Metabolic Syndrome, Hormone Levels, and Inflammation in Patients with Erectile Dysfunction

Background. The end point of this study was to investigate the prevalence of MS in patients with ED in comparison with control subjects and to analyse the association with acute phase reactants (CRP, ESR) and hormone levels. Methods. This case-control study included 65 patients, 37 with erectile dys...

Full description

Saved in:
Bibliographic Details
Main Authors: Miguel Ángel Arrabal-Polo, Salvador Arias-Santiago, Fernando López-Carmona Pintado, Sergio Merino-Salas, Clara Lahoz-García, Armando Zuluaga-Gómez, Miguel Arrabal-Martin
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/2012/272769
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850235011581607936
author Miguel Ángel Arrabal-Polo
Salvador Arias-Santiago
Fernando López-Carmona Pintado
Sergio Merino-Salas
Clara Lahoz-García
Armando Zuluaga-Gómez
Miguel Arrabal-Martin
author_facet Miguel Ángel Arrabal-Polo
Salvador Arias-Santiago
Fernando López-Carmona Pintado
Sergio Merino-Salas
Clara Lahoz-García
Armando Zuluaga-Gómez
Miguel Arrabal-Martin
author_sort Miguel Ángel Arrabal-Polo
collection DOAJ
description Background. The end point of this study was to investigate the prevalence of MS in patients with ED in comparison with control subjects and to analyse the association with acute phase reactants (CRP, ESR) and hormone levels. Methods. This case-control study included 65 patients, 37 with erectile dysfunction, according to the International Index of Erectile Function (IIEF) from the Urology Department of San Cecilio University Hospital, Granada (Spain) and 28 healthy controls. The prevalence of metabolic syndrome was calculated according to ATP-III criteria. Hormone levels and acute phase parameters were studied in samples drawn. Results. The ATP-III criteria for MS were met by 64.9% of the patients with ED and only 9.5% of the controls (P<0.0001, OR = 17.53, 95% CI: 3.52–87.37). Binary logistic regression analysis showed a strong association between patients with ED and MS, even after additional adjustment for confounding factors (OR = 20.05, 95% CI: 1.24–32.82, P<0.034). Patients with hypogonadism presented a significantly higher prevalence of metabolic syndrome. Multiple linear regression analysis showed that systolic BP and CRP predicted 0.46 (model R2) of IIEF changes. Conclusion. Chronic inflammation found in patients with ED might explain the association between ED and metabolic syndrome.
format Article
id doaj-art-0eeaebcbe3f34e2eb5caf013e02263ba
institution OA Journals
issn 1537-744X
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series The Scientific World Journal
spelling doaj-art-0eeaebcbe3f34e2eb5caf013e02263ba2025-08-20T02:02:26ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/272769272769Metabolic Syndrome, Hormone Levels, and Inflammation in Patients with Erectile DysfunctionMiguel Ángel Arrabal-Polo0Salvador Arias-Santiago1Fernando López-Carmona Pintado2Sergio Merino-Salas3Clara Lahoz-García4Armando Zuluaga-Gómez5Miguel Arrabal-Martin6Urology Department, San Cecilio University Hospital, Camino de Ronda street, 143, 18003 Granada, SpainDepartment of Medicine, Faculty of Medicine, Granada University, Granada, SpainUrology Department, San Cecilio University Hospital, Camino de Ronda street, 143, 18003 Granada, SpainUrology Department, San Cecilio University Hospital, Camino de Ronda street, 143, 18003 Granada, SpainUrology Department, San Cecilio University Hospital, Camino de Ronda street, 143, 18003 Granada, SpainUrology Department, San Cecilio University Hospital, Camino de Ronda street, 143, 18003 Granada, SpainUrology Department, San Cecilio University Hospital, Camino de Ronda street, 143, 18003 Granada, SpainBackground. The end point of this study was to investigate the prevalence of MS in patients with ED in comparison with control subjects and to analyse the association with acute phase reactants (CRP, ESR) and hormone levels. Methods. This case-control study included 65 patients, 37 with erectile dysfunction, according to the International Index of Erectile Function (IIEF) from the Urology Department of San Cecilio University Hospital, Granada (Spain) and 28 healthy controls. The prevalence of metabolic syndrome was calculated according to ATP-III criteria. Hormone levels and acute phase parameters were studied in samples drawn. Results. The ATP-III criteria for MS were met by 64.9% of the patients with ED and only 9.5% of the controls (P<0.0001, OR = 17.53, 95% CI: 3.52–87.37). Binary logistic regression analysis showed a strong association between patients with ED and MS, even after additional adjustment for confounding factors (OR = 20.05, 95% CI: 1.24–32.82, P<0.034). Patients with hypogonadism presented a significantly higher prevalence of metabolic syndrome. Multiple linear regression analysis showed that systolic BP and CRP predicted 0.46 (model R2) of IIEF changes. Conclusion. Chronic inflammation found in patients with ED might explain the association between ED and metabolic syndrome.http://dx.doi.org/10.1100/2012/272769
spellingShingle Miguel Ángel Arrabal-Polo
Salvador Arias-Santiago
Fernando López-Carmona Pintado
Sergio Merino-Salas
Clara Lahoz-García
Armando Zuluaga-Gómez
Miguel Arrabal-Martin
Metabolic Syndrome, Hormone Levels, and Inflammation in Patients with Erectile Dysfunction
The Scientific World Journal
title Metabolic Syndrome, Hormone Levels, and Inflammation in Patients with Erectile Dysfunction
title_full Metabolic Syndrome, Hormone Levels, and Inflammation in Patients with Erectile Dysfunction
title_fullStr Metabolic Syndrome, Hormone Levels, and Inflammation in Patients with Erectile Dysfunction
title_full_unstemmed Metabolic Syndrome, Hormone Levels, and Inflammation in Patients with Erectile Dysfunction
title_short Metabolic Syndrome, Hormone Levels, and Inflammation in Patients with Erectile Dysfunction
title_sort metabolic syndrome hormone levels and inflammation in patients with erectile dysfunction
url http://dx.doi.org/10.1100/2012/272769
work_keys_str_mv AT miguelangelarrabalpolo metabolicsyndromehormonelevelsandinflammationinpatientswitherectiledysfunction
AT salvadorariassantiago metabolicsyndromehormonelevelsandinflammationinpatientswitherectiledysfunction
AT fernandolopezcarmonapintado metabolicsyndromehormonelevelsandinflammationinpatientswitherectiledysfunction
AT sergiomerinosalas metabolicsyndromehormonelevelsandinflammationinpatientswitherectiledysfunction
AT claralahozgarcia metabolicsyndromehormonelevelsandinflammationinpatientswitherectiledysfunction
AT armandozuluagagomez metabolicsyndromehormonelevelsandinflammationinpatientswitherectiledysfunction
AT miguelarrabalmartin metabolicsyndromehormonelevelsandinflammationinpatientswitherectiledysfunction