Clinical Interventions in Aging (Jul 2023)
What are the Main Risk Factors Associated with Erectile Dysfunction in the Elderly? A Cross-Sectional Study of 2436 Brazilian Elderly Men
Abstract
Rafael Mathias Pitta,1 Luana de Lima Queiroga,1 Andressa Cristina Sposato Louzada,1 Raphael Mendes Ritti-Dias,2 Oskar Grau Kaufmann,1 Nelson Wolosker1 1Postgrad Program Health Science, Instituto Israelita de Ensino & Pesquisa, São Paulo, SP, Brazil; 2Postgrad Program Rehabilitation Science, Universidade Nove Julho, São Paulo, SP, BrazilCorrespondence: Rafael Mathias Pitta, Instituto Israelita de Ensino & Pesquisa, Rua Arapá, 131 – ap44, São Paulo, SP, 04363060, Brazil, Tel +5511989193674, Email [email protected]: Erectile dysfunction (ED) is a multifactorial medical disorder often neglected in clinical practice between elderly men, defined as the inability to achieve and/or maintain a penile erection sufficient for satisfactory sexual intercourse and a common clinical entity among men and associated with impaired quality of life and cardiovascular diseases in elderly men. The aim of this study is to evaluate the association between ED and clinical, demographic and behavioral parameters in elderly men.Methods: A total of 2436 males aged 60 years and over who participated in the health screening between January 2008 and December 2018 were included in this study. Laboratory exams, clinical and behavior profiles were analyzed. Logistic regression models were used.Results: Men with ED were older (65.87± 5.49 vs. 63.85± 4.05 years old. p< 0.001), higher prevalence of physical inactivity (23.8 vs. 19%, p = 0.039) and had a higher body mass index (BMI; 28.36± 4.06 vs. 27.72± 3.89 kg/m2. p< 0.001) than men without ED. The multivariate model shown that hypertension (p = 0.001), diabetes mellitus (p< 0.001), lower urinary tract symptoms (LUTS), depressive symptoms (p< 0.001) and age (p< 0.001), were strongly associated with ED.Conclusion: The main risk factors associated with ED in elderly men were hypertension, diabetes mellitus, LUTS, depressive symptoms and age.Keywords: age, elderly, erectile dysfunction, obesity, sexual medicine, ED
