College of Medicine, National Taiwan University, Taiwan.
Cephalalgia. 2012 Apr;32(5):366-72. doi: 10.1177/0333102412439801. Epub 2012 Mar 9.
This case-control study aimed to estimate the association between erectile dysfunction (ED) and migraines using a nationwide population-based database in Taiwan.
The data used for this matched case-control study were retrieved from the Taiwan Longitudinal Health Insurance Database 2000. We identified 5763 patients with ED as the cases and randomly selected 17,289 patients as the controls. Conditional logistic regression was used to calculate the odds ratios (OR) for prior migraine between cases and controls.
After adjusting for hypertension, diabetes, hyperlipidaemia, renal disease, coronary heart disease, obesity, and alcohol abuse/alcohol dependence syndrome, conditional logistic regression revealed that among ED patients the odds of having been previously diagnosed with migraines was 1.63 (95% CI, 1.39-1.91) that of the control group. This risk was more pronounced in younger groups, with the highest risk being detected among those aged between 30 and 39 years. After adjusting for the above mentioned comorbidities, ED patients aged between 30 and 39 years were found to be at 1.98 (95% CI, 1.67-2.23) times the risk of controls for having been previously diagnosed with migraines.
We conclude that ED is associated with having been previously diagnosed with migraines, particularly in younger populations.
本病例对照研究旨在利用台湾的全国人群健康保险数据库估计勃起功能障碍(ED)与偏头痛之间的关联。
本匹配病例对照研究的数据来自台湾 2000 年纵向健康保险数据库。我们确定了 5763 名 ED 患者作为病例,并随机选择 17289 名患者作为对照。采用条件 logistic 回归计算病例和对照组之间既往偏头痛的比值比(OR)。
在调整高血压、糖尿病、血脂异常、肾脏疾病、冠心病、肥胖和酒精滥用/酒精依赖综合征后,条件 logistic 回归显示 ED 患者既往诊断偏头痛的可能性是对照组的 1.63 倍(95%可信区间,1.39-1.91)。这种风险在年轻组中更为明显,其中 30-39 岁年龄组的风险最高。在调整上述合并症后,发现 30-39 岁的 ED 患者既往诊断偏头痛的风险是对照组的 1.98 倍(95%可信区间,1.67-2.23)。
我们的结论是 ED 与既往诊断偏头痛有关,特别是在年轻人群中。