title: Importance of Different Grades of Abdominal Obesity on Testosterone Level, Erectile Dysfunction, and Clinical Coincidence.
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.
authors.affiliation: 1 Comenius University, Bratislava, Slovak Republic.
authors.forename: Juraj
authors.initials: J
authors.lastname: Fillo
authors.affiliation: 1 Comenius University, Bratislava, Slovak Republic.
authors.forename: Michaela
authors.initials: M
authors.lastname: Levcikova
authors.affiliation: 2 St. Elizabeth University of Health and Social Sciences, Bratislava, Slovak Republic.|3 Pharm-In, Bratislava, Slovak Republic.
authors.forename: Martina
authors.initials: M
authors.lastname: Ondrusova
authors.affiliation: 1 Comenius University, Bratislava, Slovak Republic.
authors.forename: Jan
authors.initials: J
authors.lastname: Breza
authors.affiliation: 1 Comenius University, Bratislava, Slovak Republic.
authors.forename: Peter
authors.initials: P
authors.lastname: Labas
mesh_terms: D000328:Adult; D015992:Body Mass Index; D002983:Clinical Competence; D015897:Comorbidity; D003430:Cross-Sectional Studies; D007172:Erectile Dysfunction / Q000175:diagnosis* / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D024821:Metabolic Syndrome / Q000453:epidemiology*; D008875:Middle Aged; D056128:Obesity, Abdominal / Q000150:complications / Q000453:epidemiology*; D012307:Risk Factors; D013739:Testosterone / Q000172:deficiency*; D055105:Waist Circumference
chemical_list: D013739:Testosterone
keywords: abdominal obesity; erectile dysfunction; metabolic syndrome; testosterone deficiency syndrome