Physical activity to improve erectile function: a systematic review of intervention studies
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Introduction: The leading cause of erectile dysfunction (ED) is arterial dysfunction, with cardiovascular disease as the most common comorbidity. Therefore, ED is typically linked to a web of closely interrelated cardiovascular risk factors such as physical inactivity, obesity, hypertension, and metabolic syndrome. Physical activity (PA) has proved to be a protective factor against erectile problems, and it has been shown to improve erectile function for men affected by vascular ED. This systematic review estimated the levels of PA needed to decrease ED for men with physical inactivity, obesity, hypertension, metabolic syndrome, and/or manifest cardiovascular diseases. Aim: To provide recommendations of levels of PA needed to decrease ED for men with physical inactivity, obesity, hypertension, metabolic syndrome, and/or cardiovascular diseases. Methods: In accord with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic review was performed of research articles specifically investigating PA as a possible treatment of ED. The review included research on ED from physical inactivity, obesity, hypertension, metabolic syndrome, and/or cardiovascular diseases. All available studies from 2006 through 2016 were checked for the predetermined inclusion and exclusion criteria to analyze the levels of PA needed to decrease ED. Results: 10 articles met the inclusion criteria, all suggesting various levels of PA needed to decrease ED for men with relevant risk factors for ED. The results of the review provided sufficient research evidence for conclusions regarding the levels of PA necessary to decrease ED. Conclusion: Recommendations of PA to decrease ED should include supervised training consisting of 40 minutes of aerobic exercise of moderate to vigorous intensity 4 times per week. Overall, weekly exercise of 160 minutes for 6 months contributes to decreasing erectile problems in men with ED caused by physical inactivity, obesity, hypertension, metabolic syndrome, and/or cardiovascular diseases.
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The majority of research on exercise and sexual function has been in men with prostate cancer.
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- Authors
- Gerbild, H., Larsen, C. M., Graugaard, C., & Areskoug Josefsson, K.
- Affiliations
- University of Southern Denmark (DK)
- Aalborg University (DK)
- School of Health and Welfare , Jönköping , Sweden
- Corresponding author
- Gerbild, Helle
- Venue
- Sexual Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2018-04-13
- Volume
- 6
- Issue
- 2
- Pages
- 75-89
- ISSN
- 2050-1161 (ISSN-L)
- PMC
- PMC5960035
- OpenAlex
- W2802935173
- Cited by
- 121
- References
- 61
- Citations by year
- 2026: 10 · 2025: 11 · 2024: 16 · 2023: 16 · 2022: 17 · 2021: 24 · 2020: 13 · 2019: 11 · 2018: 3
- FWCI
- 1.94
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Sexual Medicine (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- VBN Forskningsportal (Aalborg Universitet) (publishedVersion, cc-by-nc-nd)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- erectile dysfunction, physical activity, exercise intervention, vasculogenic erectile dysfunction, cardiovascular risk factors, obesity, hypertension, metabolic syndrome, physical inactivity, aerobic exercise, supervised exercise
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