{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T23:12:23Z","timestamp":1776121943789,"version":"3.50.1"},"reference-count":41,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2017,10,6]],"date-time":"2017-10-06T00:00:00Z","timestamp":1507248000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2017,10,6]],"date-time":"2017-10-06T00:00:00Z","timestamp":1507248000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"funder":[{"name":"Central Satakunta Health Federation of Municipalities"},{"name":"Satakunta Health Care District"},{"name":"M.D. Paavo Ilmari Ahvenainen Foundation"}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Erectile dysfunction (ED) is the most common male sexual disorder that affects all age groups and has a close association with essential hypertension.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>To characterize the relation of blood pressure and ED in detail.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A cross-sectional population-based study of 45- to 70-year-old men without previously diagnosed hypertension, cardiovascular diseases, renal disease, or diabetes was conducted from 2005 to 2007 in southwestern Finland. A total of 665 men with at least one cardiovascular risk factor were studied. ED was defined by the five-item International Index of Erectile Function.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>We found a U-shaped association between diastolic blood pressure (DBP) and prevalence of ED.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The average age of the study subjects was 56 \u00b1 6 years and 52% had ED. After adjustment for age, cohabitation status, education, fasting plasma glucose level, waist circumference, and prevalence of depressive symptoms, the curve relating DBP to the prevalence of ED was U-shaped with a nadir of DBP 90 mm Hg.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Implications<\/jats:title>\n                  <jats:p>Our findings emphasize the importance of blood pressure measurement in the physical examination of men with ED.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Strengths and Limitations<\/jats:title>\n                  <jats:p>This was a cross-sectional study, which prevents the evaluation of causality between ED and hypertension. However, this community-based study population is well defined and the anthropologic measurements were made by trained medical staff.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>We found a U-shaped correlation between ED and DBP, which confirms the link between ED and hypertension.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1016\/j.jsxm.2017.09.007","type":"journal-article","created":{"date-parts":[[2017,10,12]],"date-time":"2017-10-12T11:00:32Z","timestamp":1507806032000},"page":"1336-1341","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":11,"title":["Relationship of Blood Pressure and Erectile Dysfunction in Men Without Previously Diagnosed Hypertension"],"prefix":"10.1093","volume":"14","author":[{"given":"Arto","family":"Heikkil\u00e4","sequence":"first","affiliation":[{"name":"Department of General Practice \u00a0 \u00a0 , Turku, , Finland"},{"name":"Turku University and Turku University Hospital \u00a0 \u00a0 , Turku, , Finland"},{"name":"Turku University \u00a0 \u00a0 , Turku, , Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antti","family":"Kaipia","sequence":"additional","affiliation":[{"name":"Department of Surgery \u00a0 , Pori, , Finland"},{"name":"Satakunta Hospital District \u00a0 , Pori, , Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maarit","family":"Venermo","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery \u00a0 , Helsinki, , Finland"},{"name":"Helsinki University Central Hospital \u00a0 , Helsinki, , Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannu","family":"Kautiainen","sequence":"additional","affiliation":[{"name":"Unit of Primary Health Care \u00a0 , Kuopio, , Finland"},{"name":"Kuopio University Hospital \u00a0 , Kuopio, , Finland"},{"name":"Folkh\u00e4lsan Research Centre, Helsinki \u00a0 , Helsinki, , Finland"},{"name":"University of Helsinki \u00a0 , Helsinki, , Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e4ivi","family":"Korhonen","sequence":"additional","affiliation":[{"name":"Department of General Practice \u00a0 \u00a0 , Turku, , Finland"},{"name":"Turku University and Turku University Hospital \u00a0 \u00a0 , Turku, , Finland"},{"name":"Turku University \u00a0 \u00a0 , Turku, , Finland"},{"name":"Central Satakunta Health Federation of Municipalities , Harjavalta, , Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2017,10,6]]},"reference":[{"key":"2023011111043171100_bib1","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1001\/jama.1993.03510010089036","article-title":"NIH Consensus Conference. 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