{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T20:03:27Z","timestamp":1782417807024,"version":"3.54.5"},"reference-count":24,"publisher":"Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,24]]},"DOI":"10.31744\/einstein_journal\/2026ao1905","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T19:37:14Z","timestamp":1782416234000},"source":"Crossref","is-referenced-by-count":0,"title":["Association between self-initiated changes in physical activity patterns and erectile dysfunction: a longitudinal follow-up study"],"prefix":"10.31744","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2341-4698","authenticated-orcid":false,"given":"Rafael Mathias","family":"Pitta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6060-4805","authenticated-orcid":false,"given":"Oskar Grau","family":"Kaufmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4409-741X","authenticated-orcid":false,"given":"Eduardo Rossato de","family":"Victo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2060-8852","authenticated-orcid":false,"given":"Gabriel Grizzo","family":"Cucato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7883-6746","authenticated-orcid":false,"given":"Raphael Mendes","family":"Ritti-Dias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5338-1925","authenticated-orcid":false,"given":"Luana de Lima","family":"Queiroga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1991-3507","authenticated-orcid":false,"given":"Nelson","family":"Wolosker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"16942","reference":[{"key":"key20260625193708_B1","first-page":"83","volume-title":"JAMA","author":"Impotence: NIH Consensus Development Panel on Impotence","year":"1993","unstructured":"1 Impotence: NIH Consensus Development Panel on Impotence. JAMA. 1993;270(1):83."},{"issue":"11","key":"key20260625193708_B2","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0276963","article-title":"The association between physical activity and erectile dysfunction: A cross-sectional study in 20,789 Brazilian men","volume":"17","author":"Pitta","year":"2022","unstructured":"2 Pitta RM, Kaufmann O, Louzada AC, Astolfi RH, Queiroga LL, Ritti Dias RM, et al. The association between physical activity and erectile dysfunction: A cross-sectional study in 20,789 Brazilian men. PLoS One. 2022;17(11):e0276963.","journal-title":"PLoS One"},{"issue":"1","key":"key20260625193708_B3","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/S0090-4295(02)02102-7","article-title":"Epidemiology of erectile dysfunction in four countries: cross-national study of the prevalence and correlates of erectile dysfunction","volume":"61","author":"Nicolosi","year":"2003","unstructured":"3 Nicolosi A, Moreira ED Jr, Shirai M, Bin Mohd Tambi MI, Glasser DB. Epidemiology of erectile dysfunction in four countries: cross-national study of the prevalence and correlates of erectile dysfunction. Urology. 2003;61(1):201-6.","journal-title":"Urology"},{"issue":"3","key":"key20260625193708_B4","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1038\/sj.ijir.3901521","article-title":"Physical activity and erectile dysfunction: meta-analysis of population-based studies","volume":"19","author":"Cheng","year":"2007","unstructured":"4 Cheng JY, Ng EM, Ko JS, Chen RY. Physical activity and erectile dysfunction: meta-analysis of population-based studies. Int J Impot Res. 2007;19(3):245-52.","journal-title":"Int J Impot Res"},{"key":"key20260625193708_B5","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.2147\/CIA.S405121","article-title":"What are the Main Risk Factors Associated with Erectile Dysfunction in the Elderly? A Cross-Sectional Study of 2436 Brazilian Elderly Men","volume":"18","author":"Pitta","year":"2023","unstructured":"5 Pitta RM, Queiroga LL, Louzada AC, Ritti-Dias RM, Kaufmann OG, Wolosker N. What are the Main Risk Factors Associated with Erectile Dysfunction in the Elderly? A Cross-Sectional Study of 2436 Brazilian Elderly Men. Clin Interv Aging. 2023;18:1047-54.","journal-title":"Clin Interv Aging"},{"key":"key20260625193708_B6","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.atherosclerosis.2018.02.011","article-title":"Self-initiated physical activity is associated with high sensitivity C-reactive protein: A longitudinal study in 5,030 adults","volume":"273","author":"Fernandes","year":"2018","unstructured":"6 Fernandes RA, Ritti-Dias RM, Balagopal PB, Concei\u00e7\u00e3o RD, Santos RD, Cucato GG, et al. Self-initiated physical activity is associated with high sensitivity C-reactive protein: A longitudinal study in 5,030 adults. Atherosclerosis. 