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[PMID]: | 28280316 |
[Au] Autor: | Toprak O; Sari Y; Koç A; Sari E; Kirik A |
[Ad] Endereço: | Division of Nephrology. |
[Ti] Título: | The impact of hypomagnesemia on erectile dysfunction in elderly, non-diabetic, stage 3 and 4 chronic kidney disease patients: a prospective cross-sectional study. |
[So] Source: | Clin Interv Aging;12:437-444, 2017. | [Is] ISSN: | 1178-1998 |
[Cp] País de publicação: | New Zealand |
[La] Idioma: | eng |
[Ab] Resumo: | BACKGROUND: Erectile dysfunction (ED) is common in older men with chronic kidney disease. Magnesium is essential for metabolism of nitric oxide which helps in penile erection. There is little information available about the influence of serum magnesium on ED. The aim of the study was to assess the influence of hypomagnesemia on ED in elderly chronic kidney disease patients. SUBJECTS AND METHODS: A total of 372 patients aged 65-85 years, with an estimated glomerular filtration rate of 60-15 mL/min/1.73 m , were divided into two groups according to serum magnesium levels: hypomagnesemia, n=180; and normomagnesemia, n=192. ED was assessed through the International Index of Erectile Function-5. Hypomagnesemia is defined as serum magnesium <1.8 mg/dL. RESULTS: The prevalence of ED was higher among hypomagnesemic subjects compared to that among normomagnesemics (93.3% vs 70.8%, <0.001). Severe ED (62.8% vs 43.8%, =0.037), mild-to-moderate ED (12.2% vs 5.2%, =0.016), abdominal obesity (37.2% vs 22.9%, =0.003), metabolic syndrome (38.4% vs 19.2%, =0.026), proteinuria (0.83±0.68 vs 0.69±0.48 mg/dL, =0.023), and C-reactive protein (6.1±4.9 vs 4.1±3.6 mg/L, <0.001) were high; high-density lipoprotein cholesterol (48.8±14.0 vs 52.6±13.5 mg/dL, =0.009), and albumin (4.02±0.53 vs 4.18±0.38 g/dL, =0.001) were low in the hypomagnesemia group. Serum magnesium ≤1.85 mg/dL was the best cutoff point for prediction of ED. Hypomagnesemia (relative risk [RR] 2.27), age ≥70 (RR 1.74), proteinuria (RR 1.80), smoking (RR 21.12), C-reactive protein (RR 1.34), abdominal obesity (RR 3.92), and hypertension (RR 2.14) were predictors of ED. CONCLUSION: Our data support that ED is related to hypomagnesemia in elderly patients with moderately to severely reduced kidney function. |
[Mh] Termos MeSH primário: |
Disfunção Erétil/epidemiologia Hipercalciúria/epidemiologia Nefrocalcinose/epidemiologia Insuficiência Renal Crônica/epidemiologia Erros Inatos do Transporte Tubular Renal/epidemiologia
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[Mh] Termos MeSH secundário: |
Idoso Idoso de 80 Anos ou mais Proteína C-Reativa/análise Estudos Transversais Taxa de Filtração Glomerular Seres Humanos Lipídeos/sangue Masculino Obesidade Abdominal/epidemiologia Estudos Prospectivos Índices de Gravidade do Trauma
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[Pt] Tipo de publicação: | JOURNAL ARTICLE |
[Nm] Nome de substância:
| 0 (Lipids); 9007-41-4 (C-Reactive Protein) |
[Em] Mês de entrada: | 1703 |
[Cu] Atualização por classe: | 170512 |
[Lr] Data última revisão:
| 170512 |
[Sb] Subgrupo de revista: | IM |
[Da] Data de entrada para processamento: | 170311 |
[St] Status: | MEDLINE |
[do] DOI: | 10.2147/CIA.S129377 |
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