Abstract
Background: Erectile Dysfunction (ED) has affected people suffering from Obstructive Sleep Apnea Syndrome (OSAS) and multiple studies have confirmed this correlation. Objective: The objective of the is to identify the association between ED and Obstructive Sleep Apnea (OSA) in nonobese, nondiabetic men based on the International Index of Erectile Function (IIEF). Methods: This retrospective cross-sectional study included 143 nonobese, nondiabetic men with OSA (age, ≥20 years) who visited the Sleep Outpatient Clinic of the Otorhinolaryngology Department at Hospital Naval Marcílio Dias from May 2017 to August 2018. Patient age, body mass index (BMI), drinking, smoking, laboratory diagnosis of hypogonadism based on total testosterone levels, and sleep parameters (e.g., apnea–hypopnea index, rapid eye movement density, and minimum Oxygen Saturation [SatO2]) were considered. Analysis of variance was used to evaluate means. The chi-squared test and Fisher’s exact test were used to compare variables and Person’s correlation coefficient was used to analyze numerical variables. Results: The mean minimum SatO2 was 78.89%, and 46% of patients exhibited minimum SatO2 <80%. Moreover, minimum SatO2 of <80% and increasing age were associated with ED complaints based on IIEF scores,. A laboratory diagnosis of hypogonadism was associated with increased BMI, and aging was associated with SatO2. Conclusion: The results of the study revealed that oxygen desaturation of <80% was related to complaints of ED from the IIEF. Moreover, a relationship between laboratory hypogonadism and increased BMI values, aging, and oxygen desaturation has been demonstrated. Therefore, we recommend polysomnography in patients with ED complaints.
Highlights
Sleep quality is a fundamentally important factor to promote health and quality of life [1, 2]
The results of the study revealed that oxygen desaturation of
The following data were collected during previous visits as part of routine procedures in the Outpatient Sleep Clinic and registered in electronic medical records: age, systemic hypertension, smoking, drinking, laboratory diagnosis of hypogonadism based on TT levels, body mass index (BMI), IIEF questionnaire score, and PSG parameters (Apnea–Hypopnea Index [AHI], percentage of rapid eye movement (REM) sleep, and minimum Oxygen Saturation [SatO2])
Summary
The following data were collected in a previous routine consultation at the institution’s clinic for sleep disorders and entered into an electronic medical record: age (on the day when basal PSG was performed), presence of systemic arterial hypertension, smoking, alcohol consumption, laboratory tests for hypogonadism including TT levels, BMI, score in the International Index of Erectile Function (IIEF) questionnaire (answered by the patient), and PSG parameters (AHI, percentage of REM sleep, and minimum SatO2). The following data were collected during previous visits as part of routine procedures in the Outpatient Sleep Clinic and registered in electronic medical records: age (on the day of baseline PSG), systemic hypertension, smoking, drinking, laboratory diagnosis of hypogonadism based on TT levels, BMI, IIEF questionnaire score (completed by the patients themselves), and PSG parameters (Apnea–Hypopnea Index [AHI], percentage of REM sleep, and minimum Oxygen Saturation [SatO2]). The following software programs were used: STATISTICA 8.0
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