The Impact of poor glycaemic control on the prevalence of erectile dysfunction in men with type 2 Diabetes Mellitus: A Systematic Review
Autor: | Azeem Majeed, Sondus Hassounah, Saad R Alsaad, Salman Rawaf, Turki A Binmoammar |
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Přispěvatelé: | Imperial College Trust |
Rok vydání: | 2015 |
Předmět: |
medicine.medical_specialty
sexual health clinical endocrinology 03 medical and health sciences 0302 clinical medicine Insulin resistance Internal medicine Diabetes mellitus Global health Medicine 030212 general & internal medicine Poor glycaemic control General Environmental Science Reproductive health diabetes business.industry Research Type 2 Diabetes Mellitus medicine.disease Erectile dysfunction Sexual dysfunction Physical therapy General Earth and Planetary Sciences medicine.symptom business 030217 neurology & neurosurgery |
Zdroj: | JRSM Open |
Popis: | Objective To determine the impact of poor glycaemic control on the prevalence of erectile dysfunction among men with type 2 Diabetics aged 27 to 85 years. Design The databases Embase classic+Embase, Global health, Ovid Medline and PsychINFO, were searched for relevant studies in June 2014 using the keywords: (Diabetes Mellitus OR diabetes mellitus type2 OR DM2 OR T2DM OR insulin resistance) AND (erectile dysfunction OR sexual dysfunction OR impotence) AND glycaemic control. Setting All study settings were considered (primary care, secondary care and tertiary care setting). Participants Type 2 Diabetic Patients with erectile dysfunction. Main outcome measures Included studies must include one of the following outcomes: (1) HBA1c for assess the level of glycaemic control; (2) Erectile dysfunction (any stage: IIEF-5 = 21 or less). Results Five cross-sectional studies involving 3299 patients were included. The findings pointed to a positive association between erectile dysfunction and glycaemic control. Three studies showed a significant positive association, while one study showed only a weak correlation and one study showed borderline significance. Patients’ age, diabetes mellitus duration, peripheral neuropathy and body mass index had positive association with erectile dysfunction. However, smoking and hypertension were not associated with erectile dysfunction in most included studies. Physical activity had a protective effect against erectile dysfunction. Conclusion We may conclude that the risk of erectile dysfunction is higher in type 2 diabetic men with poor glycaemic control than those with good control. |
Databáze: | OpenAIRE |
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