Li Tingxin, Chen Jun, He Baoming, Feng Qiang
Department of Health Management CenterInstitute of Health Management, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, People's Republic of China.
Department of Neurology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, 610072, People's Republic of China.
Arch Sex Behav. 2025 Jul;54(7):2475-2489. doi: 10.1007/s10508-025-03208-0. Epub 2025 Aug 4.
The observed results of body mass index are inconsistent, which makes it controversial whether weight loss is beneficial to erectile function. The purpose of this review aimed to summarize the potential relationship between obesity-related eight anthropometric indexes and erectile dysfunction: body mass index, waist circumference, weight-adjusted waist index, waist-to-height ratio, a body shape index, conicity index, abdominal volume index, and body roundness index. Body mass index or waist circumference has limitations in evaluating ectopic deposition of adipose tissue, which might lead to the obesity paradox in erectile dysfunction. As an alternative or supplement for body mass index or waist circumference, the other six obesity-related anthropometric indexes show advantages in capturing the complexity of adipose tissue and its ectopic deposition distribution. Combining multiple indicators may enhance the accuracy of forecasting of erectile dysfunction risk. However, there is a paucity of data regarding the clinical randomized controlled intervention studies.
体重指数的观察结果并不一致，这使得减肥是否有益于勃起功能存在争议。本综述的目的是总结与肥胖相关的八项人体测量指标与勃起功能障碍之间的潜在关系：体重指数、腰围、体重调整腰围指数、腰高比、体型指数、锥度指数、腹腔容积指数和身体圆润度指数。体重指数或腰围在评估脂肪组织的异位沉积方面存在局限性，这可能导致勃起功能障碍中的肥胖悖论。作为体重指数或腰围的替代或补充，其他六项与肥胖相关的人体测量指标在捕捉脂肪组织的复杂性及其异位沉积分布方面具有优势。综合多个指标可能会提高勃起功能障碍风险预测的准确性。然而，关于临床随机对照干预研究的数据很少。
