N. A. N. A. Kadir, S. Abdul-Razak, Aqil M. Daher, N. M. Nasir
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引用次数: 0
摘要
摘要 勃起功能障碍(ED)是心血管疾病(CVD)的独立预测因子。勃起功能障碍的发病率随着年龄的增长而增加,但人们对手握强度(HGS)与勃起功能障碍之间的关系知之甚少,尤其是在心血管疾病高风险男性中。本研究旨在确定≥40 岁患有代谢综合征(MetS)的男性中 ED 的患病率及其与 HGS 的关系。 这项横断面研究于 2021 年 6 月至 2021 年 10 月在马来西亚的一家机构初级保健诊所进行。HGS和勃起功能分别使用手部测力计和国际勃起功能指数(IIEF-5)问卷进行评估。研究人员进行了多元逻辑回归分析,以确定社会人口统计学、临床特征和 HGS 与 ED 之间的关系。 研究共招募了 334 名参与者。ED 患病率为 79%(95% 置信区间 [CI]:0.75-0.84)。ED与年龄≥60岁的老年人(几率比[OR]3.27,95%CI:1.60-6.69)、低HGS(OR 15.34,95%CI:5.64-41.81)和高总胆固醇(OR 0.36,95%CI:0.16-0.78)有关。 总之,60 岁以上和 HGS 低的男性患 ED 的风险更高。因此,有必要对患有 MetS 的男性进行 ED 强化筛查,并改善肌肉力量和体能。
Handgrip strength, and erectile dysfunction among men with metabolic syndrome attending an institutional primary care clinic in Malaysia: A cross-sectional study
ABSTRACT
Erectile dysfunction (ED) is an independent predictor for cardiovascular diseases (CVD). The prevalence increases with age, but little is known about the relationship between handgrip strength (HGS) and ED, especially among men with a high risk of CVD. This study aimed to determine the prevalence of ED among men aged ≥40 years with metabolic syndrome (MetS) and its association with HGS.
A cross-sectional study at an institutional primary care clinic in Malaysia was conducted between June 2021 and October 2021. HGS and erectile function were assessed using a hand dynamometer and International Index of Erectile Function (IIEF-5) questionnaire, respectively. Multiple logistic regression analyses were performed to determine the association between sociodemographics, clinical characteristics, and HGS with ED.
A total of 334 participants were recruited. The prevalence of ED was 79% (95% confidence interval [CI]: 0.75-0.84). ED was associated with elderly aged ≥60 years (odds ratio [OR] 3.27, 95%CI: 1.60-6.69), low HGS (OR 15.34, 95%CI: 5.64-41.81) and high total cholesterol (OR 0.36, 95%CI: 0.16-0.78).
In conclusion, age above 60 years and those with low HGS are at higher risk of ED. Thus, robust screening of ED among men with MetS and improving muscle strength and physical fitness may be warranted.