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Current Sexual Health Reports
Erschienen in: Current Sexual Health Reports 1/2022

21.01.2022 | Male Sexual Dysfunction and Disorders (N Thirumavalavan, Section Editor)

Impact of Environmental and Dietary Issues on Male Sexual Health

verfasst von: Hosam Shalaby, Brian P. Dick, Joseph Kim, Omer A. Raheem, Suresh C. Sikka

Erschienen in: Current Sexual Health Reports | Ausgabe 1/2022

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Abstract

Purpose of Review

Erectile dysfunction, or the inability to achieve penile erection, can be caused by many pharmacological and non-pharmacological factors including smoking, diet, alcohol consumption, obesity, and environmental exposures. Therefore, encouragement of healthy routines can result in great improvement in sexual function. In this review, examples of lifestyle and diet types that burden male sexual function have been addressed in order to encourage healthier lifestyle.

Recent Findings

Radiant heat, chemical toxins, heavy metals, radio frequency electromagnetic fields, adherence to the Western diet, obesity, lack of exercise, and drug use negatively affect male sexual health through a variety of mechanisms including vascular dysfunction, hormonal dysfunction, and nitric oxide inhibition.

Summary

This systematic review reveals a captivating role between environmental exposures, dietary patterns, and reproductive and sexual health, especially erectile dysfunction that would serve as comprehensive guide aiding patients’ counseling and management.
Literatur
1.
2.
Fisher WA, et al. The multinational Men’s Attitudes to Life Events and Sexuality (MALES) Study Phase II: understanding PDE5 inhibitor treatment seeking patterns, among men with erectile dysfunction. J Sex Med. 2004;1(2):150–60.PubMed
3.
• Foy CG, et al. Blood pressure, sexual activity, and erectile function in hypertensive men: baseline findings from the Systolic Blood Pressure Intervention Trial (SPRINT). J Sex Med. 2019;16(2):235–47. This recent clinical trial describes role of most prevalant health problem i.e., hypertension as one of the major comorbidity factor affecting male sexual function.PubMedPubMedCentral
4.
National Center for Chronic Disease, P., S. Health promotion office on, and health, reports of the surgeon general, in the health consequences of smoking—50 years of progress: a report of the surgeon general. 2014, Centers for Disease Control and Prevention (US): Atlanta (GA).
5.
Wolters JP, Hellstrom WJ. Current concepts in ejaculatory dysfunction. Rev Urol. 2006;8(Suppl 4):S18–25.
6.
Waldinger MD, et al. Thyroid-stimulating hormone assessments in a Dutch cohort of 620 men with lifelong premature ejaculation without erectile dysfunction. J Sex Med. 2005;2(6):865–70.PubMed
7.
8.
Traish AM, Guay AT. Are androgens critical for penile erections in humans? Examining the clinical and preclinical evidence. J Sex Med. 2006;3(3):382–404; discussion 404–7.
9.
Gil-Vernet JM Jr, et al. Ejaculation in men: a dynamic endorectal ultrasonographical study. Br J Urol. 1994;73(4):442–8.PubMed
10.
Forbes CM, Flannigan R, Paduch DA. Perineal ultrasound: a review in the context of ejaculatory dysfunction. Sexual Medicine Reviews. 2018;6(3):419–28.PubMed
11.
12.
Levy J. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. The British Journal of Diabetes & Vascular Disease. 2002;2(4):278–80.
13.
Gratzke C, et al. Anatomy, physiology, and pathophysiology of erectile dysfunction. J Sex Med. 2010;7(1 Pt 2):445–75.PubMed
14.
15.
Jannini EA, Lenzi A. Ejaculatory disorders: epidemiology and current approaches to definition, classification and subtyping. World J Urol. 2005;23(2):68–75.PubMed
16.
