Wider Waistlines Put Damper on Men’s Sex Lives: Study

WEDNESDAY, Aug. 1 (HealthDay News) — For men, adding more inches
to the waistline could mean trouble in the bedroom, a new study finds.

Obese men not only raise their risk for heart disease and metabolic
disorders, but they may also boost their odds for sexual dysfunction and
frequent urination, say researchers from New York-Presbyterian
Hospital/Weill Cornell Medical Center, in New York City.

“The findings demonstrate that obesity in men — part of a growing
global epidemic — affects their well-being in profound ways,” study
senior author Dr. Steven Kaplan, professor of urology at the medical
school and chief of the hospital’s Institute for Bladder and Prostate
Health, said in a hospital news release.

He said the findings highlight the notion that “we have to think of the
body in a much more holistic way. What we eat can have devastating
consequences on more than just our hearts. Quality-of-life issues, such as
sexual and voiding health, can be affected as well in drastic ways.”

The researchers examined more than 400 men with lower urinary tract
symptoms, such as more frequent urination during the day and at night. The
men ranged from 40 to 91 years of age. Of these men, 37.5 percent had a
waist circumference of less than 36 inches, about one-third had a
waistline between 36 and 40 inches and 29 percent had waists larger than
40 inches.

Obesity also affected the men’s sexual health, the study revealed.
After surveying the men, the investigators found that about three-quarters
of those with the largest waists experienced erectile dysfunction and 65
percent had problems with ejaculation.

But as obesity lessened, sexual function improved. Erectile
dysfunction was only reported in half of the men with 36- to 40-inch
waists, the researchers noted, and only 40 percent of the men in this
group also experienced problems with ejaculation.

Of the men with the smallest waists, 32 percent reported erectile
dysfunction and 21 percent had problems ejaculating, the survey
indicated.

The study also found that the men with larger waists were affected by
more frequent urination. Almost four out of every 10 men with the largest
waist measurements urinated more than eight times in 24 hours. In
comparison, this was true for only 27 percent of men with waistlines
measuring between 36 and 40 inches and just 16 percent of men with the
smallest waist size.

Although the researchers are uncertain about why obesity is linked to
sexual and urinary problems, they suggested changes in blood flow to the
pelvis may be a contributing factor. They also speculated that changes in
hormone levels due to obesity could also play a role.

“We now have an expanded understanding of how obesity can impact the
health of men, and a simple way to recognize which men might be affected
in these ways,” concluded Kaplan. “This adds even more importance to the
recommendation that men should maintain a healthy weight for their overall
well-being.”

The researchers added that losing weight could improve men’s sexual and
urinary health. They noted that after their study was completed,
additional research also revealed that trimming just two-and-a-half inches
from the waistline could dramatically improve men’s sexual dysfunction and
frequent urination.

The findings offer doctors a simple way to determine which men may be
at greater risk for sexual dysfunction or urinary problems, the study’s
authors said. “Measuring a man’s waistline is easy, noninvasive and does
not require extensive testing,” Kaplan noted.

In addition to urinary and sexual dysfunction, men with larger waists
are also more likely to be affected by coronary artery disease, type 2
diabetes, high blood pressure and cholesterol, the study authors
found.

The study was published in the August issue of the British Journal
of Urology International
.

More information

The U.S. National Library of Medicine has more about
obesity
.

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