Is There Any Hematological Parameter Predicting Erectile Dysfunction in Male Patients with Severe Obstructive Sleep Apnea Syndrome?

Objective:Erectile dysfunction (ED) is quite common in men with severe Obstructive Sleep Apnea syndrome (OSAS). The aim of this study was to determine whether a hematological parameter can be used for predicting ED in male patients with OSASMaterials and Methods:Patients who applied to neurology-sle...

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Main Authors: Abdullah Gül, Aygül Güneş
Format: Article
Language:English
Published: Galenos Yayinevi 2020-09-01
Series:Türk Uyku Tıbbı Dergisi
Subjects:
Online Access: http://jtsm.org/archives/archive-detail/article-preview/s-there-any-hematological-parameter-predicting-ere/40536
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author Abdullah Gül
Aygül Güneş
author_facet Abdullah Gül
Aygül Güneş
author_sort Abdullah Gül
collection DOAJ
description Objective:Erectile dysfunction (ED) is quite common in men with severe Obstructive Sleep Apnea syndrome (OSAS). The aim of this study was to determine whether a hematological parameter can be used for predicting ED in male patients with OSASMaterials and Methods:Patients who applied to neurology-sleep disorders outpatient clinic of our hospital between March of 2018 and 2020, who had Apnea-hypopnea index ≥30 in polysomnography test, and who met the inclusion criteria were enrolled in this study. The patients were divided into two groups as those without ED (group 1) and with ED (group 2) according to the score of International Erectile Function (IIEF) questionnaire. The recorded demographic and basic characteristics of the patients along with measured hemogram, fasting serum biochemistry, blood lipid profile, and serum sex hormone parameters were statistically analyzed.Results:Of the 85 patients enrolled in the study, 48 (56.5%) had ED. While average age of all patients was 47.43±10.73 years, it was 43.95±8.70 years in group 1 and 49.96±11.06 years in group 2 and differed significantly between the two groups (p=0.006). Mean hemoglobin and hematocrit values in group 1 were higher than those in group 2 (p=0.02 and p=0.03, respectively). Other parameters were similar among the groups. In multivariate logistic regression analysis, only patient age remained significantly different (p=0.011). Pearson correlation analysis revealed a negative relationship between patient age and IIEF score (r =-0.287, p=0.004). In receiver operating characteristic analysis, cut-off value of the patient age was found to be 47.50 years with a sensitivity of 0.604 and a specificity of 0.646 (p=0.006).Conclusion:The results suggest that prevalence of ED increases in parallel with age in men with severe OSAS. No hematological, hormonal, or biochemical parameters for predicting ED have yet been determined.
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spelling doaj.art-8f9924c2f1c443e7be3ba872bf34923e2023-02-15T16:07:42ZengGalenos YayineviTürk Uyku Tıbbı Dergisi2148-15042148-15042020-09-017316216810.4274/jtsm.galenos.2020.7269213049054Is There Any Hematological Parameter Predicting Erectile Dysfunction in Male Patients with Severe Obstructive Sleep Apnea Syndrome?Abdullah Gül0Aygül Güneş1 Sağlık Bilimleri Üniversitesi, Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, Bursa, Türkiye Sağlık Bilimleri Üniversitesi, Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Nöroloji Kliniği, Bursa, Türkiye Objective:Erectile dysfunction (ED) is quite common in men with severe Obstructive Sleep Apnea syndrome (OSAS). The aim of this study was to determine whether a hematological parameter can be used for predicting ED in male patients with OSASMaterials and Methods:Patients who applied to neurology-sleep disorders outpatient clinic of our hospital between March of 2018 and 2020, who had Apnea-hypopnea index ≥30 in polysomnography test, and who met the inclusion criteria were enrolled in this study. The patients were divided into two groups as those without ED (group 1) and with ED (group 2) according to the score of International Erectile Function (IIEF) questionnaire. The recorded demographic and basic characteristics of the patients along with measured hemogram, fasting serum biochemistry, blood lipid profile, and serum sex hormone parameters were statistically analyzed.Results:Of the 85 patients enrolled in the study, 48 (56.5%) had ED. While average age of all patients was 47.43±10.73 years, it was 43.95±8.70 years in group 1 and 49.96±11.06 years in group 2 and differed significantly between the two groups (p=0.006). Mean hemoglobin and hematocrit values in group 1 were higher than those in group 2 (p=0.02 and p=0.03, respectively). Other parameters were similar among the groups. In multivariate logistic regression analysis, only patient age remained significantly different (p=0.011). Pearson correlation analysis revealed a negative relationship between patient age and IIEF score (r =-0.287, p=0.004). In receiver operating characteristic analysis, cut-off value of the patient age was found to be 47.50 years with a sensitivity of 0.604 and a specificity of 0.646 (p=0.006).Conclusion:The results suggest that prevalence of ED increases in parallel with age in men with severe OSAS. No hematological, hormonal, or biochemical parameters for predicting ED have yet been determined. http://jtsm.org/archives/archive-detail/article-preview/s-there-any-hematological-parameter-predicting-ere/40536 erectile dysfunctionobstructive sleep apnea syndromepredictoraging
spellingShingle Abdullah Gül
Aygül Güneş
Is There Any Hematological Parameter Predicting Erectile Dysfunction in Male Patients with Severe Obstructive Sleep Apnea Syndrome?
Türk Uyku Tıbbı Dergisi
erectile dysfunction
obstructive sleep apnea syndrome
predictor
aging
title Is There Any Hematological Parameter Predicting Erectile Dysfunction in Male Patients with Severe Obstructive Sleep Apnea Syndrome?
title_full Is There Any Hematological Parameter Predicting Erectile Dysfunction in Male Patients with Severe Obstructive Sleep Apnea Syndrome?
title_fullStr Is There Any Hematological Parameter Predicting Erectile Dysfunction in Male Patients with Severe Obstructive Sleep Apnea Syndrome?
title_full_unstemmed Is There Any Hematological Parameter Predicting Erectile Dysfunction in Male Patients with Severe Obstructive Sleep Apnea Syndrome?
title_short Is There Any Hematological Parameter Predicting Erectile Dysfunction in Male Patients with Severe Obstructive Sleep Apnea Syndrome?
title_sort is there any hematological parameter predicting erectile dysfunction in male patients with severe obstructive sleep apnea syndrome
topic erectile dysfunction
obstructive sleep apnea syndrome
predictor
aging
url http://jtsm.org/archives/archive-detail/article-preview/s-there-any-hematological-parameter-predicting-ere/40536
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