Simons J, Carey MP. Prevalence of sexual dysfunctions: results from a decade of research. Arch Sex Behav. 2001;30(2):177–219.PubMedPubMedCentral
17.
Dick B, et al. Organic and psychogenic causes of sexual dysfunction in young men. International Journal of Medical Reviews. 2018;4(4):102–11.
18.
McCabe MP, et al. Incidence and prevalence of sexual dysfunction in women and men: a consensus statement from the Fourth International Consultation on Sexual Medicine 2015. J Sex Med. 2016;13(2):144–52.PubMed
19.
•• Park B, Lee YJ. Upcoming aging society and men’s health: focus on clinical implications of exercise and lifestyle modification. World J Mens Health. 2020;38(1):24–31. An important recent study directly correlating the impact of exercise and other life style factors that are likely to improve sexual function and overall health.PubMed
20.
Hamerezaee M, et al. Assessment of semen quality among workers exposed to heat stress: a cross-sectional study in a steel industry. Saf Health Work. 2018;9(2):232–5.PubMed
21.
Martin SA Jr, et al. DDT metabolite and androgens in African-American farmers. Epidemiology. 2002;13(4):454–8.PubMed
22.
Ghafouri-Khosrowshahi A, et al. Chronic exposure to organophosphate pesticides as an important challenge in promoting reproductive health: a comparative study. J Educ Health Promot. 2019;8:149.PubMedPubMedCentral
23.
Chinyere Nsonwu-Anyanwu A, et al. Heavy metals, biomarkers of oxidative stress and changes in sperm function: a case-control study. Int J Reprod Biomed. 2019;17(3):163–74.PubMedCentral
24.
Skovmand A, et al. Inhalation of welding fumes reduced sperm counts and high fat diet reduced testosterone levels; differential effects in Sprague Dawley and Brown Norway rats. Part Fibre Toxicol. 2020;17(1):2.PubMedPubMedCentral
25.
Miller AB, et al. Risks to health and well-being from radio-frequency radiation emitted by cell phones and other wireless devices. Front Public Health. 2019;7:223.PubMedPubMedCentral
26.
Lonstein JS, Linning-Duffy K, Yan L. Low daytime light intensity disrupts male copulatory behavior, and upregulates medial preoptic area steroid hormone and dopamine receptor expression, in a diurnal rodent model of seasonal affective disorder. Front Behav Neurosci. 2019;13:72.PubMedPubMedCentral
27.
Demir A, Uslu M, Arslan OE. The effect of seasonal variation on sexual behaviors in males and its correlation with hormone levels: a prospective clinical trial. Cent European J Urol. 2016;69(3):285–9.PubMedPubMedCentral
28.
Andersson AM, et al. Variation in levels of serum inhibin B, testosterone, estradiol, luteinizing hormone, follicle-stimulating hormone, and sex hormone-binding globulin in monthly samples from healthy men during a 17-month period: possible effects of seasons. J Clin Endocrinol Metab. 2003;88(2):932–7.PubMed
29.
Deng N, et al. The relationship between shift work and men’s health. Sex Med Rev. 2018;6(3):446–56.PubMed
30.
Pastuszak AW, et al. Poor sleep quality predicts hypogonadal symptoms and sexual dysfunction in male nonstandard shift workers. Urology. 2017;102:121–5.PubMed
31.
Rodriguez KM, et al. Shift work sleep disorder and night shift work significantly impair erectile function. J Sex Med. 2020;17(9):1687–93.PubMedPubMedCentral
32.
Kaur R, et al. Potential pathways of pesticide action on erectile function – a contributory factor in male infertility. Asian Pacific Journal of Reproduction. 2015;5.
33.
Polsky JY, et al. Pesticides and polychlorinated biphenyls as potential risk factors for erectile dysfunction. J Androl. 2007;28(1):28–37.PubMed
34.
35.
Bancroft J. Impact of environment, stress, occupational, and other hazards on sexuality and sexual behavior. Environ Health Perspect. 1993;101;(Suppl 2):101–7.
36.
