The Relationship Between Gait Function and Erectile Dysfunction: Results from a Community-Based Cross-Sectional Study in Japan.
The Relationship Between Gait Function and Erectile Dysfunction: Results from a Community-Based Cross-Sectional Study in Japan.
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步态功能与勃起功能障碍之间的关系：日本基于社区的横断面研究的结果。
DOI：
10.1016/j.jsxm.2019.08.018
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
C. Ohyama
中科院分区：
文献类型：
--
作者：
T. Okamoto;S. Hatakeyama;A. Imai;S. Konishi;K. Okita;H. Yamamoto;Y. Tobisawa;T. Yoneyama;K. Mori;T. Yoneyama;Y. Hashimoto;S. Nakaji;C. Ohyama
虽然体力活动与勃起功能障碍(ED)的风险降低有关，但勃起功能障碍与身体功能的关系尚不清楚。目的在社区居住的人群中调查步态功能与勃起功能障碍的关系。方法这项横断面研究分析了2015年在日本广阪参加Iwaki健康促进项目的324名男性。勃起功能评定采用5项国际勃起功能指数(IIEF-5)。受试者被分为两组：低≤-5分(16分)和高IIEF-5分(>；16分)。评估身体功能，包括步态功能和握力。通过10m步速和2步评分(2步最大长度与身高之比)评价步态功能。我们评估了日常体力活动、合并症、精神状态和实验室数据。多因素Logistic回归分析身体功能与勃起功能障碍的关系。主要结果评价步态功能是否是勃起功能障碍的独立指标。结果324名男性中，154人(48%)IIEF-5评分较低。低IIEF-5组的握力、2步评分和10米步速显著低于高IIEF-5组。多变量分析显示，两步评分(优势比=0.08)、年龄和总睾酮与较低的IIEF-5独立相关。临床意义这项研究可能会激励临床医生研究身体功能对ED的预测价值。强度和限制本研究的优势在于使用简单、客观和可行的步态功能测试来评估其与ED的相关性。本研究的局限性在于选择偏差、区域偏差和横断面研究的性质。结论在步态功能测试中，不是10米步速，而是2步评分是ED的独立指标。
IntroductionAlthough physical activity is associated with a decreased risk of erectile dysfunction (ED), the association of ED with physical function remains unclear.AimTo investigate the relationship between gait function and ED in a community-dwelling population.MethodsThis cross-sectional study analyzed 324 men who participated in the Iwaki Health Promotion Project in 2015 in Hirosaki, Japan. ED was assessed with the 5-Item International Index of Erectile Function (IIEF-5). The participants were divided into 2 groups: low IIEF-5 score (≤16) and high IIEF-5 score (>16). We evaluated physical function, including gait function and grip strength. Gait function was evaluated by 10-meter gait speed and 2-step score (the ratio of the maximum length of 2 strides to height). We assessed daily physical activity, comorbidities, mental status, and laboratory data. The association between physical function and a low IIEF-5 score was analyzed by multivariate logistic regression analysis.Main Outcome MeasureThe main outcome measure was to assess whether gait function was an independent indicator for erectile dysfunction.ResultsOf 324 men, 154 (48%) had a low IIEF-5 score. Grip strength, 2-step score, and 10-meter gait speed in the low IIEF-5 group were significantly inferior to those in the high IIEF-5 group. Multivariate analysis showed that the 2-step score (odds ratio = 0.08), age, and total testosterone were independently associated with a low IIEF-5.Clinical ImplicationsThis study may motivate clinicians to investigate predictive values of physical function for ED.Strengths & LimitationsThe strength of this study was the use of simple, objective, and feasible tests for gait function to assess its association with ED. The limitations of this study were selection bias, regional bias, and nature of the cross-sectional study.ConclusionsOf the gait functional tests, not the 10-meter gait speed but 2-step score was an independent indicator for the presence of ED.
DOI：
10.1093/gerona/51a.6.m303
发表时间：
1996-11-01
影响因子：
5.1
作者：
Judge, JO;Davis, RB;Ounpuu, S
通讯作者：
Ounpuu, S
DOI：
10.1249/00005768-199301000-00011
发表时间：
1993-01-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
AINSWORTH, BE;HASKELL, WL;PAFFENBARGER, RS
通讯作者：
PAFFENBARGER, RS
影响因子：
2.1
作者：
Derby, CA;Mohr, BA;McKinlay, JB
通讯作者：
McKinlay, JB