Fillo Juraj, Levcikova Michaela, Ondrusova Martina, Breza Jan, Labas Peter
1 Comenius University, Bratislava, Slovak Republic.
2 St. Elizabeth University of Health and Social Sciences, Bratislava, Slovak Republic.
Am J Mens Health. 2017 Mar;11(2):240-245. doi: 10.1177/1557988316642213. Epub 2016 Jul 8.
The aim of the current study was to investigate the influence of different grades of abdominal obesity (AO) on the prevalence of testosterone deficiency syndrome (TDS), erectile dysfunction (ED), and metabolic syndrome (MetS). In a cross-sectional descriptive study, a total of 216 males underwent a complete urological, internal, and hormonal evaluation. Males were divided according to waist circumference into five groups: less than 94 cm (Grade [G] 0), 94 to 101 cm (G1), 102 to 109 cm (G2), 110 to 119 cm (G3), and more than 120 cm (G4). Incidence of ED, TDS, and MetS was compared in these groups and in participants without AO. Some degree of ED was identified in 74.7% of males with AO. In G1, there were 61% of males with ED, in G2 68%, in G3 83%, and in G4 87%. A strong correlation between testosterone (TST) level and AO was identified. Ninety-eight out of 198 (49.5%) males with AO and 1/18 (5.5%) males without AO had TDS. There were significant differences between individual groups. In the group of males with AO G4 (more than 120 cm), 87.1% had TDS. MetS was diagnosed in 105/198 (53.0%) males with AO, but in G4, 83.9% of males with AO had MetS. Males older than 40 years of age with AO have a higher incidence of ED, TDS, and MetS. Dividing males into five groups according to waist circumference seems to be reasonable. With growing AO, there were significantly more males with ED, TDS, and MetS.
本研究的目的是调查不同等级的腹部肥胖（AO）对睾酮缺乏综合征（TDS）、勃起功能障碍（ED）和代谢综合征（MetS）患病率的影响。在一项横断面描述性研究中，共有216名男性接受了全面的泌尿外科、内科和激素评估。男性根据腰围分为五组：小于94厘米（0级[G]）、94至101厘米（G1）、102至109厘米（G2）、110至119厘米（G3）以及大于120厘米（G4）。比较了这些组以及无AO参与者中ED、TDS和MetS的发生率。74.7%的AO男性存在一定程度的ED。在G1组中，61%的男性患有ED，G2组为68%，G3组为83%，G4组为87%。发现睾酮（TST）水平与AO之间存在强相关性。198名AO男性中有98名（49.5%）以及18名无AO男性中有1名（5.5%）患有TDS。各分组之间存在显著差异。在AO G4组（大于120厘米）的男性中，87.1%患有TDS。198名AO男性中有105名（53.0%）被诊断为MetS，但在G4组中，83.9%的AO男性患有MetS。40岁以上的AO男性患ED、TDS和MetS的发生率更高。根据腰围将男性分为五组似乎是合理的。随着AO程度的增加，患有ED、TDS和MetS的男性显著增多。
