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. 2017 Mar;11(2):240-245.
doi: 10.1177/1557988316642213. Epub 2016 Jul 8.

Importance of Different Grades of Abdominal Obesity on Testosterone Level, Erectile Dysfunction, and Clinical Coincidence

Juraj Fillo  1 , Michaela Levcikova  1 , Martina Ondrusova  2   3 , Jan Breza  1 , Peter Labas  1
Affiliations

Importance of Different Grades of Abdominal Obesity on Testosterone Level, Erectile Dysfunction, and Clinical Coincidence

Juraj Fillo et al. Am J Mens Health. 2017 Mar.

Abstract

The aim of the current study was to investigate the influence of different grades of abdominal obesity (AO) on the prevalence of testosterone deficiency syndrome (TDS), erectile dysfunction (ED), and metabolic syndrome (MetS). In a cross-sectional descriptive study, a total of 216 males underwent a complete urological, internal, and hormonal evaluation. Males were divided according to waist circumference into five groups: less than 94 cm (Grade [G] 0), 94 to 101 cm (G1), 102 to 109 cm (G2), 110 to 119 cm (G3), and more than 120 cm (G4). Incidence of ED, TDS, and MetS was compared in these groups and in participants without AO. Some degree of ED was identified in 74.7% of males with AO. In G1, there were 61% of males with ED, in G2 68%, in G3 83%, and in G4 87%. A strong correlation between testosterone (TST) level and AO was identified. Ninety-eight out of 198 (49.5%) males with AO and 1/18 (5.5%) males without AO had TDS. There were significant differences between individual groups. In the group of males with AO G4 (more than 120 cm), 87.1% had TDS. MetS was diagnosed in 105/198 (53.0%) males with AO, but in G4, 83.9% of males with AO had MetS. Males older than 40 years of age with AO have a higher incidence of ED, TDS, and MetS. Dividing males into five groups according to waist circumference seems to be reasonable. With growing AO, there were significantly more males with ED, TDS, and MetS.

Keywords: abdominal obesity; erectile dysfunction; metabolic syndrome; testosterone deficiency syndrome.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Abdominal obesity and EDa. Note. ED = erectile dysfunction; IIEF 5 = International Index of Erectile Function. aPoints from the IIEF 5 questionnaire.
Figure 2.
Figure 2.
Influence of AO on TST level. Note. AO = abdominal obesity; TST = testosterone.
Figure 3.
Figure 3.
Points from AMS questionnaire and AO grade. Note. AO = abdominal obesity; AMS = Aging Males’ Symptoms Scale.
Figure 4.
Figure 4.
Metabolic syndrome and abdominal obesity.
See this image and copyright information in PMC

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