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Smoking and Risk of Erectile Dysfunction: Systematic Review of Observational Studies with Meta-Analysis

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  • Shiyi Cao
  • Xiaoxu Yin
  • Yunxia Wang
  • Hongfeng Zhou
  • Fujian Song
  • Zuxun Lu

Abstract

Background: There are many recent observational studies on smoking and risk of erectile dysfunction (ED) and whether smoking increases the risk of ED is still inconclusive. The objective of this meta-analysis was to synthesize evidence from studies that evaluated the association between smoking and the risk of ED. Methods: We searched PubMed, Embase, Web of Science, and Scopus in January 2013 to identify cohort and case-control studies that evaluated the association between smoking and ED. Study quality of included studies was assessed by the Newcastle-Ottawa scale. Random-effects meta-analyses were used to combine the results of included studies. Results: Four prospective cohort studies and four case-control studies involving 28, 586 participants were included. Because of significant heterogeneity after including case-control studies in meta-analysis, the consistent results of prospective cohort studies were considered more accurate, Because of significant heterogeneity after including case-control studies in meta-analysis, the consistent results of prospective cohort studies were considered more accurate, Compared with non-smokers, the overall odd ratio of ED in prospective cohort studies was 1.51(95% CI: 1.34 to 1.71) for current smokers, and it was 1.29 (95% CI: 1.07 to 1.47) for former smokers. Evidence of publication bias was not found. Conclusion: Evidence from epidemiological studies suggests that smoking, especially current smoking, may significantly increase the risk of ED

Suggested Citation

  • Shiyi Cao & Xiaoxu Yin & Yunxia Wang & Hongfeng Zhou & Fujian Song & Zuxun Lu, 2013. "Smoking and Risk of Erectile Dysfunction: Systematic Review of Observational Studies with Meta-Analysis," PLOS ONE, Public Library of Science, vol. 8(4), pages 1-6, April.
  • Handle: RePEc:plo:pone00:0060443
    DOI: 10.1371/journal.pone.0060443
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    Cited by:

    1. María Fernanda Valderrama Rodríguez & Laura C. Sánchez-Sánchez & José Manuel García-Montes & Cristina Petisco-Rodríguez, 2023. "A Scoping Review of the Influence of Mindfulness on Men’s Sexual Activity," IJERPH, MDPI, vol. 20(4), pages 1-17, February.

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