Circadian rhythm of hot flashes and activity levels among prostate cancer patients on androgen deprivation therapy |
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Authors: | Dariusz Kałka Romuald Zdrojowy Krzysztof Womperski Jana Gebala Ryszard Smoliński Alicja Dulanowska |
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Affiliation: | 1. Cardiosexology Unit, Department of Pathophysiology, Wroc?aw Medical University, Wroc?aw, Poland;2. Centre for Men’s Health in Wroclaw, Wroclaw, Poland;3. dariusz.kalka@gmail.com;5. Department and Clinic of Urology, Wroclaw Medical University, Wroclaw, Poland;6. Department of Cardiac Rehabilitation, Hospital of the Ministry of Interior, G?ucholazy, Poland;7. Cardiosexology Students’ Scientific Club, Wroc?aw Medical University, Wroc?aw, Poland;8. Clinical Hospital Wroc?aw Medical University, Wroc?aw, Poland |
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Abstract: | AbstractBackground: Modifiable risk factors contribute to the pathogenesis of cardiovascular disease (CVD) and erectile dysfunction (ED). We aimed to compare the knowledge about the contribution of modifiable risk factors to the pathogenesis of CVD and ED. The impact of patients’ having modifiable risk factors on the awareness of their negative influence on the development of CVD and ED was examined.Methods: To this multicenter cohort study, we included 417 patients with CHD who had been hospitalized in the cardiology or cardiac surgery department during the previous six weeks and underwent cardiac rehabilitation in one of the five centers. Knowledge about modifiable risk factors was collected. ED was assessed by an abridged IIEF-5 questionnaire. Comparisons between groups were conducted using the Student’s t-test, Mann–Whitney U test, and Kruskal–Wallis test. Relationships were analyzed with Spearman's rank correlation coefficient.Results: The mean number of correctly identified risk factors for CVD was significantly higher than those for ED (3.71?±?1.87 vs. 2.00?±?1.94; p?.0001). Smoking was the most recognized risk factor both for CVD and ED. Dyslipidemia was least frequently identified as a risk factor for CVD. Sedentary lifestyle was the only risk factor whose incidence did not affect the level of patient knowledge.Conclusions: Cardiac patients with ED know more about risk factors for CVD than ED. It is necessary to include information about the negative impact of modifiable risk factors on sexual health into education programs promoting healthy lifestyles in men with cardiovascular diseases. |
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Keywords: | Modifiable risk factors erectile dysfunction cardiac rehabilitation cardiovascular diseases patient knowledge |
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