Coronary Artery DiseaseA Home-Based Walking Program Improves Erectile Dysfunction in Men With an Acute Myocardial Infarction
Section snippets
Methods
This study was performed at the São Paulo Hospital, Federal University of São Paulo, from February 2011 to December 2013. The institutional ethics committee approved this randomized controlled study. Before study inclusion, all patients were informed about the study, and a signed consent form was obtained from each subject.
The subjects were prospectively selected from patients with AMIs within the first 12 hours of intensive care unit admission who underwent successful percutaneous coronary
Results
During the study period, 574 patients were assessed for eligibility, and from that sample, 100 were allocated to 2 groups, with 86 ultimately accomplishing the protocol (Figure 1). The groups were homogenous, and no statistical difference was found with respect to key baseline characteristics, as listed in Table 1.
In the overall cohort, 72 subjects (84%) reported previous ED on the IIEF questionnaire at hospital discharge. At 30 days after discharge, ED prevalence had increased by 9% in the
Discussion
This is the first randomized controlled study to evaluate the impact of an unsupervised, home-based, progressive walking program on sexual function and functional capacity in men after recent AMIs at low cardiovascular risk. This study demonstrates that the intervention resulted in significantly better improvements in submaximal functional capacity and sexual function compared with a control group. Our findings are therefore novel and of potential clinical importance.
Although exercise-based
Disclosures
The authors have no conflicts of interest to disclose.
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Cited by (21)
Effects of exercise on benign prostatic hyperplasia, lower urinary tract symptoms, and erectile dysfunction
2021, Molecular Mechanisms of Nutritional Interventions and Supplements for the Management of Sexual Dysfunction and Benign Prostatic HyperplasiaExercise Improves Self-Reported Sexual Function Among Physically Active Adults
2019, Journal of Sexual MedicineCitation Excerpt :Exercise may improve sexual function in men by simply reducing the influence of these medical comorbidities. In fact, because ED is considered a risk factor for forthcoming ischemic heart disease, exercise may treat these 2 conditions simultaneously.42–44 Although the evidence linking cardiometabolic health and sexual function is less robust for women, recent studies suggest that these same comorbidities have a milder yet still deleterious effect on women’s sexual functioning.8
The 2018 Revision to the Process of Care Model for Management of Erectile Dysfunction
2018, Journal of Sexual MedicineCitation Excerpt :Studies of men with diabetes and ED have indicated that consuming a Mediterranean diet and increasing fruit or vegetable consumption was associated with improvements in erectile function.24,25 2 randomized studies of men with ED demonstrated that the addition of a prespecified exercise program to PDE5I treatment was associated with improvements in erectile function compared with controls.26,27 Weight loss, which should follow increased physical activity and improved diet, is associated with improvement in erectile function among obese men with ED, with or without comorbidities.28–30
Measurement of physical performance by field tests in programs of cardiac rehabilitation: a systematic review and meta‐analysis
2018, Revista Portuguesa de CardiologiaPhysical Activity to Improve Erectile Function: A Systematic Review of Intervention Studies
2018, Sexual MedicineCitation Excerpt :The PA programs varied from 1 to 24 months (mean training period = ∼6 months). Thus, the study by Maio et al47 had the longest follow-up duration of 2 years, and the study by Begot et al54 had the shortest follow-up duration of 1 month. In almost all programs, individual supervision of participants was included.
Diagnostic and Therapeutic Implications of Erectile Dysfunction in Patients with Cardiovascular Disease
2016, European UrologyCitation Excerpt :Although dietary patterns, smoking cessation, and physical activity have beneficial effects on lipid profile, blood pressure, and other risk factors [8], the actual impact of lifestyle change on the reduction of cardiovascular events in men at risk is still debated [7]. Nonetheless, recent studies demonstrated that body weight reduction, diet, and physical activity improve erectile function in men with heart failure or a history of ischemic heart disease [9]. Consequently, physicians should counsel their patients regarding the beneficial effects of intensive lifestyle changes on sexual function.
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