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Age-Dependent Effects of Homocysteine on Erectile Dysfunction Risk Among U.S. Males

A NHANES Analysis

Bibliographic Data

ID21748620
AuthorsXuewen Diao (0009-0009-1595-4900, First Affiliated Hospital of Henan University), Chenming Zhang (0000-0002-6770-5334, First Affiliated Hospital of Henan University), Zulong Wang (0000-0002-5902-8433, First Affiliated Hospital of Henan University, corresponding author)
Year2024
Volume18
Issue5
Pages15579883241278065-15579883241278065
Publication date2024-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Men s Health (JOURNAL)
Journal identifiersISSN: 1557-9883 • E-ISSN: 1557-9891
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/15579883241278065
PMID39378081
OpenAlexW4403215085
LanguageEN
Citations received1
References cited31

Erectile dysfunction (ED) is a common problem that seriously impacts men’s quality of life and mental health. Earlier studies have indicated that homocysteine (HCY) levels might be linked to the risk of ED, although these studies are limited by small sample sizes and insufficient correction for confounding factors. This study uses data from the 2001-2004 National Health and Nutrition Examination Survey (NHANES) to evaluate the relationship between HCY levels and ED risk in U.S. adult males. The analysis involved using a weighted generalized linear model to assess main effects and restricted cubic splines (RCS) to explore nonlinear relationships. Results showed that the association between HCY and ED was not statistically significant after adjusting for covariates. However, interaction analyses between age and the HCY-ED relationship showed that as age increases, the impact of HCY on ED strengthens. Based on this, subgroup analysis by age was carried out, revealing that in people aged 50 and above, HCY levels were significantly positively correlated with ED, especially when HCY levels exceeded 9.22 μmol/L, significantly increasing the risk of ED. Sensitivity analysis further confirmed the robustness of these findings. This study indicates that controlling HCY levels, especially in middle-aged and older men, might help prevent and treat ED, providing a foundation for future preventive strategies

Confounding · Environmental health · Erectile dysfunction · Homocysteine · National Health and Nutrition Examination Survey · Population · Demography · Folate and B Vitamins Research · Medicine · Sexual function and dysfunction studies · Urinary Bladder and Prostate Research · Gerontology · Internal Medicine

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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