Low Exercise Tolerance as a Marker of Erectile Dysfunction and Depression among Post-Myocardial Infarction Men.

Evidence has grown recently on the correlation between lifestyle and physical activity, and their impact on the functioning of the entire organism. In addition, a decrease in physical efficiency may be an indicator of the early diagnosis of systemic diseases. The aim of this study was to determine whether there is a relationship between exercise tolerance and possible erectile dysfunction or mental disorders. A cross-sectional study was conducted among 254 men in 4 cardiac rehabilitation centers in Poland using the standardized International Index of Erectile Function 5 (IIEF-5) and Beck Depression Inventory (BDI) questionnaires. Erectile dysfunction was directly proportional to the metabolic equivalent of the task (MET) variable. An increase in exercise tolerance by 1 point was associated with an increase in the IIEF-5 score by 1.62 points, indicating a reduction in the severity of erectile dysfunction. The 1-point increase in MET was associated with a 1.8-point decrease in BDI, indicating that an increase in exercise tolerance is associated with a decrease in the severity of depressive disorders. Increasing the tolerance of physical effort has a beneficial effect not only on the general well-being, but also on the sexual and mental health of men. An increase in exercise tolerance is associated with a reduction in the incidence of erectile dysfunction. On the other hand, in patients with depressive disorders, the improvement of exercise tolerance reduces the intensity of depression symptoms. Exercise tolerance can be an early and simple marker at the onset of erectile dysfunction or mood disorders.

Healthcare (Basel, Switzerland). 2023 Apr 24*** epublish ***

Amanda Mandera-Grygierzec, Paulina Kostrzewska, Ewa Szuster, Anna Pawlikowska-Gorzelańczyk, Małgorzata Biernikiewicz, Agnieszka Rusiecka, Aneta Mrozek-Szetela, Małgorzata Sobieszczańska, Krystyna Rożek-Piechura, Monika Markiewicz, Dariusz Kałka

Cardiosexology Students Club, Wroclaw Medical University, 50-368 Wroclaw, Poland., Studio Słowa, 50-357 Wrocław, Poland., Statistical Analysis Centre, Wroclaw Medical University, 50-367 Wrocław, Poland., Doctoral School at Wroclaw of Environmental and Life Science, 50-375 Wrocław, Poland., Clinical Department of Geriatrics, Wroclaw Medical University, 50-369 Wrocław, Poland., Faculty of Physiotherapy, Wroclaw University of Health and Sport Sciences, 51-612 Wrocław, Poland., Men's Health Centre in Wroclaw, 53-151 Wrocław, Poland.