The Effect of Musculoskeletal Pain on Sexual Function in Middle-aged and Elderly European Men: Results from the European Male Ageing Study

Objective.To determine whether musculoskeletal pain was associated with impaired sexual function in a population sample of middle-aged and older men.Methods.The European Male Ageing Study (EMAS), a multicenter population-based study of men aged 40–79 years, was used to investigate this hypothesis. A questionnaire asked about the presence and duration of musculoskeletal pain, allowing subjects to be classified into 1 of 3 groups: those reporting chronic widespread pain (CWP), those reporting pain but not CWP (“some pain”), and those with no pain. Subjects completed a sexual function questionnaire from which 3 domains were considered: overall sexual functioning (OSF), sexual functioning-related distress (SFD), and change in sexual functioning compared to 1 year ago (CSF).Results.A total of 3206 men [mean age 60 (SD 11) yrs] had complete data on pain status. Of these, 8.7% had CWP and 50.34% had “some pain.” Pain was associated with lower OSF, and higher SFD and CSF scores. After adjustment for putative confounding factors, the associations became non-significant with OSF and CSF but persisted for SFD. Associations between pain status and some items within the sexual functioning domains, including frequency of sexual intercourse, frequency of morning erections, sexual desire, and orgasm were also significant, although these associations varied by pain status.Conclusion.Musculoskeletal pain is associated with several aspects of sexual functioning. These relationships differ depending on the extent of the pain (chronic or not) and are also largely confounded by other health-related factors, primarily depression.

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P-01-058 Evaluation of sexuality between 26-36-year-old healthy and type 1 diabetic men using European male ageing study sexual functioning questionnaire

Journal of Sexual Medicine ◽

10.1016/j.jsxm.2016.03.208 ◽

2016 ◽

Vol 13 (5) ◽

pp. S161

Author(s):

T. Kurakovas ◽

I. Matuleviciute ◽

I. Banisauskaite ◽

J. Jureviciute ◽

A. Galkine ◽

...

Keyword(s):

Sexual Functioning ◽

Ageing Study ◽

Male Ageing

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Perturbed Insulin-like Growth Factor-1 (IGF-1) and IGF Binding Protein-3 Are Not Associated with Chronic Widespread Pain in Men: Results from the European Male Ageing Study

The Journal of Rheumatology ◽

10.3899/jrheum.090113 ◽

2009 ◽

Vol 36 (11) ◽

pp. 2523-2530 ◽

Cited By ~ 3

Author(s):

JOHN McBETH ◽

ABDELOUAHID TAJAR ◽

TERENCE W. O’NEILL ◽

GARY J. MACFARLANE ◽

STEPHEN R. PYE ◽

...

Keyword(s):

Growth Factor ◽

Binding Protein ◽

Chronic Widespread Pain ◽

Insulin Like Growth Factor ◽

Widespread Pain ◽

Ageing Study ◽

Igf Binding ◽

Igf Binding Protein ◽

Male Ageing ◽

Igfbp 3

Objective.To determine whether perturbations of insulin-like growth factor-1 (IGF-1) and IGF binding protein-3 (IGFBP-3) were associated with the presence of chronic widespread pain (CWP) in men.Methods.The European Male Ageing Study (EMAS) is an 8-center population-based study of men aged 40–79 years recruited from population registers. A questionnaire asked about the presence and duration of musculoskeletal pain, from which subjects reporting CWP were identified. Subjects also had an interviewer-assisted questionnaire: levels of physical activity and mood were assessed, and height and weight were measured. IGF-1 and IGFBP-3 were assayed from a fasting blood sample. Logistic regression models were used to determine the association between IGF measures and CWP. Results were expressed as odds ratios or relative risk ratios.Results.A total of 3206 subjects provided full data. Of those, 1314 (39.0%) reported no pain in the past month and 278 (8.3%) reported pain that satisfied criteria for CWP. IGF-1 concentrations were similar among subjects who reported no pain and those with CWP: 131.5 mg/l and 128.4 mg/l, respectively. This was true also for IGFBP-3 (4.3 and 4.3 mg/l). Obesity was associated with low IGF-1 and a high IGFBP-3/IGF-1 ratio, indicating less bioavailable IGF-1, irrespective of pain status. This relationship persisted after adjustment for comorbidities, depression, smoking, alcohol consumption, and quality of life.Conclusion.Overall CWP was not associated with perturbations in IGF-1 and IGFBP-3 concentrations. Hypofunctioning of the axis was noted among subjects who were obese and this was not specific to CWP. These data suggest that IGF-1 is unlikely to be etiologically important in relation to CWP, although the relationship with growth hormone remains to be elucidated.

