Frailty and sexual health in older European men

David M. Lee, Abdelouahid Tajar, Rathi Ravindrarajah, Stephen R. Pye, Daryl B. O'Connor, Giovanni Corona, Matthew O'Connell, Evelien Gielen, Steven Boonen, Dirk Vanderschueren, Neil Pendleton, Joseph D. Finn, G. Bártfai, Felipe F. Casanueva, Gianni Forti, Aleksander Giwercman, Thang S. Han, Ilpo T. Huhtaniemi, Krzysztof Kula, Michael E J LeanMargus Punab, Frederick C W Wu, Terence W. O'Neill

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Background. There has been little research on how late-life frailty interrelates with sexual health. Our objective was to examine the association of frailty with sexual functioning and satisfaction among older men.Methods. The study population consisted of 1,504 men aged 60 to 79 years, participating in the European Male Aging Study. Self-report questionnaires measured overall sexual functioning, sexual function-related distress, and erectile dysfunction. Frailty status was defined using a phenotype (FP) or index (FI). Associations between frailty and sexual function were explored using regression models.Results. Based on the frailty phenotype, 5% of men were classified as frail, and the mean frailty index was 0.18 (SD = 0.12). Frailty was associated with decreasing overall sexual functioning and increasing sexual function-related distress in multiple linear regressions adjusted for age, smoking, alcohol consumption, living arrangements, comorbidities, and depression. Frailty was also associated with an increased odds of erectile dysfunction after adjustment for the same confounders: odds ratio = 1.99 (95% confidence interval = 1.14, 3.48) and 4.08 (95% confidence interval = 2.63, 6.36) for frailty phenotype and frailty index, respectively.Conclusions. Frailty was associated with impaired overall sexual functioning, sexual function-related distress, and erectile dysfunction. Individuals assessed for frailty-related deficits may also benefit from an appraisal of sexual health as an important aspect of well-being and quality of life.

Original languageEnglish
Pages (from-to)837-844
Number of pages8
JournalJournals of Gerontology - Series A Biological Sciences and Medical Sciences
Volume68
Issue number7
DOIs
Publication statusPublished - Jul 2013

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Reproductive Health
Erectile Dysfunction
Phenotype
Confidence Intervals
Orgasm
Alcohol Drinking
Self Report
Comorbidity
Linear Models
Smoking
Odds Ratio
Quality of Life
Depression
Research
Population

Keywords

  • EMAS.
  • Frailty
  • Male health
  • Sexual function

ASJC Scopus subject areas

  • Ageing
  • Geriatrics and Gerontology
  • Medicine(all)

Cite this

Lee, D. M., Tajar, A., Ravindrarajah, R., Pye, S. R., O'Connor, D. B., Corona, G., ... O'Neill, T. W. (2013). Frailty and sexual health in older European men. Journals of Gerontology - Series A Biological Sciences and Medical Sciences, 68(7), 837-844. https://doi.org/10.1093/gerona/gls217

Frailty and sexual health in older European men. / Lee, David M.; Tajar, Abdelouahid; Ravindrarajah, Rathi; Pye, Stephen R.; O'Connor, Daryl B.; Corona, Giovanni; O'Connell, Matthew; Gielen, Evelien; Boonen, Steven; Vanderschueren, Dirk; Pendleton, Neil; Finn, Joseph D.; Bártfai, G.; Casanueva, Felipe F.; Forti, Gianni; Giwercman, Aleksander; Han, Thang S.; Huhtaniemi, Ilpo T.; Kula, Krzysztof; Lean, Michael E J; Punab, Margus; Wu, Frederick C W; O'Neill, Terence W.

In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences, Vol. 68, No. 7, 07.2013, p. 837-844.

