Erectile Dysfunction as an Obesity-Related Condition in Elderly Men with Coronary Artery Disease.

Background: This cross-sectional study aimed to investigate the prevalence of erectile dysfunction (ED) in elderly men with overweight or obesity and coronary artery disease. Methods: Patients recruited in cardiac rehabilitation centers post-myocardial infarction provided demographic and anthropomorphic data. ED was assessed using the abbreviated International Index of Erectile Function 5 (IIEF-5) Questionnaire. Results: The study included 661 men with a mean age of 67.3 ± 5.57 years, a mean BMI of 27.9 ± 3.6 m/kg2, and a mean waist circumference of 98.9 ± 10.23 cm. Over 90% of men experienced ED, with similar proportions across BMI categories. The development of ED in men with a waist circumference of ≥100 cm had 3.74 times higher odds (OR 3.74; 95% CI: 1.0-13.7; p = 0.04) than in men with a waist circumference of <100 cm. Men with obesity and moderate-to-severe and severe ED were older compared to those without these disorders (67.1 ± 5.29 vs. 65.3 ± 4.35; p = 0.23). Conclusions: The prevalence of ED in men with coronary artery disease surpasses 90%. An increased body weight raises the risk of ED, with waist circumference proving to be a more reliable predictor of this risk compared to BMI. Physicians are encouraged to screen elderly patients with cardiovascular disease for ED and address obesity to enhance overall health.

Journal of clinical medicine. 2024 Apr 03*** epublish ***

Małgorzata Biernikiewicz, Małgorzata Sobieszczańska, Ewa Szuster, Anna Pawlikowska-Gorzelańczyk, Anna Janocha, Krystyna Rożek-Piechura, Agnieszka Rusiecka, Jana Gebala, Paulina Okrzymowska, Dariusz Kałka

Men's Health Centre in Wroclaw, 53-151 Wroclaw, Poland., Clinical Department of Geriatrics, Wroclaw Medical University, 50-369 Wroclaw, Poland., Obstetrics and Gynecology Department, Wroclaw Medical University, 50-556 Wroclaw, Poland., Cardiosexology Students Club, Wroclaw Medical University, 50-368 Wroclaw, Poland., Faculty of Medicine, Wroclaw University of Science and Technology, 50-370 Wroclaw, Poland., Faculty of Physiotherapy, Wroclaw University of Health and Sport Sciences, 51-612 Wroclaw, Poland., Statistical Analysis Centre, Wroclaw Medical University, 50-367 Wroclaw, Poland.