Ersan Arda, Basri Cakiroglu, Elif Karacan, Hakan Akdere, Aykut Buğra Şentürk

Ağırlık Kontrolü ve Beslenme Eğitiminin Erektil Disfonksiyon Tedavisindeki Yeri ve Öneminin Değerlendirilmesi

Amaç: Erektil disfonksiyonun (ED) etyolo- jisinde ve tedavisinde beslenme ve vücut ağırlık kontrolünün yeri ve önemini araştırmak. Gereç ve Yöntemler: Kasım 2013 - Aralık 2015 tarihleri arasında üroloji polikliniğinde ED tanısı konulan 152 hasta beslenme eğitimi ve ağırlık tedavisi için diyet polikliniğine yönlendi- rilerek beslenme ve vücut ağırlık kontrolü sağlan- maya çalışıldı. Bu hastalara üroloji polikliniğinde Uluslararası Erektil Fonksiyon İndeksi Formu (IIEF) doldurularak diyet polikliniğinde 2 aylık takip sonrası IIEF skoru yeniden değerlendirildi. Bu iki IIEF skoru arasındaki farkın istatistiksel olarak anlamlılığına bakıldı. Temel beslenme alışkanlıkları ve antropometrik ölçümlere ilişkin bilgileri (boy uzunluğu (cm), vücut ağırlığı (kg), vücut kitle indeksi (VKİ) (kg/m2), bel-kalça çev- resi (cm), bel-kalça oranı, boyun çevresi ve vücut yağ oranı sorgulayan anket formu, günlük besin alımı, beslenme durumunun belirlenmesi için besin tüketim sıklığı formu ve biyokimyasal kan parametreleri formu uygulandı. Bulgular: Çalışmaya toplam 152 hasta katıl- mıştır. Çalışmaya katılanların yaşları ortalaması 41.69 ±11.22 dir. Tedavi öncesi IIEF, VKİ, Homa İndexi sırasıyla 19.5, 30.1kg/m2, 5.05 mg/dl iken tedavi sonrası IIEF, VKİ ve Homa İndex sırasıy- la 21, 29kg/m2, 4.46 mg/dl olarak bulunmuştur (p

Evalution of Weight Control and Nutrition Education in Erectile Dysfunction Treatment

Objective: To evaluate the importance of nutrition and body weight control on the etio- logy of erectile dysfunction. Material and Methods: Between November 2013 and December 2015, 152 patients diag- nosed with ED at the Urology outpatient clinic were reffered to the dietary clinic to control their body weight by getting educated for their nutritional habbits. Patients had to fullfill the ‘’International Erectile Function Index’’ (IIEF) questionnaire once at the first appeal to the Uro- logy clinic and next after being followed-up for 2 month at the Diatery clinic. The two IIEF forms were compared for stastistical significance. Basic nutritional habbits and antropometric measure- ments (height, weight, body mass index), waist- hip girth, waist-hip ratio, neck girth and budy fat ratio questionnaire, daily nutrition frequeny questionnaire and biochemical blood parameter questionnaire’s were performed. Results: A total of 152 patients were inclu- ded to the study with a mean age of 41.69 ±11.22 years. Before the treatment IIEF, body mass in - dex (BMI) and HOMA Index values were 19.5, 30.1kg/m2, 5.05 respectively, whereas afterwise the values were 21, 29kg/m2, 4.46 mg/dl respec- tively. However, after the treatment a statistically significant downfall in the sistolic blood pressu- re was shown whereas no significant difference apeared in the diastolic blood pressure measu- rements. Conclusion: Controling body weight and nutritional habbits can contribute to the treat- ment of ED.

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