Heruti Rafi J, Sharabi Yehonatan, Arbel Yaron, Shochat Tzipi, Swartzon Michael, Brenner Galit, Justo Dan
Reuth Medical Center-Rehabilitation, Tel-Aviv, Israel;.
Sheba Medical Center-Hypertension Clinic, Tel-Hashomer, Israel.
J Sex Med. 2007 May;4(3):596-601. doi: 10.1111/j.1743-6109.2007.00489.x.
Erectile dysfunction (ED) and hypertension (HTN) are common and associated among men aged 40-70 years. Data on the prevalence of ED among younger hypertensive and prehypertensive men are limited.
To study the prevalence of ED in a large-scale population of hypertensive and prehypertensive men aged 25-40 years.
ED severity, systolic blood pressures (SBPs), diastolic blood pressures (DBPs), and mean arterial blood pressures (MAPs).
Israel Defense Force personnel, aged 25 years and older, go through routine health checks at the Staff Periodic Health Examination Center (SPEC) every 3-5 years, including measuring blood pressure and completing the Sexual Health Inventory for Men (SHIM) questionnaire in order to detect HTN and ED, respectively, and assess its severity. Pre-HTN was defined as SBP 120-139 mm Hg or DBP 80-89 mm Hg. HTN was defined as SBP >/or140 mm Hg and/or DBP >or=90 mm Hg.
During 2001-2004, an overall of 11,252 men, aged 25-40 years, reported to the SPEC, and 5,860 (52.1%) men filled out the SHIM questionnaire. Among responders to the SHIM questionnaire, 1,278 (21.8%) men had low scores (<or=21), suggesting ED. Overall, 3021 (51.6%) men had pre-HTN and 557 (9.5%) men had HTN. The prevalence of ED was similar among men with HTN, men with pre-HTN, and men with normal blood pressure: 22.9% vs. 21.3% vs. 22.3%, respectively. In addition, SBPs, DBPs, and MAPs were not associated with the SHIM scores among all men.
The prevalence of ED is not increased among hypertensive and prehypertensive men compared with normotensive men aged 25-40 years. Moreover, higher blood pressures are not associated with worse erections among all men in this age group. Apparently, it takes years for HTN to cause ED.
勃起功能障碍（ED）和高血压（HTN）在40至70岁男性中很常见且相互关联。关于年轻高血压和高血压前期男性中ED患病率的数据有限。
研究25至40岁高血压和高血压前期男性大规模人群中ED的患病率。
ED严重程度、收缩压（SBP）、舒张压（DBP）和平均动脉压（MAP）。
以色列国防军25岁及以上人员每3至5年在工作人员定期健康检查中心（SPEC）进行一次常规健康检查，包括测量血压和填写男性性健康量表（SHIM）问卷，以便分别检测HTN和ED并评估其严重程度。高血压前期定义为SBP 120至139 mmHg或DBP 80至89 mmHg。高血压定义为SBP≥140 mmHg和/或DBP≥90 mmHg。
在2001年至2004年期间，共有11252名25至40岁男性到SPEC报到，5860名（52.1%）男性填写了SHIM问卷。在填写SHIM问卷的应答者中，1278名（21.8%）男性得分较低（≤21分），提示存在ED。总体而言，3021名（51.6%）男性患有高血压前期，557名（9.5%）男性患有高血压。高血压男性、高血压前期男性和血压正常男性中ED的患病率相似：分别为22.9%、21.3%和22.3%。此外，所有男性的SBP、DBP和MAP与SHIM评分均无关联。
与25至40岁血压正常男性相比，高血压和高血压前期男性中ED的患病率并未增加。此外，该年龄组所有男性中，血压升高与勃起功能恶化无关。显然，高血压需要数年时间才会导致ED。
