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Erectile Dysfunction and Fruit/Vegetable Consumption Among Diabetic Canadian Men

      Objective

      To evaluate the association between fruit/vegetable consumption and erectile dysfunction (ED) among Canadian men with diabetes.

      Methods

      Data from the 2011 Survey on Living with Chronic Diseases in Canada – Diabetes Component were analyzed using Statistical Analysis System Enterprise Guide (SAS EG). Respondents were asked a series questions related to their sociodemographics, lifestyle, and chronic health conditions. The association between fruit/vegetable consumption and ED was examined using logistic regression after controlling for potential confounding factors. Bootstrap procedure was used to estimate sample distribution and calculate confidence intervals.

      Results

      Overall, 26.2% of respondents reported having ED. The prevalence increased with age and duration of diabetes. Compared with respondents without ED, those with ED were more likely to be obese, smokers, physically inactive, and either divorced, widowed, or separated. Diabetes complications such as nerve damage, circulation problems, and kidney failure or kidney disease were also significantly associated with ED. After controlling for potential confounding factors, a 10% risk reduction of ED was found with each additional daily serving of fruit/vegetable consumed.

      Conclusion

      ED is common among Canadian men with diabetes. ED was highly associated with age, duration of diabetes, obesity, smoking, and the presence of other diabetes-related complications. Fruit and vegetable consumption might have a protective effect against ED.
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      References

      1. PHAC. 2011 Diabetes in Canada: Facts and figures from a public health perspective. Ottawa, Canada.

        • Heaton J.P.
        • Lording D.
        • Liu S.-N.
        • et al.
        Intracavernosal alprostadil is effective for the treatment of erectile dysfunction in diabetic men.
        Int J impot Res. 2011; 13: 317-321
        • Lewis R.W.
        Epidemiology of erectile dysfunction.
        Urol Clin North Am. 2001; 28: 209-216
        • Deutsch S.
        • Sherman L.
        Previously unrecognized diabetes mellitus in sexually impotent men.
        JAMA. 1980; 244: 2430-2432
        • Rosen R.C.
        • Fisher W.A.
        • Eardley I.
        • et al.
        The multinational Men's Attitudes to Life Events and Sexuality (MALES) study: I. Prevalence of erectile dysfunction and related health concerns in the general population.
        Curr Med Res Opin. 2004; 20: 607-617
        • Rubin A.
        • Babbott D.
        Impotence and diabetes mellitus.
        JAMA. 1958; 168: 498-500
        • Feldman H.A.
        • Goldstein I.
        • Hatzichristou D.G.
        • et al.
        Impotence and its medical and psychological correlates: results of the Massachusetts male aging study.
        J Urol. 1994; 151: 54-61
      2. Brock G, Bebb R, Harper W. Erectile Dysfunction. Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada, 2008. Canadian Diabetes Association 2008 Canadian Journal of Diabetes, 2008; 32(S1): s147-s149.

        • Ma R.C.
        • So W.Y.
        • Yang X.
        • et al.
        Erectile dysfunction predicts coronary heart disease in type 2 diabetes.
        J Am Coll Cardiol. 2008; 51: 2045-2050
        • Chu N.V.
        • Edelman S.V.
        Erectile dysfunction and diabetes.
        Curr Diab Rep. 2002; 2: 60-66
        • Fisher W.A.
        • Rosen R.C.
        • Mollen M.
        • et al.
        Improving the sexual quality of life of couples affected by erectile dysfunction: a double-blind, randomized, placebo-controlled trial of vardenafil.
        J Sex Med. 2005; 2: 699-708
        • Menezes A.
        • Artham S.
        • Lavie C.J.
        • et al.
        Erectile dysfunction and cardiovascular disease.
        Postgrad Med. 2011; 123: 7-16
        • Billups K.L.
        Sexual dysfunction and cardiovascular disease: integrative concepts and strategies.
        Am J Cardiol. 2005; 96: 57M-61M
        • Feldman H.A.
        • Johannes C.B.
        • Derby C.A.
        • et al.
        Erectile dysfunction and coronary risk factors: prospective results from the Massachusetts male aging study.
        Prev Med. 2000; 30: 328-338
        • Shiri R.
        • Ansari M.
        • Falah Hassani K.
        Association between comorbidity and erectile dysfunction in patients with diabetes.
        Int J Impot Res. 2006; 18: 348-353
        • Esposito K.
        • Giugliano F.
        • De Sio M.
        • et al.
        Dietary factors in erectile dysfunction.
        Int J Impot Res. 2006; 18: 370-374
        • Esposito K.
        • Ciotola M.
        • Giugliano F.
        • et al.
        Mediterranean diet improving erectile function in subjects with the metabolic syndrome.
        Int J Impot Res. 2006; 18: 405-410
      3. Statistics Canada. Survey on Living with Chronic Diseases 2011. Available at: http://www.statcan.gc.ca/cgi-bin/imdb/p2SV.pl?Function=getSurvey&SurvId=38899&SurvVer=2&InstaId=38900&InstaVer=2&SDDS=5160&lang=en&db=imdb&adm=8&dis=2. Accessed August 16, 2012.

      4. Statistics Canada. Fruit and vegetable consumption 2011. Available at: http://www.statcan.gc.ca/pub/82-625-x/2012001/article/11661-eng.htm. Accessed January 2, 2013.

      5. Health Canada. Canada's food guide. How Much Food You Need Every Day. Available at: http://www.hc-sc.gc.ca/fn-an/food-guide-aliment/basics-base/quantit-eng.php. Accessed August 16, 2012.

      6. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System. Available at: http://www.cdc.gov/brfss/index.htm. Accessed January 2, 2013.

        • Riediger N.D.
        • Moghadasian M.H.
        Patterns of fruit and vegetable consumption and the influence of sex, age and socio-demographic factors among Canadian elderly.
        J Am Coll Nutr. 2008 Apr; 27: 306-313
        • Riediger N.D.
        • Shooshtari S.
        • Moghadasian M.H.
        The influence of sociodemographic factors on patterns of fruit and vegetable consumption in Canadian adolescents.
        J Am Diet Assoc. 2007 Sep; 107: 1511-1518
        • Malavige L.S.
        • Levy J.C.
        Erectile dysfunction in diabetes Mellitus.
        J Sex Med. 2009; 6: 1232-1247
        • Grover S.A.
        • Lowensteyn I.
        • Kaouache M.
        • et al.
        The Prevalence of Erectile Dysfunction in the Primary Care Setting – Importance of Risk Factors for Diabetes and Vascular Disease.
        Arch Intern Med. 2006; 166: 213-219
      7. Public Health Agency of Canada. Chronic Disease Infobase Cubes.CCHS, 2009-2010. Available at: http://204.187.39.30/surveillance/. Accessed August 16, 2012.

        • Polsky J.Y.
        • Aronson K.J.
        • Heaton A.J.
        • et al.
        Smoking and other lifestyle factors in relation to erectile dysfunction.
        BJU Int. 2005; 96: 1355-1359
        • Tengs T.O.
        • Osgood N.D.
        The link between smoking and impotence: two decades of evidence.
        Prev Med. 2001; 32: 447-452
        • Kupelian V.
        • Araujo A.B.
        • Chiu G.R.
        • et al.
        Relative contributions of modifiable risk factors to erectile dysfunction: results from the Boston Area Community Health (BACH) Survey.
        Prev Med. 2010; 50: 19-25
        • Drewes S.E.
        • George J.
        • Khan F.
        Recent findings on natural products with erectile-dysfunction activity.
        Phytochemistry. 2003; 62: 1019-1025