Kirby Michael
The Centre for Research in Primary and Community Care (CRIPACC), University of Hertfordshire, Hatfield, Herts, UK; The Prostate Centre, London, UK.
Sex Med Rev. 2015 Jul;3(3):169-182. doi: 10.1002/smrj.52. Epub 2015 Oct 8.
Erectile dysfunction (ED) has been significantly associated with many chronic conditions including obesity, the metabolic syndrome, hypogonadism, diabetes mellitus, cardiovascular disease (CVD), lower urinary tract symptoms, and psychiatric/psychological disorders. ED is also a well-established predictor of CVD.
This review will focus on the association of ED with cardiovascular, metabolic, and cognitive conditions and discuss the effects of managing lifestyle factors in order to reduce the burden of ED and consequently outcomes in patients with chronic conditions.
A literature search using Medline, PubMed (U.S. National Library of Medicine and the National Institutes of Health), and abstracts from scientific meetings was performed from 1990.
Main outcome measures were improvements in sexual function.
A total of 59 reviews on the topic were evaluated.
Targeting several lifestyle factors associated with CVD/metabolic/cognitive disorders, e.g., smoking, alcohol consumption, obesity, and physical activity, can have significant benefits, leading to an improvement in ED as well as testosterone levels and consequently CVD. Kirby M. The circle of lifestyle and erectile dysfunction. Sex Med Rev 2015;3:169-182.
勃起功能障碍（ED）与许多慢性疾病显著相关，包括肥胖、代谢综合征、性腺功能减退、糖尿病、心血管疾病（CVD）、下尿路症状以及精神/心理障碍。ED也是CVD的一个公认的预测指标。
本综述将聚焦于ED与心血管、代谢和认知状况的关联，并讨论管理生活方式因素的效果，以减轻ED负担，进而改善慢性病患者的预后。
自1990年起，利用医学索引数据库（Medline）、美国国立医学图书馆和美国国立卫生研究院的医学期刊数据库（PubMed）以及科学会议摘要进行文献检索。
主要观察指标为性功能的改善情况。
共评估了59篇关于该主题的综述。
针对与CVD/代谢/认知障碍相关的多种生活方式因素，如吸烟、饮酒、肥胖和体育活动，可能会带来显著益处，从而改善ED以及睾酮水平，进而改善CVD。柯比·M。生活方式与勃起功能障碍的循环。《性医学综述》2015年；3：169 - 182。
