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肾移植受者的维生素D状态与勃起功能障碍无关。

Vitamin D Status in Renal Transplant recipients is not Associated with Erectile Dysfunction.

作者信息

Sudarević Bojan, Begić Ivana, Šimunović Dalibor, Kuveždić Hrvoje, Šerić Vatroslav, Zibar Lada

机构信息

Department of Urology, Osijek University Hospital Center; School of Medicine, Josip Juraj Strossmayer University of Osijek.

Department of Dialysis, Clinical Department of Internal Medicine, Osijek University Hospital Center; Department of Physiology and Immunology, School of Medicine, Josip Juraj Strossmayer University of Osijek.

出版信息

Acta Clin Croat. 2017 Jun;56(2):195-202. doi: 10.20471/acc.2017.56.02.01.

Abstract

Erectile dysfunction (ED) is a highly prevalent disorder among renal transplant recipients. Vitamin D deficiency (VDD) has been associated with several ED risk factors but only recently directly linked to ED. We conducted a study to investigate whether vitamin D serum levels were associated with the presence and severity of ED in 40 male patients that underwent deceased donor kidney transplantation (TX) from 2001 to 2013. Blood samples were collected on two seasonally distinct occasions and 25(OH)D concentration was assessed by radioimmunoassay. A 5-item version of the International Index of Erectile Function (IIEF-5) was used for ED evaluation and group stratification. We found comparable rates of ED (75%) and VDD (42.5%-62.5%) as in previously published studies. Serum levels of 25(OH)D did not differ between patients with and those without ED on both measurements (p=0.656 and p=0.914, respectively), or when comparing different ED severity groups. Duration of renal replacement therapy before TX and graft duration until analysis were longer in patients with ED (p=0.022 and p=0.05, respectively), but with the results being nonsignificant on logistic regression. In conclusion, we found no association of 25(OH)D concentration with the presence and severity of ED in renal transplant recipients. So far, there are no similar published data.

摘要

勃起功能障碍(ED)在肾移植受者中是一种非常普遍的疾病。维生素D缺乏(VDD)与多种ED风险因素相关,但直到最近才直接与ED联系起来。我们进行了一项研究,以调查2001年至2013年接受已故供体肾移植(TX)的40例男性患者的维生素D血清水平是否与ED的存在和严重程度相关。在两个季节不同的时间采集血样,并通过放射免疫测定法评估25(OH)D浓度。使用勃起功能国际指数(IIEF-5)的5项版本进行ED评估和分组分层。我们发现ED(75%)和VDD(42.5%-62.5%)的发生率与先前发表的研究相当。在两次测量中,有ED和无ED的患者血清25(OH)D水平均无差异(分别为p=0.656和p=0.914),在比较不同ED严重程度组时也是如此。ED患者TX前的肾脏替代治疗持续时间和直至分析时的移植持续时间更长(分别为p=0.022和p=0.05),但在逻辑回归分析中结果无统计学意义。总之,我们发现肾移植受者的25(OH)D浓度与ED的存在和严重程度无关。到目前为止,尚无类似的已发表数据。

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