Kałka Dariusz, Zdrojowy Romuald, Womperski Krzysztof, Gebala Jana, Smoliński Ryszard, Dulanowska Alicja, Stolarczyk Karolina, Dulanowski Jakub, Pilecki Witold, Rusiecki Lesław
a Cardiosexology Unit, Department of Pathophysiology , Wrocław Medical University , Wrocław , Poland.
b Centre for Men's Health in Wroclaw , Wroclaw , Poland.
Aging Male. 2018 Dec;21(4):243-250. doi: 10.1080/13685538.2018.1439911. Epub 2018 Feb 20.
Modifiable risk factors contribute to the pathogenesis of cardiovascular disease (CVD) and erectile dysfunction (ED). We aimed to compare the knowledge about the contribution of modifiable risk factors to the pathogenesis of CVD and ED. The impact of patients' having modifiable risk factors on the awareness of their negative influence on the development of CVD and ED was examined.
To this multicenter cohort study, we included 417 patients with CHD who had been hospitalized in the cardiology or cardiac surgery department during the previous six weeks and underwent cardiac rehabilitation in one of the five centers. Knowledge about modifiable risk factors was collected. ED was assessed by an abridged IIEF-5 questionnaire. Comparisons between groups were conducted using the Student's t-test, Mann-Whitney U test, and Kruskal-Wallis test. Relationships were analyzed with Spearman's rank correlation coefficient.
The mean number of correctly identified risk factors for CVD was significantly higher than those for ED (3.71 ± 1.87 vs. 2.00 ± 1.94; p < .0001). Smoking was the most recognized risk factor both for CVD and ED. Dyslipidemia was least frequently identified as a risk factor for CVD. Sedentary lifestyle was the only risk factor whose incidence did not affect the level of patient knowledge.
Cardiac patients with ED know more about risk factors for CVD than ED. It is necessary to include information about the negative impact of modifiable risk factors on sexual health into education programs promoting healthy lifestyles in men with cardiovascular diseases.
可改变的危险因素在心血管疾病（CVD）和勃起功能障碍（ED）的发病机制中起作用。我们旨在比较关于可改变危险因素对CVD和ED发病机制贡献的认识。研究了患者存在可改变危险因素对其对CVD和ED发展负面影响认识的影响。
在这项多中心队列研究中，我们纳入了417例冠心病患者，这些患者在过去六周内在心脏病科或心脏外科住院，并在五个中心之一接受心脏康复治疗。收集了关于可改变危险因素的知识。通过简化的IIEF-5问卷评估ED。使用学生t检验、曼-惠特尼U检验和克鲁斯卡尔-沃利斯检验进行组间比较。用斯皮尔曼等级相关系数分析关系。
正确识别的CVD危险因素的平均数量显著高于ED的危险因素（3.71±1.87对2.00±1.94；p<.0001）。吸烟是CVD和ED最被认可的危险因素。血脂异常最少被确定为CVD的危险因素。久坐的生活方式是唯一发病率不影响患者知识水平的危险因素。
患有ED的心脏病患者对CVD危险因素的了解多于对ED危险因素的了解。有必要将可改变危险因素对性健康的负面影响的信息纳入促进心血管疾病男性健康生活方式的教育项目中。
