Self-Care Academic Research Unit (SCARU), Department of Primary Care and Public Health, School of Public Health, Imperial College London, 323 Reynolds Building, Charing Cross Hospital, St Dunstan's Road, London, W6 8RP, UK.
UroGate Praxisnetzwerk, Berliner Platz 2, 61476, Kronberg, Germany.
BMC Urol. 2023 Feb 6;23(1):15. doi: 10.1186/s12894-023-01180-2.
Erectile dysfunction (ED) is the most common sexual dysfunction in men. Some types of ED are amenable to treatment using lifestyle medicine approaches with or without pharmacotherapy.
Investigate self-reported efficacy of lifestyle medicine approaches to tackle ED.
A cross-sectional online survey of 1177 community dwelling adults explored the prevalence and methods used to tackle ED in the community setting. We examined differences between participants with and without ED. Variables associated with ED in univariable analyses were included in a multivariable logistic regression to identify variables independently associated with the condition.
Self-reported measure: perceived effectiveness of lifestyle medicine interventions to tackle ED.
Most respondents (76.5%) had experienced ED, and this was associated with having a long-term condition, taking anti-hypertensive medication, hypercholesterolaemia and obesity. Medication was the most common management strategy overall (65.9%), followed by stress management (43.5%) and weight loss (40.4%). Over half (53.9%) did not use any lifestyle modification strategies to tackle ED. Only 7.0% of ED sufferers received a mental health assessment and 29.2% received other tests (e.g., blood test, medical imaging) by GPs. Cardiovascular training was identified as the best rated strategy by its users (37.8%). Supplements (35.1%) and weight training/physical activity (32.6%) were also positively rated.
Structured education to general practitioners and community dwelling adults about the impact of lifestyle behaviour modification and how this could influence the appearance or trajectory of ED could help improve personal choice when tackling ED.
To our knowledge, this is the first study to collect eSurvey responses from community dwelling adults to gauge their reliance and perceived effectiveness of lifestyle medicine approaches to tackle ED. The principal limitation was the lack of follow-up, and not recording other information including lifestyle factors such as nutrition, smoking, and the use of alcohol and recreational drugs, which may have enabled a fuller exploration of the factors that could influence the primary outcome measures examined.
Despite the high prevalence of ED, there is not enough awareness in the community setting about effective and low-cost lifestyle medicine strategies, including cardiovascular training and the use of supplements and weight training, to help tackle this common condition.
勃起功能障碍（ED）是男性最常见的性功能障碍。某些类型的 ED 可以通过生活方式医学方法治疗，无论是否使用药物治疗。
调查生活方式医学方法治疗 ED 的自我报告疗效。
一项针对 1177 名社区居住成年人的横断面在线调查，探讨了社区环境中 ED 的患病率和治疗方法。我们比较了 ED 患者和非 ED 患者之间的差异。在单变量分析中与 ED 相关的变量被纳入多变量逻辑回归，以确定与该疾病独立相关的变量。
自我报告的测量：生活方式医学干预治疗 ED 的效果。
大多数受访者（76.5%）经历过 ED，这与患有慢性疾病、服用抗高血压药物、高胆固醇血症和肥胖有关。药物治疗是最常见的总体管理策略（65.9%），其次是压力管理（43.5%）和减肥（40.4%）。超过一半（53.9%）的人没有使用任何生活方式改变策略来治疗 ED。只有 7.0%的 ED 患者接受了心理健康评估，29.2%的患者接受了全科医生的其他检查（如血液检查、医学影像）。心血管训练被使用者评为最佳治疗策略（37.8%）。补充剂（35.1%）和举重/体育锻炼（32.6%）也得到了积极评价。
向全科医生和社区居住成年人提供有关生活方式行为改变的影响以及如何影响 ED 的出现或轨迹的结构化教育，可以帮助改善 ED 治疗时的个人选择。
据我们所知，这是第一项从社区居住成年人那里收集电子调查回复，以评估他们对生活方式医学方法治疗 ED 的依赖程度和自我报告疗效的研究。主要限制是缺乏随访，并且没有记录其他信息，包括生活方式因素，如营养、吸烟以及酒精和娱乐性药物的使用，这可能会更全面地探讨可能影响主要结果的因素。
尽管 ED 的患病率很高，但社区环境中对有效且低成本的生活方式医学策略（包括心血管训练以及补充剂和举重训练的使用）的认识不足，无法帮助治疗这种常见疾病。