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Association of cognitive performance with the metabolic syndrome and with glycaemia in middle-aged and older European men: the European Male Ageing Study

Diabetes/Metabolism Research and Reviews ◽

10.1002/dmrr.1144 ◽

2010 ◽

Vol 26 (8) ◽

pp. 668-676 ◽

Cited By ~ 35

Author(s):

Jos Tournoy ◽

David M. Lee ◽

Neil Pendleton ◽

Terence W. O'Neill ◽

Daryl B. O'Connor ◽

...

Keyword(s):

Metabolic Syndrome ◽

Cognitive Performance ◽

Middle Aged ◽

The Metabolic Syndrome ◽

Ageing Study ◽

Male Ageing

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Assessment of Sexual Health in Aging Men in Europe: Development and Validation of the European Male Ageing Study Sexual Function Questionnaire

Journal of Sexual Medicine ◽

10.1111/j.1743-6109.2008.00781.x ◽

2008 ◽

Vol 5 (6) ◽

pp. 1374-1385 ◽

Cited By ~ 55

Author(s):

Daryl B. O'Connor ◽

Giovanni Corona ◽

Gianni Forti ◽

Abdelouahid Tajar ◽

David M. Lee ◽

...

Keyword(s):

Sexual Health ◽

Sexual Function ◽

Aging Men ◽

Ageing Study ◽

Development And Validation ◽

Male Ageing ◽

Sexual Function Questionnaire

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33. Low Vitamin D and the Risk of Developing Chronic Widespread Pain: Results from the European Male Ageing Study

Rheumatology ◽

10.1093/rheumatology/keu097.001 ◽

2014 ◽

Vol 53 (suppl_1) ◽

pp. i67-i68

Author(s):

Paul S. McCabe ◽

Stephen R. Pye ◽

John McBeth ◽

David M. Lee ◽

Gyorgy Bartfai ◽

...

Keyword(s):

Vitamin D ◽

Chronic Widespread Pain ◽

Widespread Pain ◽

Ageing Study ◽

Male Ageing

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Sexuality of 26 - 36-Year-Old Lithuanian Healthy and Type-1 Diabetic Males (Comparison with Older than 40 Years Men Sexuality of 8 European Countries)

Klinička psihologija ◽

10.21465/2016-kp-op-0063 ◽

2016 ◽

Vol 9 (1) ◽

pp. 93-93

Author(s):

V. Matulevicius ◽

◽

I. Banisauskaite ◽

I. Matuleviciute ◽

J. Jureviciute ◽

...

Keyword(s):

Erectile Dysfunction ◽

Sexual Function ◽

Sexual Activity ◽

Ageing Study ◽

Show Difference ◽

The One ◽

Clear Predominance ◽

Male Ageing ◽

Sexual Function Questionnaire

Objective: To determine the relation of the European Male Ageing Study (EMAS) Sexual function questionnaire (SFQ) parameters in the groups of healthy (H) and type 1 diabetic (T1D) males and in groups of different ages and different centers of EMAS. Design and Method: The evaluation of EMAS SFQ of 204 persons: 82 H and 122 T1D patients was performed. The answers to the questions characterizing various domains of sexual activity were analyzed. Results: Results. Eight sexual parameters were counted. The ratio of H males (%) /40 - 49-year-old EMAS males (%) was above 1, except the frequency of erectile dysfunction which is very low in the group of H males and extremely high in the group of T1D males. The results were similar when the 50 - 59-year-old EMAS group was taken in comparison to H males. The H males group shows even more clear predominance while T1D males are similar to 50 - 59-year-old EMAS males. Comparing the results of H males and EMAS males from various centers the rarity of H erectile dysfunction and higher frequency of masturbation become apparent. Other parameters do not show difference in comparison to EMAS centers. Conclusions: Conclusions. The sexuality of H males is above the one of EMAS 40 - 49-year-old males, while the sexuality of T1D males is similar to the sexuality of EMAS 50 - 59-year-old males. The erectile dysfunction is rare and the frequency of masturbation is higher when H males are compared to the various ages EMAS males from different centers.

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