Associations of impaired grip strength and gait function with the severity of erectile dysfunction in men undergoing dialysis: a cross-sectional study

Associations of impaired grip strength and gait function with the severity of erectile dysfunction in men undergoing dialysis: a cross-sectional study
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接受透析的男性握力和步态功能受损与勃起功能障碍严重程度的关联:一项横断面研究

DOI:
10.1080/13685538.2021.2016690
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发表时间:
2021
期刊:
The Aging Male
影响因子:
--
通讯作者:
Ohyama Chikara
Ohyama Chikara
中科院分区:
--
文献类型:
--
作者:
Fujita Naoki;Hatakeyama Shingo;Momota Masaki;Tobisawa Yuki;Yoneyama Tohru;Okamoto Teppei;Yamamoto Hayato;Yoneyama Takahiro;Hashimoto Yasuhiro;Yoshikawa Kazuaki;Ohyama Chikara

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目的探讨男性透析患者肌力和步态功能受损与勃起功能障碍(艾德)严重程度的关系。艾德采用男性性健康量表(SHIM)进行评估。将患者分为轻/中度(SHIM评分≥8分)和重度艾德(SHIM评分≤7分)组。使用斯皮尔曼等级相关系数分析变量之间的相关性。进行多变量逻辑回归分析,以评估受损的握力和步态功能对艾德的严重程度的影响。斯皮尔曼等级相关检验表明,步态功能与SHIM评分之间存在显著的负相关和正相关握力与SHIM评分之间的相关系数分别为(ρ=-0.257,p = 0.042)和(ρ= 0.305,p = 0.015)。在多变量分析中,握力受损与重度艾德显著相关(优势比[OR]:4.965,p = 0.017),而步态功能则与之无关(OR:3.147,p = 0.064)。
ObjectiveTo investigate the associations of impaired muscle strength and gait function with the severity of erectile dysfunction (ED) in men undergoing dialysis.MethodsThis cross-sectional study included 63 men undergoing dialysis. ED was assessed with the Sexual Health Inventory for Men (SHIM). Patients were divided into the mild/moderate (SHIM score ≥8) and severe ED groups (SHIM score ≤7). Correlations between variables were analyzed using Spearman’s rank correlation coefficient. Multivariable logistic regression analyses were performed to evaluate the impact of impaired grip strength and gait function on the severity of ED.ResultsThe median age of the study participants was 62 years; all had ED, with 67% having severe ED. Spearman’s rank correlation test demonstrated significant negative and positive correlations between gait function and SHIM score (ρ= −0.257,p= 0.042) and between grip strength and SHIM score (ρ= 0.305,p= 0.015), respectively. In the multivariable analyses, impaired grip strength was significantly associated with severe ED (odds ratio [OR]: 4.965,p= 0.017), whereas gait function was not (OR: 3.147,p= 0.064).ConclusionImpaired muscle strength was significantly associated with severe ED, whereas impaired gait function had a marginal effect on this erectile condition.
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