Erectile dysfunction in diabetic subjects in Italy. Gruppo Italiano Studio Deficit Erettile nei Diabetici
Articolo
Data di Pubblicazione:
1998
Citazione:
Erectile dysfunction in diabetic subjects in Italy. Gruppo Italiano Studio Deficit Erettile nei Diabetici / D. Fedele, C. Coscelli, F. Santeusanio, A. Bortolotti, L. Chatenoud, E. Colli, M. Landoni, F. Parazzini. - In: DIABETES CARE. - ISSN 0149-5992. - 21:11(1998 Nov), pp. 1973-1977.
Abstract:
OBJECTIVE: Our objective was to analyze the prevalence and risk factors for erectile dysfunction (ED) in men with diabetes in Italy in a cross-sectional study. RESEARCH DESIGN AND METHODS: Eligible for the study were men aged 20-69 years with a diagnosis of IDDM or NIDDM who were observed on randomly selected days in 178 diabetes centers in Italy. ED was defined as a failure to achieve and maintain an erection sufficient for satisfactory sexual performance. RESULTS: Of the 9,868 diabetic men interviewed, 3,534 (35.8%) reported ED. The prevalence increased with age, from 4.6% in men aged 20-29 to 45.5% in those aged > or =60 years (test for trend, P = 0.0001). After taking into account the confounding role of age, men with NIDDM reported ED less frequently than did men with IDDM (odds ratio [OR], 0.7; 95% CI 0.6-0.8). In comparison with men reporting diabetes lasting < or =5 years, the ORs for ED were 1.3 and 2.0 for subjects with diabetes lasting 6-10 and 11-30 years, respectively. In comparison with men with good metabolic control, the ORs for ED were 1.7 and 2.3 in men with fair and poor control, respectively. A history of diabetes-related arterial, retinal, or renal diseases and neuropathy was associated with an increased risk of ED. Finally, in comparison with never-smokers, the ORs for ED were 1.5 (95% CI 1.3-1.6) for current smokers and 1.4 (95% CI 1.3-1.6) for ex-smokers. The OR increased with number of cigarettes smoked per day: in comparison with men smoking <12 cigarettes per day, the OR was 1.5 (95% CI 1.3-1.7) for those smoking > or =30 cigarettes day. CONCLUSIONS: The study offers a quantitative estimate of the prevalence of ED and of its main risk factors in Italian men with diabetes.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Cross-Sectional Studies ; Diabetes Mellitus, Type 1 ; Risk Factors ; Humans ; Diabetes Mellitus, Type 2 ; Adult ; Aged ; Middle Aged ; Erectile Dysfunction ; Male ; Italy ; Prevalence
Elenco autori:
D. Fedele, C. Coscelli, F. Santeusanio, A. Bortolotti, L. Chatenoud, E. Colli, M. Landoni, F. Parazzini
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