2018;273:131-5.","journal-title":"Atherosclerosis"},{"key":"key20260625193708_B7","doi-asserted-by":"crossref","first-page":"108224","DOI":"10.1016\/j.diabres.2020.108224","article-title":"Self-initiated changes in physical activity and incidence of Metabolic Syndrome: A longitudinal follow-up study","volume":"165","author":"Werneck","year":"2020","unstructured":"7 Werneck AO, Christofaro DG, Ritti-Dias RM, Cucato GG, Concei\u00e7\u00e3o RD, Santos RD, et al. Self-initiated changes in physical activity and incidence of Metabolic Syndrome: A longitudinal follow-up study. Diabetes Res Clin Pract. 2020;165:108224.","journal-title":"Diabetes Res Clin Pract"},{"issue":"5","key":"key20260625193708_B8","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1001\/jama.2013.284427","article-title":"2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8)","volume":"311","author":"James","year":"2014","unstructured":"8 James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014;311(5):507-20. Erratum in: JAMA. 2014;311(17):1809.","journal-title":"JAMA"},{"key":"key20260625193708_B9","doi-asserted-by":"crossref","DOI":"10.7717\/peerj.9039","article-title":"Transcultural adaptation and validation of the questionnaire \"Urgency, Weak stream, Incomplete emptying and Nocturia (UWIN)\" for the Brazilian Portuguese","volume":"8","author":"Silva","year":"2020","unstructured":"9 Silva CS, Freitas KS, R Ribeiro AP, Gomes CM, Bessa Junior J. Transcultural adaptation and validation of the questionnaire \"Urgency, Weak stream, Incomplete emptying and Nocturia (UWIN)\" for the Brazilian Portuguese. PeerJ. 2020;8:e9039.","journal-title":"PeerJ"},{"issue":"1","key":"key20260625193708_B10","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1177\/1359105309346343","article-title":"Perceived stress scale: reliability and validity study in Brazil","volume":"15","author":"Reis","year":"2010","unstructured":"10 Reis RS, Hino AA, A\u00f1ez CR. Perceived stress scale: reliability and validity study in Brazil. J Health Psychol. 2010;15(1):107-14.","journal-title":"J Health Psychol"},{"issue":"4","key":"key20260625193708_B11","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/j.rbp.2012.03.005","article-title":"Validation of the Brazilian Portuguese version of the Beck Depression Inventory-II in a community sample","volume":"34","author":"Gomes-Oliveira","year":"2012","unstructured":"11 Gomes-Oliveira MH, Gorenstein C, Lotufo Neto F, Andrade LH, Wang YP. Validation of the Brazilian Portuguese version of the Beck Depression Inventory-II in a community sample. Braz J Psychiatry. 2012;34(4):389-94.","journal-title":"Braz J Psychiatry"},{"key":"key20260625193708_B12","doi-asserted-by":"crossref","first-page":"27","DOI":"10.11606\/s1518-8787.2021055002777","article-title":"Analysis of the AUDIT factor structure in adolescents between 18 and 19 years","volume":"55","author":"Machado","year":"2021","unstructured":"12 Machado PM, Campelo CL, Oliveira JV, Batista RF, Sim\u00f5es VM, Santos AM. Analysis of the AUDIT factor structure in adolescents between 18 and 19 years. Rev Saude Publica. 2021;55:27.","journal-title":"Rev Saude Publica"},{"issue":"3","key":"key20260625193708_B13","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1123\/jpah.7.3.402","article-title":"Validity and reliability of the telephone-administered international physical activity questionnaire in Brazil","volume":"7","author":"Hallal","year":"2010","unstructured":"13 Hallal PC, Simoes E, Reichert FF, Azevedo MR, Ramos LR, Pratt M, et al. Validity and reliability of the telephone-administered international physical activity questionnaire in Brazil. J Phys Act Health. 2010;7(3):402-9.","journal-title":"J Phys Act Health"},{"issue":"4","key":"key20260625193708_B14","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1038\/sj.ijir.3900859","article-title":"The use of the simplified International Index of Erectile Function (IIEF-5) as a diagnostic tool to study the prevalence of erectile dysfunction","volume":"14","author":"Rhoden","year":"2002","unstructured":"14 Rhoden EL, Tel\u00f6ken C, Sogari PR, Vargas Souto CA. The use of the simplified International Index of Erectile Function (IIEF-5) as a diagnostic tool to study the prevalence of erectile dysfunction. Int J Impot Res. 2002;14(4):245-50.","journal-title":"Int J Impot Res"},{"issue":"5","key":"key20260625193708_B15","doi-asserted-by":"crossref","first-page":"443","DOI":"10.2165\/00007256-200636050-00006","article-title":"Physical activity and high-sensitivity C-reactive protein","volume":"36","author":"Plaisance","year":"2006","unstructured":"15 Plaisance EP, Grandjean PW. Physical activity and high-sensitivity C-reactive protein. Sports Med. 2006;36(5):443-58. Review.","journal-title":"Sports Med"},{"issue":"3","key":"key20260625193708_B16","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1249\/JES.0000000000000224","article-title":"Exercise and GLUT4","volume":"48","author":"Flores-Opazo","year":"2020","unstructured":"16 Flores-Opazo M, McGee SL, Hargreaves M. Exercise and GLUT4. Exerc Sport Sci Rev. 2020;48(3):110-8.","journal-title":"Exerc Sport Sci