Musa Obadia P, et al. Erectile dysfunction and mining-related jobs: an explorative study in Lubumbashi, Democratic Republic of Congo. Occup Environ Med. 2020;77(1):19–21.PubMed
37.
Macchi C, et al. Iron overload induces hypogonadism in male mice via extrahypothalamic mechanisms. Mol Cell Endocrinol. 2017;454:135–45.PubMed
38.
Wang Z, et al. Effects of electromagnetic fields exposure on plasma hormonal and inflammatory pathway biomarkers in male workers of a power plant. Int Arch Occup Environ Health. 2016;89(1):33–42.PubMed
39.
Asghari A, et al. A review on electromagnetic fields (EMFs) and the reproductive system. Electron Physician. 2016;8(7):2655–62.PubMedPubMedCentral
40.
Lin YY. et al. 1950MHz radio frequency electromagnetic radiation inhibits testosterone secretion of mouse Leydig cells. Int J Environ Res Public Health. 2017;15(1).
41.
42.
Agarwal A, et al. Effect of cell phone usage on semen analysis in men attending infertility clinic: an observational study. Fertil Steril. 2008;89(1):124–8.PubMed
43.
44.
Guo X, et al. Effect of cigarette smoking on nitric oxide, structural, and mechanical properties of mouse arteries. Am J Physiol Heart Circ Physiol. 2006;291(5):H2354–61.PubMed
45.
Pizzol D, et al. Relationship between cannabis use and erectile dysfunction: a systematic review and meta-analysis. Am J Mens Health. 2019;13(6):1557988319892464.PubMedPubMedCentral
46.
47.
Grover S, et al. Sexual dysfunction in patients with alcohol and opioid dependence. Indian J Psychol Med. 2014;36(4):355–65.PubMedPubMedCentral
48.
Wang XM, et al. Alcohol intake and risk of erectile dysfunction: a dose-response meta-analysis of observational studies. Int J Impot Res. 2018;30(6):342–51.PubMed
49.
Perrucci R, et al. The significance of shift work: current status and future directions. J Fam Econ Issues. 2007;28(4):600–17.
50.
Anis TH, et al. Chronic lead exposure may be associated with erectile dysfunction. J Sex Med. 2007;4(5):1428–34; discussion 1434–6.
51.
Gonulalan U, et al. Erectile dysfunction and depression in patients with chronic lead poisoning. Andrologia. 2013;45(6):397–401.PubMed
52.
Gautam R, et al. Oxidative stress-mediated alterations on sperm parameters in male Wistar rats exposed to 3G mobile phone radiation. Andrologia. 2019;51(3):e13201.
53.
54.
Meo SA, et al. Effects of mobile phone radiation on serum testosterone in Wistar albino rats. Saudi Med J. 2010;31(8):869–73.PubMed
55.
56.
Kovac JR, et al. Effects of cigarette smoking on erectile dysfunction. Andrologia. 2015;47(10):1087–92.PubMed
57.
Corona G, et al. People smoke for nicotine, but lose sexual and reproductive health for tar: a narrative review on the effect of cigarette smoking on male sexuality and reproduction. J Endocrinol Invest. 2020;43(10):1391–408.PubMed
58.
Emanuele MA, Emanuele NV. Alcohol’s effects on male reproduction. Alcohol Health Res World. 1998;22(3):195–201.PubMedPubMedCentral
59.
Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002;13(1):3–9.PubMed
60.
Key TJ, et al. Cancer incidence in vegetarians: results from the European Prospective Investigation into Cancer and Nutrition (EPIC-Oxford). Am J Clin Nutr. 2009;89(5):1620s–6s.PubMed
61.
Giugliano F, et al. Adherence to Mediterranean diet and erectile dysfunction in men with type 2 diabetes. J Sex Med. 2010;7(5):1911–7.PubMed
62.
Wang F, et al. Erectile dysfunction and fruit/vegetable consumption among diabetic Canadian men. Urology. 2013;82(6):1330–5.PubMed
63.
Ramírez R, et al. Erectile dysfunction and cardiovascular risk factors in a Mediterranean diet cohort. Intern Med J. 2016;46(1):52–6.PubMed
64.
Chen Y, et al. Relationship among diet habit and lower urinary tract symptoms and sexual function in outpatient-based males with LUTS/BPH: a multiregional and cross-sectional study in China. BMJ Open. 2016;6(8):e010863.
