A Home-Based Walking Program Improves Erectile Dysfunction in Men With an Acute Myocardial Infarction

A Home-Based Walking Program Improves Erectile Dysfunction in Men With an Acute Myocardial Infarction

Author Begot, Isis Autor UNIFESP Google Scholar
Peixoto, Thatiana C. A. Autor UNIFESP Google Scholar
Gonzaga, Laion R. A. Autor UNIFESP Google Scholar
Bolzan, Douglas W. Autor UNIFESP Google Scholar
Papa, Valeria Google Scholar
Carvalho, Antonio C. C. Autor UNIFESP Google Scholar
Arena, Ross Google Scholar
Gomes, Walter J. Autor UNIFESP Google Scholar
Guizilini, Solange Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Universidade de São Paulo (USP)
Univ Illinois
Abstract The purpose of this study was to evaluate the influence of a home-based walking program on erectile function and the relation between functional capacity and erectile dysfunction (ED) in patients with recent myocardial infarctions. Patients with acute myocardial infarctions deemed to be at low cardiovascular risk were randomized into 2 groups: (1) a home-based walking group (n = 41), instructed to participate in a progressive outdoor walking program, and (2) a control group (n = 45), receiving usual care. Functional capacity was determined by the 6-minute walk test and evaluation of sexual function by the International Index of Erectile Function questionnaire; the 2 tests were performed at hospital discharge and 30 days later. in the overall cohort, 84% of patients reported previous ED at hospital discharge. After 30 days, ED had increased by 9% in the control group in relation to baseline (p = 0.08). However, the home-based walking group had a significant decrease of 71% in reported ED (p <0.0001). the 6-minute walk distance was statistically significant higher in the home-based walking group compared with the control group (p = 0.01). There was a significant negative correlation between 6-minute walk distance and ED 30 days after hospital discharge (r = -0.71, p <0.01). in conclusion, an unsupervised home-based progressive walking program led to significant improvements in functional capacity in men at low cardiovascular risk after recent acute myocardial infarctions. in addition, this intervention demonstrated a link between functional capacity and exercise training and erectile function improvement. (C) 2015 Elsevier Inc. All rights reserved.
Language English
Date 2015-03-01
Published in American Journal of Cardiology. Bridgewater: Excerpta Medica Inc-Elsevier B.V., v. 115, n. 5, p. 571-575, 2015.
ISSN 0002-9149 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 571-575
Origin http://dx.doi.org/10.1016/j.amjcard.2014.12.007
Access rights Closed access
Type Article
Web of Science ID WOS:000351029600003
URI http://repositorio.unifesp.br/handle/11600/38823

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