El Kavrama Gücü ve Erektil Disfonksiyon Arasındaki İlişki

Öz

Bu çalışmanın amacı, 40 yaş üstü erkeklerde el kavrama gücü (HGS) ile erektil disfonksiyon (ED) arasındaki ilişkiyi araştırmaktır. Çalışma, el kavrama gücünün ED şiddeti ve ilişkili sağlık koşullarının bir göstergesi olarak hizmet edip edemeyeceğini belirlemeyi amaçlamaktadır. Bu çalışmada, 301 erkek katılımcı standartlaştırılmış protokoller kullanılarak ED ve el kavrama gücü açısından değerlendirilmiştir. Katılımcılar ED şiddeti, komorbiditeler ve depresyonu değerlendiren anketleri doldururken, el kavrama gücü bir dinamometre kullanılarak ölçülmüş ve elde edilen verilerin ilişkisi değerlendirilmiştir. Erektil disfonksiyon ED'si olan katılımcılar, ED'si olmayanlara kıyasla daha düşük el kavrama gücü HGS ile birlikte daha yüksek alkol ve sigara tüketimi, komorbiditeler ve depresyon oranlarına sahipti. Ayrıca, düşük el kavrama gücü daha şiddetli ED ve hipertansiyon, diyabet ve koroner arter hastalığı gibi komorbid durumların daha yüksek prevalansı ile ilişkiliydi. Çalışmamız, özellikle birden fazla komorbiditesi olan hastalarda, ED şiddetinin bir göstergesi olarak el kavrama gücü HGS'nin potansiyelinin altını çizmektedir. Kesitsel tasarım nedeniyle nedensellik kurulamasa da, bulgular ED yönetimini geliştirmek için HGS ölçümlerinin klinik uygulamaya entegrasyonunu desteklemekte ve fiziksel uygunluğun cinsel sağlıktaki rolünü vurgulamaktadır.

Anahtar Kelimeler

• erektil disfonksiyon
• İEFF
• hand grip

The Relationship Between Hand Grip Strength and Erectile Dysfunction

Öz

The purpose of this study is to investigate the relationship between hand grip strength (HGS) and erectile dysfunction (ED) in men over 40 years old. The study aims to determine if HGS can serve as an indicator of ED severity and associated health conditions. In this study, 301 male participants were assessed for ED and HGS using standardised protocols. Participants completed questionnaires assessing ED severity, comorbidities and depression, while HGS was measured using a dynamometer and the relationship of the data obtained was evaluated. Participants with erectile dysfunction ED had higher rates of alcohol and cigarette consumption, comorbidities, and depression, along with lower hand grip strength HGS compared to those without ED. Additionally, lower HGS was associated with more severe ED and a higher prevalence of comorbid conditions such as hypertension, diabetes, and coronary artery disease. Our study underscores the potential of hand grip strength HGS as an indicator of ED severity, especially in patients with multiple comorbidities. While causality cannot be established due to the cross-sectional design, the findings support the integration of HGS measurements into clinical practice to enhance ED management and highlight the role of physical fitness in sexual health.

Anahtar Kelimeler

• erectile dysfunction
• hand grip
• IEFF

Kaynakça

1. 1. Çayan S, Kendirci M, Yaman Ö, Aşçı R, Orhan İ, Usta MF, et al. Prevalence of erectile dysfunction in men over 40 years of age in Turkey: Results from the Turkish Society of Andrology Male Sexual Health Study Group. Turk J Urol. 2017;43(2):122–9.
2. 2. Sangiorgi G, Cereda A, Benedetto D, Bonanni M, Chiricolo G , Cota et al. Anatomy, pathophysiology, molecular mechanisms, and clinical management of erectile dysfunction in patients affected by coronary artery disease: A review. Biomedicines. 2021;9(4):432.
3. 3. Parmar RS, Verma S, Neelkamal, Pathak VK, Bhadoria AS. Prevalence of erectile dysfunction in Type 2 diabetes mellitus (T2DM) and its predictors among diabetic men. J Family Med Prim Care. 2022;11(7):3875-9.
4. 4. Kumagai H, Yoshikawa T, Myoenzono K, Kosaki K, Akazawa N, Tanahashi K, 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.
5. 5. Salonia A, Castagna G, Saccà A, Ferrari M, Capitanio U, Castiglione F, et al. Is erectile dysfunction a reliable proxy of general male health status? The case for the International Index of Erectile Function-Erectile Function domain. J Sex Med. 2012;9(10):2708-15.
6. 6. Cappelleri JC, Rosen RC, Smith MD, Mishra A, Osterloh IH. Diagnostic evaluation of the erectile function domain of the International Index of Erectile Function. Urology. 1999;54(2):346-51.
7. 7. Fujita N, Hatakeyama S, Momota M, Tobisawa Y, Yoneyama T, Okamoto T, et al. Associations of impaired grip strength and gait function with the severity of erectile dysfunction in men undergoing dialysis: a cross-sectional study. Aging Male. 2022;25(1):1-7.
8. 8. Kadir NANA, Abdul-Razak S, Daher AM, Nasir NM. Handgrip strength, and erectile dysfunction among men with metabolic syndrome attending an institutional primary care clinic in Malaysia: A cross-sectional study. J Family Med Prim Care. 2024;13(8):2900-11.

9. 9. Okamoto T, Hatakeyama S, Imai A, Konishi S, Okita K, Yamamoto H, et al. The Relationship Between Gait Function and Erectile Dysfunction: Results from a Community-Based Cross-Sectional Study in Japan. J Sex Med. 2019;16(12):1922-9.
10. 10. Lee YH, Kim JS, Jung SW, Hwang HS, Moon JY, Jeong KH, et al. Gait speed and handgrip strength as predictors of all-cause mortality and cardiovascular events in hemodialysis patients. BMC Nephrol. 2020;21(1):166.
11. 11. Uçak S, Sivritepe R, Kara O, Sevim E, Ortaboz D, Küçük EV, et al. Association between sarcopenia and erectile dysfunction in males with type II diabetes mellitus. Aging Male. 2019;22(1):20-7.
12. 12. Cetinus E, Buyukbese MA, Uzel M, Ekerbicer H, Karaoguz A. Hand grip strength in patients with type 2 diabetes mellitus. Diabetes Res Clin Pract. 2005 Dec;70(3):278-86.
13. 13. Surmeli DM, Karpuzcu HC, Atmis V, Cosarderelioglu C, Yalcin A, Varli M, et al. Association between sarcopenia and erectile dysfunction in older males. Arch Gerontol Geriatr. 2022;99:104619.
14. 14. Chung HS, Shin MH, Park K. Association between hand-grip strength and erectile dysfunction in older men. Aging Male. 2018;21(4):225-30.
15. 15. Silva AB, Sousa N, Azevedo LF, Martins C. Physical activity and exercise for erectile dysfunction: systematic review and meta-analysis. Br J Sports Med. 2017;51(19):1419-24.
16. 16. van Dijk SC, Swart KM, Ham AC, Enneman AW, van Wijngaarden JP, Feskens EJ, et al. Physical Fitness, Activity and Hand-Grip Strength Are Not Associated with Arterial Stiffness in Older Individuals. J Nutr Health Aging. 2015;19(7):779-84.