Open AccessPhysical activity and prevalence of erectile dysfunction in Japanese patients with type 2 diabetes mellitus: The Dogo Study
Author(s) -
Minami Hisaka,
Furukawa Shinya,
Sakai Takenori,
Niiya Tetsuji,
Miyaoka Hiroaki,
Miyake Teruki,
Yamamoto Shin,
Kanzaki Sayaka,
Maruyama Koutatsu,
Tanaka Keiko,
Ueda Teruhisa,
Senba Hidenori,
Torisu Masamoto,
Tanigawa Takeshi,
Matsuura Bunzo,
Hiasa Yoichi,
Miyake Yoshihiro
Publication year - 2018
Publication title -
journal of diabetes investigation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.089
H-Index - 50
eISSN - 2040-1124
pISSN - 2040-1116
DOI - 10.1111/jdi.12660
Subject(s) - medicine , erectile dysfunction , odds ratio , diabetes mellitus , type 2 diabetes mellitus , confidence interval , type 2 diabetes , physical therapy , endocrinology
Aims/Introduction To date, there is no evidence regarding the association between physical activity ( PA ) and erectile dysfunction ( ED ) among Japanese patients with type 2 diabetes mellitus. We investigated this issue among Japanese patients with type 2 diabetes mellitus. Materials and Methods Study participants were 460 male Japanese patients with type 2 diabetes mellitus. The definitions of exercise habit, walking habit and fast walking were based on a self‐administered questionnaire regarding PA behavior. Participants were classified into one of four PA levels based on the number of ‘Yes’ answers to the three questions in the questionnaire: (i) lowest; (ii) lower; (iii) moderate; and (iv) higher. Severe ED and moderate‐to‐severe ED were based on Sexual Health Inventory for Men score <8 and <12, respectively. Results The prevalence of moderate‐to‐severe ED , severe ED , exercise habit, walking habit, and fast walking was 64.6, 51.1, 36.3, 41.3 and 37.6%, respectively. Walking habit was independently inversely associated with moderate‐to‐severe ED and severe ED . Exercise habit was independently inversely associated with severe ED , but not moderate‐to‐severe ED . Higher PA was independently inversely associated with moderate‐to‐severe ED and severe ED (adjusted odds ratio 0.42, 95% confidence interval 0.21–0.85; and adjusted odds ratio 0.38, 95% CI : 0.19–0.73, respectively). There was a statistically significant inverse exposure–response relationship between the PA level and moderate‐to‐severe ED and severe ED ( P for trend = 0.02 and 0.005), respectively. Conclusions PA might be inversely associated with ED in Japanese patients with type 2 diabetes mellitus.