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International Journal of Epidemiology 2000;29:524-531
© International Epidemiological Association 2000

Erectile dysfunction in Type 1 and Type 2 diabetics in Italy

Domenico Fedelea, Angela Bortolottib, Carlo Coscellic, Fausto Santeusaniod, Liliane Chatenoudb, Enrico Collie, Maurizio Lavezzarif, Marina Landonif, Fabio Parazzinib and on behalf of Gruppo Italiano Studio Deficit Erettile nei Diabetici,g

a Cattedra Malattie Metaboliche, Università di Padova, Padova, Italy.
b Istituto ‘Mario Negri’, Milano, Italy.
c Prima Divisione Medica, Ospedale di Parma, Parma, Italy.
d Cattedra di Endocrinologia, Università di Perugia, Perugia, Italy.
e Research and Development, Medical Department, Pharmacia & Upjohn, Kalamazoo, USA.
f Direzione Medica, Pharmacia & Upjohn Italia, Milano, Italy.

Reprint requests to: Fabio Parazzini, Istituto di Ricerche Farmacologiche ‘Mario Negri’, Via Eritrea, 62, 20157 Milano, Italy. E-mail: parazzini{at}irfmn.mnegri.it

Background Several studies reported data on the increased risk of erectile dysfunction (ED) in populations of diabetic men, but few presented data separately for Type 1 and Type 2 subjects. No comparison data for these diabetic subgroups are available with regard to risk factors for ED.

Methods Eligible for the study were men aged 20–69 years with a diagnosis of insulin-dependent (Type 1) or non-insulin-dependent (Type 2) diabetes who were observed on randomly selected days in 178 diabetes centres in Italy. Erectile dysfunction was defined as a failure to achieve and maintain an erection sufficient for satisfactory sexual performance.

Results The study population consisted of 1383 Type 1 and 8373 Type 2 men. The prevalence of ED increased with age for both groups. After taking into account the effect of age Type 2 men (37/100 men) tend to report ED less frequently than Type 1 men (51/100 men). A significant positive relationship was reported between ED and poor metabolic control and smoking for both Type 1 and Type 2 men, whereas high body mass index (BMI) increased only the risk of ED in Type 1 cases.

Conclusions The study offers a quantitative estimate of the prevalence of ED and its main risk factors in Type 1 and Type 2 diabetic subgroups.

Keywords Diabetes, erectile dysfunction, risk factors

Accepted 5 January 2000


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