65.
ElJalby M, et al. The effect of diet on BPH. LUTS and ED World J Urol. 2019;37(6):1001–5.PubMed
66.
Hu TY, et al. Testosterone-associated dietary pattern predicts low testosterone levels and hypogonadism. Nutrients. 2018;10(11).
67.
Kurniawan AL, et al. Dietary patterns in relation to testosterone levels and severity of impaired kidney function among middle-aged and elderly men in Taiwan: a cross-sectional study. Nutr J. 2019;18(1):42.PubMedPubMedCentral
68.
Moran LJ, et al. Long-term effects of a randomised controlled trial comparing high protein or high carbohydrate weight loss diets on testosterone, SHBG, erectile and urinary function in overweight and obese men. PLoS One. 2016;11(9):e0161297.
69.
Shiri R, et al. Effect of chronic diseases on incidence of erectile dysfunction. Urology. 2003;62(6):1097–102.PubMed
70.
Moon KH, Park SY, Kim YW. Obesity and erectile dysfunction: from bench to clinical implication. World J Mens Health. 2019;37(2):138–47.PubMed
71.
Traish AM, Feeley RJ, Guay A. Mechanisms of obesity and related pathologies: androgen deficiency and endothelial dysfunction may be the link between obesity and erectile dysfunction. Febs j. 2009;276(20):5755–67.PubMed
72.
Giagulli VA, Kaufman JM, Vermeulen A. Pathogenesis of the decreased androgen levels in obese men. J Clin Endocrinol Metab. 1994;79(4):997–1000.PubMed
73.
Guay AT. Relation of endothelial cell function to erectile dysfunction: implications for treatment. Am J Cardiol. 2005;96(12b):52m–6m.PubMed
74.
Esfahani SB, Pal S. Obesity, mental health, and sexual dysfunction: a critical review. Health Psychol Open. 2018;5(2):2055102918786867.PubMedPubMedCentral
75.
Makhlouf A, Kparker A, Niederberger CS. Depression and erectile dysfunction. Urol Clin North Am. 2007;34(4):565–74, vii.
76.
Maiorino MI, Bellastella G, Esposito K. Diabetes and sexual dysfunction: current perspectives. Diabetes Metab Syndr Obes. 2014;7:95–105.PubMedPubMedCentral
77.
Fergus KB, et al. Exercise improves self-reported sexual function among physically active adults. J Sex Med. 2019;16(8):1236–45.PubMed
78.
Gerbild H, et al. Physical activity to improve erectile function: a systematic review of intervention studies. Sex Med. 2018;6(2):75–89.PubMedPubMedCentral
79.
Kumagai H, et al. Role of High Physical fitness in deterioration of male sexual function in Japanese adult men. Am J Mens Health. 2019;13(3):1557988319849171.PubMedPubMedCentral
80.
• Otsuki T, et al. Combined aerobic and low-intensity resistance exercise training increases basal nitric oxide production and decreases arterial stiffness in healthy older adults. J Clin Biochem Nutr. 2020;66(1):62–6. The study describes the nitric oxide pathway and its importance in managing erectile dysfunction in older men. Such mechanism explains the role of low-intensity resistance exercise and life style factors that improve sexual function and overall health.PubMed
81.
Hawkins VN, et al. Effect of exercise on serum sex hormones in men: a 12-month randomized clinical trial. Med Sci Sports Exerc. 2008;40(2):223–33.PubMedPubMedCentral
82.
Kumagai H, et al. Increased physical activity has a greater effect than reduced energy intake on lifestyle modification-induced increases in testosterone. J Clin Biochem Nutr. 2016;58(1):84–9.PubMed
Metadaten
Titel
Impact of Environmental and Dietary Issues on Male Sexual Health
verfasst von
Hosam Shalaby
Brian P. Dick
Joseph Kim
Omer A. Raheem
Suresh C. Sikka
Publikationsdatum
21.01.2022
Verlag
Springer US
Erschienen in
Current Sexual Health Reports / Ausgabe 1/2022
Print ISSN: 1548-3584
Elektronische ISSN: 1548-3592
DOI
https://doi.org/10.1007/s11930-021-00317-4

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