Research output: Contribution to journalArticle

Lee, DM, Tajar, A, Ravindrarajah, R, Pye, SR, O'Connor, DB, Corona, G, O'Connell, M, Gielen, E, Boonen, S, Vanderschueren, D, Pendleton, N, Finn, JD, Bártfai, G, Casanueva, FF, Forti, G, Giwercman, A, Han, TS, Huhtaniemi, IT, Kula, K, Lean, MEJ, Punab, M, Wu, FCW & O'Neill, TW 2013, 'Frailty and sexual health in older European men', Journals of Gerontology - Series A Biological Sciences and Medical Sciences, vol. 68, no. 7, pp. 837-844. https://doi.org/10.1093/gerona/gls217
Lee, David M. ; Tajar, Abdelouahid ; Ravindrarajah, Rathi ; Pye, Stephen R. ; O'Connor, Daryl B. ; Corona, Giovanni ; O'Connell, Matthew ; Gielen, Evelien ; Boonen, Steven ; Vanderschueren, Dirk ; Pendleton, Neil ; Finn, Joseph D. ; Bártfai, G. ; Casanueva, Felipe F. ; Forti, Gianni ; Giwercman, Aleksander ; Han, Thang S. ; Huhtaniemi, Ilpo T. ; Kula, Krzysztof ; Lean, Michael E J ; Punab, Margus ; Wu, Frederick C W ; O'Neill, Terence W. / Frailty and sexual health in older European men. In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences. 2013 ; Vol. 68, No. 7. pp. 837-844.
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abstract = "Background. There has been little research on how late-life frailty interrelates with sexual health. Our objective was to examine the association of frailty with sexual functioning and satisfaction among older men.Methods. The study population consisted of 1,504 men aged 60 to 79 years, participating in the European Male Aging Study. Self-report questionnaires measured overall sexual functioning, sexual function-related distress, and erectile dysfunction. Frailty status was defined using a phenotype (FP) or index (FI). Associations between frailty and sexual function were explored using regression models.Results. Based on the frailty phenotype, 5{\%} of men were classified as frail, and the mean frailty index was 0.18 (SD = 0.12). Frailty was associated with decreasing overall sexual functioning and increasing sexual function-related distress in multiple linear regressions adjusted for age, smoking, alcohol consumption, living arrangements, comorbidities, and depression. Frailty was also associated with an increased odds of erectile dysfunction after adjustment for the same confounders: odds ratio = 1.99 (95{\%} confidence interval = 1.14, 3.48) and 4.08 (95{\%} confidence interval = 2.63, 6.36) for frailty phenotype and frailty index, respectively.Conclusions. Frailty was associated with impaired overall sexual functioning, sexual function-related distress, and erectile dysfunction. Individuals assessed for frailty-related deficits may also benefit from an appraisal of sexual health as an important aspect of well-being and quality of life.",
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AU - Lee, David M.

AU - Tajar, Abdelouahid

AU - Ravindrarajah, Rathi

AU - Pye, Stephen R.

AU - O'Connor, Daryl B.

AU - Corona, Giovanni

AU - O'Connell, Matthew

AU - Gielen, Evelien

AU - Boonen, Steven

AU - Vanderschueren, Dirk

AU - Pendleton, Neil

AU - Finn, Joseph D.

AU - Bártfai, G.

AU - Casanueva, Felipe F.

AU - Forti, Gianni

AU - Giwercman, Aleksander

AU - Han, Thang S.

AU - Huhtaniemi, Ilpo T.

AU - Kula, Krzysztof

AU - Lean, Michael E J

AU - Punab, Margus

AU - Wu, Frederick C W

AU - O'Neill, Terence W.

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N2 - Background. There has been little research on how late-life frailty interrelates with sexual health. Our objective was to examine the association of frailty with sexual functioning and satisfaction among older men.Methods. The study population consisted of 1,504 men aged 60 to 79 years, participating in the European Male Aging Study. Self-report questionnaires measured overall sexual functioning, sexual function-related distress, and erectile dysfunction. Frailty status was defined using a phenotype (FP) or index (FI). Associations between frailty and sexual function were explored using regression models.Results. Based on the frailty phenotype, 5% of men were classified as frail, and the mean frailty index was 0.18 (SD = 0.12). Frailty was associated with decreasing overall sexual functioning and increasing sexual function-related distress in multiple linear regressions adjusted for age, smoking, alcohol consumption, living arrangements, comorbidities, and depression. Frailty was also associated with an increased odds of erectile dysfunction after adjustment for the same confounders: odds ratio = 1.99 (95% confidence interval = 1.14, 3.48) and 4.08 (95% confidence interval = 2.63, 6.36) for frailty phenotype and frailty index, respectively.Conclusions. Frailty was associated with impaired overall sexual functioning, sexual function-related distress, and erectile dysfunction. Individuals assessed for frailty-related deficits may also benefit from an appraisal of sexual health as an important aspect of well-being and quality of life.

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KW - EMAS.

KW - Frailty

KW - Male health

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