scholarly journals Importance of Different Grades of Abdominal Obesity on Testosterone Level, Erectile Dysfunction, and Clinical Coincidence

2016 ◽  
Vol 11 (2) ◽  
pp. 240-245 ◽  
Author(s):  
Juraj Fillo ◽  
Michaela Levcikova ◽  
Martina Ondrusova ◽  
Jan Breza ◽  
Peter Labas

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.

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Fathimah S. Sigit ◽  
Dicky L. Tahapary ◽  
Stella Trompet ◽  
Erliyani Sartono ◽  
Ko Willems van Dijk ◽  
...  

Abstract Background The prevalence of metabolic syndrome varies among populations with different ethnicities. Asian populations develop metabolic complications at lower amounts of adiposity than western populations. The role of abdominal obesity in the metabolic differences between the two populations is poorly understood. Objectives Our objectives were to estimate the prevalence of metabolic syndrome and the relative contribution of its components in the Indonesian and the Dutch population, as well as to examine the associations of overall and abdominal obesity with metabolic syndrome. Methods In this cross-sectional study of middle-aged adults in the Netherlands Epidemiology of Obesity Study (n = 6602) and the Indonesian National Health Surveillance (n = 10,575), metabolic syndrome was defined by the unified IDF and AHA/NHLBI criteria. We performed logistic and linear regressions to examine associations of BMI and waist circumference with the metabolic syndrome, mutually adjusted for waist circumference and BMI. Results The prevalence of metabolic syndrome was 28% and 46% in Indonesian men and women, and 36% and 24% in Dutch men and women. The most prominent components were hypertension (61%) and hyperglycemia (51%) in the Indonesian, and hypertension (62%) and abdominal obesity (40%) in the Dutch population. Per SD in BMI and waist circumference, odds ratios (ORs, 95% CI) of metabolic syndrome were 1.5 (1.3–1.8) and 2.3 (1.9–2.7) in Indonesian men and 1.7 (1.2–2.5) and 2.9 (2.1–4.1) in Dutch men. The ORs of metabolic syndrome were 1.4 (1.2–1.6) and 2.3 (2.0–2.7) in Indonesian women and 1.0 (0.8–1.3) and 4.2 (3.2–5.4) in Dutch women. Conclusion More Indonesian women than men have metabolic syndrome, whereas the opposite is true for the Dutch population. In both the Indonesian and the Dutch populations, hypertension is the primary contributor to the prevalence of metabolic syndrome. In both populations, abdominal adiposity was more strongly associated with metabolic syndrome than overall adiposity.


2018 ◽  
Vol 199 (4S) ◽  
Author(s):  
Monique Novaes ◽  
Eduardo P. Miranda ◽  
Caroline S. Silva ◽  
Ricardo Tiraboschi ◽  
Mateus Alvaia ◽  
...  

2018 ◽  
Vol 1 (2) ◽  
pp. 35-38
Author(s):  
Ida Ayu Gde Wahyudevi Dharmika ◽  
Made Oka Negara ◽  
Yukhi Kurniawan

Background: Nutrition problem is a problem that often occurs in the population in the 21st century. One of the nutritional problems that often occur as a result of lifestyle is central obesity. Central obesity is a metabolic abnormality of the body accompanied by visceral fat accumulation in the abdominal area, and is an important health problem. Males are said to be central obese if abdominal circumference ≥ 90cm. In men, central obesity can lead to a decrease in testosterone levels. Testosterone Deficiency Syndrome (TDS) is a set of symptoms associated with decreased sexual satisfaction or decreased general state of feeling resulting from decreased testosterone levels in men. Method: A cross sectional analytical research conducted at Niti Mandala Renon Denpasar Field, with the number of sampelts 55 men aged 40-60 years. Sampelts filled out the Aging Males’ Symtomps (AMS) questionnaire, and also measured the abdominal circumference. Data were analyzed using SPSS program. Results: Of the 55 sampels, 41 (74.5%) were central obesity, and non-central obese were 14 (25.5%) sampels. It was found that there were 27 sampelts (29.1%) of sampelts who had TDS as many as 28 (50,9%) sampelts. From the result of chi-square test, there was significant correlation between central obesity with TDS in adult male in Denpasar (p = 0,016, RR = 5,176 (CI95% 1,252-21,411)). Conclusion: Central obese men have a risk of TDS 5.176 times faster as against who are not one.


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