition (assessed by dual energy X-ray absorptiometry; DXA), anthropometric parameters and adiponectin were obtained from all participants. Multivariate linear regression models assessed the association of body fat percentage, regional muscle and bone mineral contents of body composition and waist/height ratio with adiponectin concentration. Age, albumin, testosterone concentration and metabolic parameters were considered as confounding factors.ResultsIn correlation analysis, age was positively associated with adiponectin in males (P < 0.01), but not in females. Fasting glucose, albumin, arm skeletal muscle mass and bone mineral content were negatively associated with adiponectin in males (P < 0.05). Testosterone and leg bone mineral content were negatively associated with adiponectin in females (P < 0.05). In multivariate linear regression models, body fat percentage and albumin (P < 0.05) were negatively associated with adiponectin, and high-density lipoprotein cholesterol (HDL-C) (P < 0.001) and age (P < 0.01) were positively associated with adiponectin in older males. In older females, the only factors that correlated significantly with adiponectin concentration were the homeostasis model assessment of insulin resistance (P < 0.001) and HDL-C (P < 0.05). The waist/height ratio and bone mineral content were not associated with adiponectin in either gender.ConclusionPlasma adiponectin levels correlated negatively with body fat percentage in older males but not in older females. The differential results between older males and females suggest that certain gender-specific mechanisms may affect the association between adiponectin and age-related body composition changes.

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“…Endothelial dysfunction causes impaired arteriolar smooth muscle relaxation, preventing vasodilatation and leading to the development of ED . One small study in Asian men showed that body fat percentage measured using bioelectrical impedance (BIA) had a U‐shaped association with ED, with the highest prevalence of ED in men in the lowest and highest quintiles of body fat percentage …”

mentioning

confidence: 99%

Association Between Body Size and Composition and Erectile Dysfunction in Older Men: Osteoporotic Fractures in Men Study

Garimella

Paudel

Ensrud

et al. 2013

J American Geriatrics Society

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Objectives To examine the association of body size and composition with erectile dysfunction (ED) in older men. Design Cross-sectional analysis of the Osteoporotic Fractures in Men study. Setting Six U.S. clinical sites. Participants Community-dwelling men aged 65 years and older. Measurements Body composition measures using anthropometry (body weight, body mass index [BMI]) and dual x-ray absorptiometry (total body fat percent, trunk fat percent, ratio of trunk and total body fat). Erectile dysfunction was assessed using the single item Massachusetts Male Aging Study (MMAS) scale and the International Index of Erectile Function questionnaire (IIEF-5). Results Among men completing the MMAS scale (n=4108), prevalence of complete ED was 42%. Among sexually active men completing the IIEF-5 questionnaire (n=1659), prevalence of moderate to severe ED was 56%. In multivariate-adjusted analyses reporting prevalence ratios (PR) and 95% confidence intervals (CI), the prevalence of MMAS-defined complete ED was significantly increased in men in the highest quartile of increased body weight PR = 1.24, 95% CI = 1.16-1.34), total body fat percentage (PR = 1.25, 95% CI = 1.13-1.40), and trunk fat percentage (PR = 1.24, 95% CI = 1.15-1.38), and in men with BMI >30.0 kg/m2 compared to those with BMI 22.0-24.9 kg/m2 (PR = 1.17, 95% CI = 1.05-1.31). Associations appeared similar for IIEF-5 defined moderate to severe ED in analyses adjusted for age and study site. Conclusion In a cohort of older men, increased body weight, BMI, and total body fat percent were independently associated with increased prevalence of moderate to severe and complete ED. Future studies should investigate whether interventions to promote weight loss and fat loss will improve erectile function in older men.

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The relationship between body fat mass and erectile dysfunction in Korean men: Hallym Aging Study

Cited by 18 publications

References 35 publications

Zależność pomiędzy funkcją seksualną a wskaźnikiem masy ciała i stężeniem hormonów steroidowych u młodych mężczyzn

Zależność pomiędzy funkcją seksualną a wskaźnikiem masy ciała i stężeniem hormonów steroidowych u młodych mężczyzn

Gender differences in adiponectin levels and body composition in older adults: Hallym aging study

Association Between Body Size and Composition and Erectile Dysfunction in Older Men: Osteoporotic Fractures in Men Study

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