title: Relationship between metabolic syndrome and erectile dysfunction.
abstract: OBJECTIVE
  To determine the relationship between metabolic syndrome (MS) and erectile dysfunction (ED) and to see which risk factors correlated the best with ED.
  
  
  METHODS
  Seventy-nine cardiology clinic outpatients with coronary artery disease (CAD) and lipid metabolism disorder were recruited. They were categorized as having MS, hypertension (blood pressure greater than 130/85 mmHg) and dyslipidemia. ED was classified based on International Index of Erectile Function scores. Patients were grouped into quartiles based on body mass index (BMI). Chi-square, Pearson's correlation and regression tests were used for statistical analysis.
  
  
  RESULTS
  The mean age of the patients was 56.6 years. ED was diagnosed in 59 (74.7 %) of the 79 patients. In the 38 patients with MS, all had ED. ED was not significantly correlated with cholesterol levels (P>0.05), but was found often in patients who had both hypercholesterolemia and HT (P<0.01). Nineteen (76 %) of the 25 patients who had dyslipidemia had ED. However, ED was not significantly correlated with dyslipidemia (P >0.05). Twenty-two of the 23 patients who had BMI greater than 30 had ED, which was significantly more prevalent than that in those who had normal BMI (P<0.01). ED was seen in 38 of 53 smoker patients. Although ED was more prevalent in cigarette smokers, it was not significantly different from non-smokers (P>0.5).
  
  
  CONCLUSIONS
  ED is present in a high percentage of patients with MS. Among multiple risk factors for ED, MS correlates the most highly. The next most important risk group is the patients with hypertension +hypercholestrolemia and obesity (BMI 30).
authors.affiliation: Department of Urology, Celal Bayar University, Manisa, Turkey. ilker_gunduz@hotmail.com.
authors.forename: M I
authors.initials: MI
authors.lastname: Gündüz
authors.forename: B H
authors.initials: BH
authors.lastname: Gümüs
authors.forename: C
authors.initials: C
authors.lastname: Sekuri
mesh_terms: D000328:Adult; D000368:Aged; D015992:Body Mass Index; D003324:Coronary Artery Disease / Q000150:complications / Q000453:epidemiology; D007172:Erectile Dysfunction / Q000150:complications* / Q000453:epidemiology*; D006801:Humans; D006937:Hypercholesterolemia / Q000150:complications / Q000453:epidemiology; D006949:Hyperlipidemias / Q000150:complications / Q000453:epidemiology; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications* / Q000453:epidemiology*; D008875:Middle Aged; D012307:Risk Factors