Rev"},{"issue":"6","key":"key20260625193708_B17","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1136\/bjsports-2015-095786","article-title":"Physical activity and exercise lower blood pressure in individuals with hypertension: narrative review of 27 RCTs","volume":"50","author":"B\u00f6rjesson","year":"2016","unstructured":"17 B\u00f6rjesson M, Onerup A, Lundqvist S, Dahl\u00f6f B. Physical activity and exercise lower blood pressure in individuals with hypertension: narrative review of 27 RCTs. Br J Sports Med. 2016;50(6):356-61.","journal-title":"Br J Sports Med"},{"issue":"2","key":"key20260625193708_B18","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1249\/MSS.0000000000002800","article-title":"Exercise\/Physical Activity in Individuals with Type 2 Diabetes: A Consensus Statement from the American College of Sports Medicine","volume":"54","author":"Kanaley","year":"2022","unstructured":"18 Kanaley JA, Colberg SR, Corcoran MH, Malin SK, Rodriguez NR, Crespo CJ, et al. Exercise\/Physical Activity in Individuals with Type 2 Diabetes: A Consensus Statement from the American College of Sports Medicine. Med Sci Sports Exerc. 2022;54(2):353-68.","journal-title":"Med Sci Sports Exerc"},{"issue":"4","key":"key20260625193708_B19","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1016\/j.jhep.2017.05.016","article-title":"Treatment of NAFLD with diet, physical activity and exercise","volume":"67","author":"Romero-G\u00f3mez","year":"2017","unstructured":"19 Romero-G\u00f3mez M, Zelber-Sagi S, Trenell M. Treatment of NAFLD with diet, physical activity and exercise. J Hepatol. 2017;67(4):829-46.","journal-title":"J Hepatol"},{"issue":"6","key":"key20260625193708_B20","doi-asserted-by":"crossref","first-page":"1228","DOI":"10.1016\/j.eururo.2008.02.019","article-title":"Physical activity, benign prostatic hyperplasia, and lower urinary tract symptoms","volume":"53","author":"Parsons","year":"2008","unstructured":"20 Parsons JK, Kashefi C. Physical activity, benign prostatic hyperplasia, and lower urinary tract symptoms. Eur Urol. 2008;53(6):1228-35.","journal-title":"Eur Urol"},{"issue":"6","key":"key20260625193708_B21","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1001\/jamapsychiatry.2022.0609","article-title":"Association Between Physical Activity and Risk of Depression: A Systematic Review and Meta-analysis","volume":"79","author":"Pearce","year":"2022","unstructured":"21 Pearce M, Garcia L, Abbas A, Strain T, Schuch FB, Golubic R, et al. Association Between Physical Activity and Risk of Depression: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2022;79(6):550-9.","journal-title":"JAMA Psychiatry"},{"issue":"2","key":"key20260625193708_B22","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1037\/adb0000807","article-title":"Longitudinal relations between physical activity and alcohol consumption among young adults","volume":"37","author":"Henderson","year":"2023","unstructured":"22 Henderson CE, Najjar LZ, Young CM, Leasure JL, Neighbors C, Gasser ML, et al. Longitudinal relations between physical activity and alcohol consumption among young adults. Psychol Addict Behav. 2023;37(2):285-93.","journal-title":"Psychol Addict Behav"},{"issue":"2","key":"key20260625193708_B23","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1136\/svn-2018-000155","article-title":"Exercise for stroke prevention","volume":"3","author":"Prior","year":"2018","unstructured":"23 Prior PL, Suskin N. Exercise for stroke prevention. Stroke Vasc Neurol. 2018;3(2):59-68.","journal-title":"Stroke Vasc Neurol"},{"issue":"2","key":"key20260625193708_B24","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1111\/j.1600-0838.2011.01356.x","article-title":"Objectively measured physical activity and C-reactive protein: National Health and Nutrition Examination Survey 2003-2004","volume":"23","author":"Loprinzi","year":"2013","unstructured":"24 Loprinzi P, Cardinal B, Crespo C, Brodowicz G, Andersen R, Sullivan E, et al. Objectively measured physical activity and C-reactive protein: National Health and Nutrition Examination Survey 2003-2004. Scand J Med Sci Sports. 2013;23(2):164-70.","journal-title":"Scand J Med Sci Sports"}],"container-title":["einstein (S\u00e3o Paulo)"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T19:37:17Z","timestamp":1782416237000},"score":1,"resource":{"primary":{"URL":"https:\/\/journal.einstein.br\/article\/association-between-self-initiated-changes-in-physical-activity-patterns-and-erectile-dysfunction-a-longitudinal-follow-up-study\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":24,"alternative-id":["10.31744\/einstein_journal\/2026AO1905"],"URL":"https:\/\/doi.org\/10.31744\/einstein_journal\/2026ao1905","relation":{},"ISSN":["1679-4508","2317-6385"],"issn-type":[{"value":"1679-4508","type":"print"},{"value":"2317-6385","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"eAO1905"}}