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首页> 外文期刊>Nature reviews. Urology >Physical activity as an adjunct treatment for erectile dysfunction
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Physical activity as an adjunct treatment for erectile dysfunction

机译：身体活动作为勃起功能障碍的辅助治疗

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Increasing data are available to suggest that physical activity and lifestyle modification in general can benefit erectile function, with effect sizes comparable with established treatment options such as testosterone therapy and phosphodiesterase type 5 inhibitors. Despite this evidence, primary-care physicians are rarely afforded critical information on the underlying mechanisms through which physical activity works as a treatment, severely hampering treatment credibility for both physician and patient. Physical activity is associated with psychological and metabolic adaptations that are compatible with the adaptations required for the treatment of erectile dysfunction (ED). These adaptations include increased expression and activity of nitric oxide synthase, strengthened endothelial function, acute rises in testosterone, decreased stress and anxiety, and improved body image. Use of physical activity as a first-line treatment option for ED is limited, and explicit physical activity guidelines for the treatment of ED are required. Such guidelines should include not only a suggested exercise programme but also guidelines for physician-patient communication that might enhance patient receptivity and therapy continuation. An understanding of how physical activity affects erectile function, as well as its effectiveness in treating ED compared with other established treatments, can benefit urologists and primary-care physicians searching for noninvasive treatment options for men presenting with poor erectile function.
机译：可以提高数据表明，一般的身体活动和生活方式改性可以益智勃起功能，其效果大小与睾酮治疗和磷酸二酯酶类型5抑制剂等建立的治疗方案相当。尽管证据证据，但很少有关于潜在机制的关键信息，通过该潜在机制，通过该潜在机制作为一种治疗，严重阻碍了医生和患者的治疗可信度。身体活动与心理和代谢适应有关，这些适应性与治疗勃起功能障碍所需的适应相容。这些改编包括增加一氧化氮合酶的表达和活性，加强内皮功能，睾酮急性上升，减少应力和焦虑，以及改善的身体图像。使用物理活动作为ED的一线治疗选项是有限的，并且需要用于治疗ED的明确物理活动指南。此类准则不仅包括建议的运动计划，而且还包括可能提高患者接受性和治疗延期的医生患者沟通指南。理解身体活动如何影响勃起功能，以及其在与其他既定治疗相比治疗Ed的有效性，可使泌尿科医生和初级保健医师寻找具有较差勃起功能的男性的非侵入性治疗选择。

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