Lifestyle Modification in Erectile Dysfunction and Hypertension


Smoking cessation

Weight reduction and maintenance

 Body mass index <25 kg/m2

 Waist circumference <102 cm for men and <88 cm for women

Regular physical exercise, i.e., at least 30 min of moderate intensity dynamic exercise (walking, jogging, cycling, or swimming) is recommended 5–7 days per week

Moderation of alcohol consumption to no more than 20–30 g ethanol per day for men and 10–20 g for women

Use of Mediterranean-type diet, which emphasizes fruits, vegetables, beans and legumes, whole grains, nuts, fish, poultry, lean red meat, cheese, and yogurt

Salt restriction to 5–6 g per day





17.8 Conclusions


ED shares modifiable risk factors with hypertension. Randomized clinical trials have shown lifestyle modification to be of clinical benefit in improving ED. There is strong evidence that lifestyle modification for CV risk factors is effective in improving sexual function in men with ED. Improvement in sexual function is a strong motivator for male patients to adopt healthy lifestyle. Comprehensive lifestyle modification is the cornerstone of the therapy for ED and hypertension. Lifestyle changes are improving erectile function, lower elevated blood pressure, and reduce cardiovascular risk. Lifestyle measures to reduce the risk of SD, to reduce blood pressure, and to reduce the risk of blood pressure-related cardiovascular complications are: smoking cessation, weight reduction and maintenance, regular physical exercise, moderation of alcohol consumption, and dietary changes.


References



1.

Javaroni V, Neves MF (2012) Erectile dysfunction and hypertension: impact on cardiovascular risk and treatment. Int J Hypertens 2012:627278PubMedCentralPubMedCrossRef


2.

Hackett G, Kell P, Ralph D, Dean J et al (2008) British Society for Sexual Medicine guidelines on the management of erectile dysfunction. J Sex Med 5(8):1841–1865PubMedCrossRef


3.

Elmer PJ, Obarzanek E, Vollmer WM, Simons-Morton D et al (2006) Effects of comprehensive lifestyle modification on diet, weight, physical fitness, and blood pressure control: 18-month results of a randomized trial. Ann Intern Med 144:485–495PubMedCrossRef


4.

He J, Reynolds K, Chen J, Chen CS et al (2007) Cigarette smoking and erectile dysfunction among Chinese men without clinical vascular disease. Am J Epidemiol 166:803–809PubMedCrossRef


5.

Huisman M, Kunst AE, Mackenbach JP (2005) Inequalities in the prevalence of smoking in the European Union: comparing education and income. Prev Med 40(6):756–764PubMedCrossRef


6.

Pourmand G, Alidaee MR, Rasuli S, Maleki A et al (2004) Do cigarette smokers with erectile dysfunction benefit from stopping?: a prospective study. BJU Int 94:1310–1313PubMedCrossRef


7.

Sighinolfi MC, Mofferdin A, De Stefani S, Micali S et al (2007) Immediate improvement in penile hemodynamics after cessation of smoking: previous results. Urology 69:163–165PubMedCrossRef


8.

Harte CB, Meston CM (2012) Association between smoking cessation and sexual health in men. BJU Int 109(6):888–896PubMedCentralPubMedCrossRef
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Jul 10, 2016 | Posted by in CARDIOLOGY | Comments Off on Lifestyle Modification in Erectile Dysfunction and Hypertension

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