Additionally, questions remain
Prostate quiz as to the quantitative effects lifestyle modification and supplemental therapies can have on the natural history of ED. The
Prostate quiz aim of this review is to delineate lifestyle choices which may impose an increased risk of developing ED, present relevant studies addressing behavioral factors correlated with ED, Prostate quiz as well as highlight proposed mechanisms for intervention aimed at improving erectile function in men with ED. Go to: Smoking Smoking has been shown in several studies to be positively associated with an increased risk of ED. Longitudinal epidemiologic studies have prostate quiz reported a relative risk of developing ED 1.5–2 times more in smokers in comparison to non-smokers (7,8,26,27). In the Boston Area Community Health survey, a cross-sectional study of prostate quiz 2,301 men, a dose-response relationship was demonstrated between smoking and ED (28). Significance was achieved at 20-pack years cumulative exposure after adjusting for risk factors of Prostate quiz age, CVD, and diabetes. Though not found to be prostate quiz significant, passive smoking exposure trended toward a significant risk of ED. While this study prostate quiz design is subject to prostate quiz recall bias, it may provide important information when quantifying risk of ED due to smoking exposure. Positive dose-response association between quantity and duration of smoking with risk of ED was confirmed in a meta-analysis of observational epidemiologic studies (29). The investigators found an incremental increased risk prostate quiz prostate quiz of ED per 10 cigarettes smoked per day and Prostate quiz 10 years of smoking, by 14% and 15%, respectively. An individualized inverse dose-response relationship was seen in male smokers undergoing polysomnographic assessment of nocturnal penile tumescence (NPT), where the highest consumers of cigarettes (>40 cigarettes per day) prostate quiz had the fewest minutes of nocturnal tumescence and detumesced fastest (30).
At a molecular and cellular level in the animal model, cigarette smoking (CS) is linked to significantly higher markers of oxidative stress and cavernosal tissue apoptosis (31). CS exposed rats were noted to have significantly lower expression of cavernosal neuronal nitric oxide synthase (Prostate quiz nNOS) and decreased endothelial and smooth muscle content, supporting the role of endothelial dysfunction in pathophysiology of ED (12).
The effect of smoking cessation on erectile function has also been examined. prospectively studied a sample of men prostate quiz with ED and smoking as their only risk factor; excluded were men with other risk factors for ED such as diabetes, hypertension, dyslipidemia, peripheral vascular disease, psychiatric disorders, and renal failure. At baseline, severity of ED was found to be significantly Prostate quiz correlated to duration of exposure in pack-years (32). At follow-up 1 year after smoking cessation, patients who successfully stopped smoking (ex-smokers) had a 25% improvement in erectile function, while men who continued (current smokers) did not improve. Additionally, a larger proportion of current smokers (7%) than ex-smokers (2.5%) had worsening of their baseline ED.
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