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Indian Journal of Diabetes and Endocrinology

Volume  2, Issue 1, january-june 2020, Pages 17-23
 

Original Article

Socio–Demographic and Clinical Correlates of Erectile Dysfunction among Men with Type 2 Diabetes Mellitus: A Cross–Sectional Study in South India.

Senthil kumar R1 , Arjun V Sajeev2 , Anandhu Krishna JS3 ,Sarath Mohan4 , Darshan Manoj5 ,Yunsheng Ma6 , Anil C Mathew7

1Head of Department, 2Trainee Biostatistician, 3Student, Department of Endocrinology, 4Trainee Biostatistician, 5Post Graduate Student, 6Associate professor of Medicine, 7Professor of Biostatistics

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Abstract

Objective: Erectile dysfunction (ED) is a common complications in men with type 2 diabetes. The present study was undertaken to investigate to À nd out the socio–demographic and clinical correlates of erectile dysfunction among men with type 2 diabetes mellitus. Materials and methods: Married men aged 20-60 years with a diagnosis of non-insulin-dependent (Type 2) diabetics attending the outpatient unit of Department of Endocrinology at PSG Hospitals, Coimbatore during the months of May and June 2019 were enrolled. Erectile function was assessed using International index of Erectile Function(IIEF-5). All subjects were evaluated for obesity, physical activity, hypertension, retinopathy, glycated hemoglobin, total cholesterol, and medication use. Results: Among 204 patients studied, 65 (31.86%) were found to have erectile dysfunction. Mild to moderate, moderate and severe ED was present in 17.2%, 11.8% and 2.9% patients respectively. In unadjusted analyzis, ED was signiÀ cantly associated with patients who were having less physical activity (p=0.003), hypertension (p=0.001), obesity (p=0.021) and retinopathy (p=0.000). In the multivariate linear regression analysis, less physical activity (odds ratio (OR)=2.395 (95% conÀ dence interval (CI):1.171-4.899, p=0.017) and diabetic retinopathy (OR=3.869 (95% CI:1.568-9.606, p=0.004)) were found to be signiÀ cant independent predictors of ED in the study population. Conclusion: Prevalence of ED was higher in type 2 diabetic male patients. Diabetic retinopathy and less physical activity was signiÀ cant risk factors associated with ED, making it possibly a preventable condition.


Keywords : Type 2 diabetes; Erectile dysfunction; Risk factor; Prevalence; Diabetic retinopathy; Physical activity.
Corresponding Author : R Senthilkumar, Head of Department, Department of Endocrinology, P S G Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu 641004, India. anilpsgmet@gmail.com