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Obesity And Erectile Dysfunction: Another Sad Story, Same Happy Ending

In the pantheon of contemporary culture, increase in their good HDL cholesterol
neither Adonis nor Aphrodite has love levels. The control group's overall
handles. But two thirds of Americans do. cholesterol went up, but with no increase
Yet, contrary to conventional in their good HDL levels. Triglyceride
stereotypes, their excess weight hasn't levels and C-reactive protein counts also
hampered their interest in having a dropped for the supervised group, but not
healthy sex life. In fact, research shows the control. You probably recognize these
that overweight men are just as things as factors in heart health and
interested in sex as the next guy; they diabetes, and so you can understand how
just may not be as able to perform. Now, the supervised subjects' also reduced
when it comes to performance anxiety, low their disease risk. The researchers also
self-esteem about body image can be a tested endothelial function -the
real impediment to confidence, so that performance of cells lining the blood
may account for some of the problem. But vessels- which has an impact on both
experts say that 90 percent of erectile cardiovascular health and erectile
dysfunction is physical in origin, not function. The chronic oxidative stress
psychological. In large-scale studies, and inflammation caused by obesity
nearly 80 percent of men who reported impairs endothelial function. Here again,
having erectile dysfunction were also the men in the intervention group showed
overweight or obese. So perhaps it won't improvement, while the control group did
be a surprise that a recent study not. We already knew from previous
published in the Journal of the American research that overweight men who initiate
Medical Association has yielded some weight loss in mid-life have 70 percent
promising news about resolving this less risk of ever having erectile
sensitive problem, and it doesn't have dysfunction than those who remain
anything to do with little blue pills you sedentary. The current study was meant to
hear advertised during major sporting determine if weight loss could also
events. The research in question was a reverse erectile dysfunction that had
two-year study conducted at the Second already set in, and it seems clear that
University of Naples, Italy. The subjects it can. If sales of Viagra, Levitra and
were recruited from a campus weight-loss Cialis are any indication, the pursuit of
clinic. They were all obese men between vigorous sexual function is a strong
the ages of 35 and 55. All reported some motivator for men of any age. Hundreds of
degree of erectile dysfunction, but they millions of dollars have been invested in
were otherwise healthy, without the promoting the take-a-pill approach to
complications of diabetes, hypertension that pursuit, and millions of men have
or heart disease that are so common with responded, in spite of potential side
obesity. Half the subjects were effects and other health risks involved.
supervised by medical professionals in Imagine if even a few million dollars
individualized weight-loss treatment were invested in a public education
programs. They were educated about diet, campaign letting men know that just
fitness and personal behavioral losing weight and improving their fitness
adjustments in visits with a nutritional could be the answer to their personal
counselor and a personal trainer, every distress. It's true that recently, there
month for the first year, and then have been more public health efforts to
bi-monthly during the second year of the promote weight-loss and fitness in
study. The other half-the control general, especially given the epidemic of
group-just got general information about obesity and associated increases in
exercise and healthy dietary choices diabetes and heart disease. But imagine
during visits every other month during the impact of a campaign that gave men
the two-year study period. By the end of the concrete goal of a healthy sex life.
the study, all the men in the supervised Most would agree that seems more tangible
group had lost weight and experienced to the average fellow than say, lowering
various health and sexual function his triglycerides. There's likely to be
improvements. In fact, by the time they'd some personal cost involved in pursuing
achieved a weight loss of just 10 comprehensive weight loss treatment. But
percent, erectile dysfunction was how do those costs compare to the expense
completely alleviated for one out of of prescription approaches? And consider
three men in that group. But there was no how much overall health care costs would
change in weight for the control group, go down if men tried to recover their
and even by the end of the study, only lost virility by losing weight and
three of the 55 men in the control group getting healthy, instead of popping a
had recovered normal erectile function. pill. No matter how medically appropriate
Perhaps the most important finding of and cost-effective, this is one treatment
this study is one the researchers weren't that-as a JAMA editorial put it-will
even trying to prove: regardless of the never be "accompanied by free pens, free
objective, the weight loss effort is more notepads and its own Superbowl
effective with professional supervision. commercial." That means it's up to public
Remember that these men were all what you health advocates and doctors to carry
would call "motivated" subjects; they this message of hope without any
were recruited from among people who had big-budget hype. THROUGH THICK & THIN:
already shown up at a weight-loss clinic, Erectile Dysfunction Erectile dysfunction
so they wanted to lose some weight. But affects more than half of American males
even at that, the subjects who didn't between age 40 and 70, and nearly 80
have any particular guidance just percent of men with the problem are
couldn't do it. The men did not know that overweight. Research shows that just
the study was specifically examining the walking a couple miles a day can
potential improvement in sexual function. significantly help a man's chances of
Had they known this was a possible avoiding-or even reversing-erectile
outcome of their effort, even the dysfunction, and it's a lot cheaper and
unsupervised group might have been more less risky than certain pills we hear a
"motivated." When a healthy sex life is lot about.
at stake-and for most overweight men, it Caroline J. Cederquist, M.D. is a board
is-men shouldn't just try to handle the certified Family Physician and a board
problem on their own, because the right certified Bariatric Physicians (the
support seems to make all the difference. medical specialty of weight management).
That said, consider some of the other Dr. Cederquist is the founder of Bistro
outcomes: In the supervised group, MD a home diet delivery program that
overall blood pressure was lowered, but specializes in low calorie gourmet food
not in the control group. In the that is delivered to your home or office
supervised group, overall cholesterol and a practicing bariatric physician.
levels dropped, but the subjects had an




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