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Adherence to Mediterranean diet and erectile dysfunction in men with type 2 diabetes.

机译:患有2型糖尿病的男性坚持地中海饮食和勃起功能障碍。

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INTRODUCTION: There are no reported studies assessing the relation between diet and erectile dysfunction (ED) in men with diabetes. AIM: In the present study, we explored the relation between consumption of a Mediterranean-type diet and ED in a population of type 2 diabetic men. METHODS: Patients with type 2 diabetes were enrolled if they had a diagnosis of type 2 diabetes for at least six months but less than 10 years, age 35-70 years, body mass index (BMI) of 24 or higher, HbA1c of 6.5% or higher, treatment with diet or oral drugs. All diabetic patients were invited to complete a food-frequency questionnaire and self-report measures of sexual function. A total of 555 (90.8%) of the 611 diabetic men completed both questionnaires and were analyzed in the present study. MAIN OUTCOME MEASURES: Adherence to a Mediterranean diet was assessed by a 9-point scale that incorporated the salient characteristics of this diet (range of scores, 0-9, with higher scores indicating greater adherence). ED was assessed with the International Index of Erectile Function-5. RESULTS: Diabetic men with the highest scores (6-9) had lower BMI, waist circumference, and waist-to-hip ratio, a lower prevalence of obesity and metabolic syndrome, a higher level of physical activity, and better glucose and lipid profiles than the diabetic men who scored <3 points on the scale. The proportion of sexually active men showed a significant increase across tertiles of adherence to Mediterranean diet (from 65.1% to 74.4%, P = 0.01). Moreover, men with the highest score of adherence were more likely to have a lower prevalence of global ED (51.9% vs. 62%, P = 0.01) and severe ED (16.5% vs. 26.4%, P = 0.01) as compared with low adherers. CONCLUSIONS: In men with type 2 diabetes, greater adherence to Mediterranean diet is associated with a lower prevalence of ED.
机译:简介:尚无报道评估糖尿病与男性勃起功能障碍(ED)之间的关系。目的:在本研究中,我们探讨了地中海型饮食的摄入量与2型糖尿病男性人群中ED之间的关系。方法:如果患有2型糖尿病的患者被诊断出至少2个月但小于10岁,年龄在35-70岁,体重指数(BMI)为24或更高,HbA1c为6.5%,则应入组或更高,通过饮食或口服药物治疗。邀请所有糖尿病患者完成食物频率问卷调查和性功能自我报告测量。在611名糖尿病患者中,共有555名(90.8%)完成了两个问卷,并在本研究中进行了分析。主要观察指标:采用9点量表对地中海饮食的坚持性进行评估,该量表纳入了该饮食的显着特征(分数范围为0-9,分数越高表示依从性越强)。用国际勃起功能指数5评估ED。结果:得分最高(6-9)的糖尿病男性的BMI,腰围和腰臀比较低,肥胖和代谢综合征的患病率较低,体力活动水平较高,并且血糖和血脂水平较高得分低于3分的糖尿病男性。在遵循地中海饮食的三分位数中,从事性活动的男性比例显着增加(从65.1%增至74.4%,P = 0.01)。此外,依从性得分最高的男性更可能具有较低的总体ED患病率(51.9%vs. 62%,P = 0.01)和严重ED患病率(16.5%vs. 26.4%,P = 0.01)。坚持率低。结论:在2型糖尿病男性中,对地中海饮食的坚持程度越高,ED的患病率越低。

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