Erectile dysfunction (ED) is the most common male sexual disorder that affects all age groups and has a close association with essential hypertension.
To characterize the relation of blood pressure and ED in detail.
A cross-sectional population-based study of 45 to 70 year old men without previously diagnosed hypertension, cardiovascular diseases, renal disease, or diabetes was conducted from 2005 to 2007 in southwestern Finland. A total of 665 men with at least one cardiovascular risk factor were studied. ED was defined by the five-item International Index of Erectile Function.
We found a U-shaped association between diastolic blood pressure (DBP) and prevalence of ED.
The average age of the study subjects was 56 ± 6 years and 52% had ED. After adjustment for age, cohabitation status, education, fasting plasma glucose level, waist circumference, and prevalence of depressive symptoms, the curve relating DBP to the prevalence of ED was U-shaped with a nadir of DBP 90 mm Hg.
Our findings emphasize the importance of blood pressure measurement in the physical examination of men with Erectile Dysfunction.
This was a cross-sectional study, which prevents the evaluation of causality between ED and hypertension. However, this community-based study population is well-defined and the anthropologic measurements were made by trained medical staff.
We found a U-shaped correlation between ED and DBP, which confirms the link between Erectile Dysfunction and hypertension.
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