Marianne Lucena da Silva, Liana Barbaresco Gomide Matheus, Ana Claudia de Souza Alves Braga, Miguel Luciano Rodrigues da Silva Junior, Lucas Alves Jaques, Diego Vieira de Mattos, Katiane da Costa Cunha, Aline Teixeira Alves
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引用次数: 0
Abstract
Background: While the health benefits of regular physical activity are well-documented, there is limited evidence specifically addressing its impact on male sexual function.
Methods: A systematic review was conducted to investigate the influence of physical activity practice on sexual function in men. The studies were sourced from PubMed, Embase, Virtual Health Library, Scopus, Web of Science and Cochrane through May 2024.The recommendations and criteria described in the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines and Cochrane Handbook were followed. Two independent reviewers assessed the quality of the literature.
Results: A total of 15 studies were eligible. According to the studies, physical exercise is highly associated with better sexual function in patients without comorbidities, patients with diabetes mellitus, patients with chronic heart failure, and patients of different races. Exercise influences the production of nitric oxide, improves insulin sensitivity, reduces levels of pro-inflammatory cytokines, and increases testosterone levels. These effects can help maintain arterial stiffness, improve vascular function, support the maintenance of male erection, and improve sexual dysfunctions.
Clinical implications: Healthcare professionals might consider prescribing exercise for men with sexual dysfunction.
Conclusion: This systematic review provides evidence that physical activity practice improves sexual function.
背景：虽然有规律的体育锻炼对健康的好处是有据可查的，但专门针对其对男性性功能影响的证据有限。方法：对体育锻炼对男性性功能的影响进行系统评价。这些研究来自PubMed、Embase、虚拟健康图书馆、Scopus、Web of Science和Cochrane，截止到2024年5月。遵循系统评价和荟萃分析（PRISMA）指南和Cochrane手册中首选报告项目中描述的建议和标准。两位独立的审稿人评估了文献的质量。结果：共有15项研究符合条件。研究表明，在没有合并症的患者、糖尿病患者、慢性心力衰竭患者以及不同种族的患者中，体育锻炼与更好的性功能高度相关。运动影响一氧化氮的产生，提高胰岛素敏感性，降低促炎细胞因子水平，增加睾丸激素水平。这些作用可以帮助维持动脉僵硬，改善血管功能，支持维持男性勃起，改善性功能障碍。临床意义：医疗保健专业人员可能会考虑给性功能障碍的男性开运动处方。结论：本系统综述提供了体育锻炼改善性功能的证据。
期刊介绍：
The European Journal of Applied Physiology (EJAP) aims to promote mechanistic advances in human integrative and translational physiology. Physiology is viewed broadly, having overlapping context with related disciplines such as biomechanics, biochemistry, endocrinology, ergonomics, immunology, motor control, and nutrition. EJAP welcomes studies dealing with physical exercise, training and performance. Studies addressing physiological mechanisms are preferred over descriptive studies. Papers dealing with animal models or pathophysiological conditions are not excluded from consideration, but must be clearly relevant to human physiology.
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