Table of Contents
ISRN Endocrinology
Volume 2012, Article ID 502353, 5 pages
http://dx.doi.org/10.5402/2012/502353
Clinical Study

Independent Predictors of Erectile Dysfunction in Type 2 Diabetes Mellitus: Is It True What They Say about Risk Factors?

1Clinical Endocrinology, Metabolic Diseases Research Center, Zanjan University of Medical Sciences, Zanjan 4513986745, Iran
2Internal Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
3Clinical Cardiology, Zanjan University of Medical Sciences, Zanjan, Iran
4Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
5Metabolic Diseases Research Center, vali-e-asr Hospital, Zanjan University of Medical Sciences, Zanjan 6109678395, Iran

Received 18 May 2012; Accepted 10 July 2012

Academic Editors: F. Escobar-Jimenez and B. Larijani

Copyright © 2012 Faranak Sharifi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. The aim of this study was to evaluate the independent predictors of ED in adult men with type 2 diabetes mellitus (T2DM). Methods. We have recruited 200 T2DM patients referred to our center between March 1, 2009 and March 1, 2010. All the patients were scored with the International Index of Erectile Function (IIEF)-5 questionnaires. Contribution of age, body mass index (BMI), smoking, blood pressure, lipid profile, fasting plasma glucose (FPG), glycosylated hemoglobin (HbA1c), free testosterone concentration, and duration of diabetes to risk of ED were evaluated. Results. Of 200 men with T2DM, 59.5% had ED (95%CI: 52%–67%). A negative significant correlation was found between potency score and HbA1c (r: 0.20,P: 0.01), FPG (r: 0.17, P: 0.03) and SBP (r: 0.18, P: 0.02) but not between other risk factors such as lipid profile, BMI, and serum testosterone level. By using multivariate logistic regression analysis, we found out that the only two independent predictors of ED in these group of patients are age (OR: 2.8, P: 0.01), and taking calcium channel blockers (CCB) (OR: 4.1, P: 0.01). Conclusions. Aging and taking CCB were the only two major predictors for ED but surprisingly other metabolic or sexual covariates in this study did not have predictive value for ED risk in T2DM patients.