Search resultsRisk factors for erectile dysfunction in a cohort of 108 477. Australian men
Title
Risk factors for erectile dysfunction in a cohort of 108 477. Australian men
Publication type
Journal Article
Year of Publication
2013
Authors
Journal
Medical Journal of Australia
Volume
199
Issue
2
Pagination
107 - 111
Date published
2013
ISBN
0025729X (ISSN)
Keywords
Adult, Age Factors, Aged, Aged, 80 and over, aging, alcohol consumption, anxiety, article, Australia, Australian, body mass, cohort analysis, Cohort Studies, controlled study, Cross-Sectional Studies, cross-sectional study, demography, Depression, diabetes mellitus, disease severity, drinking behavior, erectile dysfunction, ethnic group, Health Behavior, Health Surveys, heart disease, help seeking behavior, human, Humans, Life Style, lifestyle, Logistic Models, major clinical study, male, Middle Aged, New South Wales, Odds Ratio, physical activity, population research, prostate cancer, questionnaire, risk assessment, risk factor, Risk Factors, risk reduction, sedentary lifestyle, self report, smoking, social status, Socioeconomic Factors
Abstract
Objectives: To quantify relationships between erectile dysfunction (ED), ageing and health and lifestyle factors for men aged 45 years and older. Design: Cross-sectional, population-based study seeking data on health, sociodemographic and lifestyle factors by questionnaire (the 45 and Up Study). Participants and setting: 108 477 men aged 45 years or older, living in New South Wales, and recruited into the 45 and Up Study between 10. January 2006 and 17. February 2010. Main outcome measures: Self-reported ED. Results: In the 101 674 men reporting no prior diagnosis of prostate cancer, 39.31% (95% CI, 39.01%-39.61%) had no ED, 25.14% (95% CI, 24.87%- 25.40%) had mild ED (ie, experienced ED sometimes), 18.79% (95% CI, 18.55%-19.00%) had moderate (ie, usually experienced) ED and 16.77% (95% CI, 16.55%-17.03%) had complete ED. After adjusting for sociodemographic characteristics, the odds of moderate/complete ED increased by 11.30% (odds ratio, 1.11; 95% CI, 1.11-1.12) each year from the age of 45 years. Overall, the risk of moderate/complete ED was higher among men with low socioeconomic status, high body mass index, those who were sedentary, current smokers and those with diseases including diabetes, heart disease, and depression/anxiety, compared with men without these risk factors. Moderate alcohol consumption was associated with a signifi cantly reduced risk of ED in men aged 45-54 years, but not in older men. Almost all men aged 75 or older reported moderate/severe ED; however, increased physical activity was associated with a lower odds of ED in this group. Conclusions: In a large population-based cross-sectional study, ED increased considerably with age. There are a range of potentially modifi able risk factors for ED, including smoking, low physical activity, and high body mass index.