Department of Urology, University of California-Irvine, Irvine, CA, USA.
Independent Registered Dietitian, Irvine, CA, USA.
Sex Med Rev. 2018 Jan;6(1):54-68. doi: 10.1016/j.sxmr.2017.07.004. Epub 2017 Aug 1.
Male sexual dysfunctions are more prevalent with aging. With increasing evidence about the impact of various diets on chronic diseases, there is a growing interest in establishing an association between various diets and men's health and sexual dysfunction.
To review the current literature examining diet and dietary patterns and male sexual health.
A thorough literature search of peer-reviewed publications on the association between diet and dietary patterns and male sexual health (erectile dysfunction, hypogonadism, and infertility) was carried using the online PubMed database from 1977 through 2017 with the keywords diet, dietary patterns, erectile dysfunction, male hypogonadism, low testosterone, and male infertility.
Summary of significant findings on erectile function, androgen levels, and semen analysis parameters in relation to diets or dietary patterns.
Thirteen studies on diet and erectile dysfunction and 15 studies on diet and testosterone levels were reviewed, including observational studies and randomized controlled trials. Thirteen studies analyzing the relation between diet and semen analysis parameters were reviewed but consisted of only cross-sectional and case-control studies.
Evidence exists demonstrating the association between various diets and men's sexual health. Erectile dysfunction appears to lessen in men adhering to the Mediterranean diet. Obese and overweight men who lose weight through low-fat, low-calorie diets seem to have improvements in their erectile function and testosterone levels. Furthermore, a Western diet is associated with lower semen quality. Future prospective and randomized controlled trials are necessary to establish the benefit of diet and dietary patterns on men's sexual health. La J, Roberts NH, Yafi FA. Diet and Men's Sexual Health. Sex Med Rev 2018;6:54-68.
男性性功能障碍随着年龄的增长而更为普遍。随着越来越多的证据表明各种饮食对慢性疾病的影响，人们越来越关注各种饮食与男性健康和性功能障碍之间的关系。
综述目前关于饮食和饮食模式与男性性健康的文献。
使用在线 PubMed 数据库，从 1977 年至 2017 年，以“饮食、饮食模式、勃起功能障碍、男性性腺功能减退症、低睾酮和男性不育”等关键词，对关于饮食与饮食模式和男性性健康（勃起功能障碍、性腺功能减退症和不育）之间关系的同行评审文献进行了全面的文献检索。
与饮食或饮食模式相关的勃起功能、雄激素水平和精液分析参数的显著发现总结。
共综述了 13 项关于饮食与勃起功能障碍和 15 项关于饮食与睾酮水平的研究，包括观察性研究和随机对照试验。综述了 13 项分析饮食与精液分析参数之间关系的研究，但这些研究仅包括横断面研究和病例对照研究。
有证据表明，各种饮食与男性性健康之间存在关联。坚持地中海饮食的男性勃起功能障碍似乎有所减轻。通过低脂、低热量饮食减肥的肥胖和超重男性，其勃起功能和睾酮水平似乎有所改善。此外，西方饮食与较低的精液质量有关。未来需要前瞻性和随机对照试验来确定饮食和饮食模式对男性性健康的益处。La J, Roberts NH, Yafi FA. Diet and Men's Sexual Health. Sex Med Rev 2018;6:54-68.
