Vasculogenic Erectile Dysfunction: The Impact of Diet and Lifestyle

Robert J Ostfeld; Kathleen E Allen; Karen Aspry; Eric J Brandt; Aaron Spitz; Joshua Liberman; Danielle Belardo; James H O'Keefe; Monica Aggarwal; Michael Miller; Columbus Batiste; Stephen Kopecky; Beth White; Nikhil Shah; Hussam Hawamdeh; Travis Batts; Ron Blankstein; Koushik Reddy; Dean Ornish; Andrew M Freeman

doi:10.1016/j.amjmed.2020.09.033

Vasculogenic Erectile Dysfunction: The Impact of Diet and Lifestyle

Am J Med. 2021 Mar;134(3):310-316. doi: 10.1016/j.amjmed.2020.09.033. Epub 2020 Nov 20.

Authors

Robert J Ostfeld¹, Kathleen E Allen², Karen Aspry³, Eric J Brandt⁴, Aaron Spitz⁵, Joshua Liberman⁶, Danielle Belardo⁷, James H O'Keefe⁸, Monica Aggarwal⁹, Michael Miller¹⁰, Columbus Batiste¹¹, Stephen Kopecky¹², Beth White¹³, Nikhil Shah⁹, Hussam Hawamdeh⁹, Travis Batts¹⁴, Ron Blankstein¹⁵, Koushik Reddy¹⁶, Dean Ornish¹⁷, Andrew M Freeman¹⁸

Affiliations

¹ Division of Cardiology, Montefiore Health System, Bronx, NY. Electronic address: ROstfeld@Montefiore.org.
² Geisel School of Medicine at Dartmouth, Hanover, NH.
³ Lifespan Cardiovascular Institute, and Department of Medicine, Division of Cardiology, Brown University, Alpert Medical School, Providence, RI.
⁴ Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Conn.
⁵ Partner, Orange County Urology Associates, Volunteer Clinical Assistant Professor, University of California, Irvine Department of Urology, Orange.
⁶ Ascension Wisconsin Cardiovascular Specialists, Milwaukee, Wis.
⁷ Division of Cardiology, Lankenau Medical Center, Wynnewood, Penn.
⁸ Medical Director of the Charles and Barbara Duboc Cardio Health & Wellness Center, Saint Luke's Mid America Heart Institute, Kansas City, Mo.
⁹ Division of Cardiology, University of Florida, Gainesville.
¹⁰ Professor of Cardiovascular Medicine, Epidemiology & Public Health, University of Maryland School of Medicine, Baltimore.
¹¹ Division of Cardiology, Kaiser Permanente Riverside and Moreno Valley, Riverside, Calif.
¹² Division of Cardiology, Department of Cardiovascular Medicine, Mayo Clinic College of Medicine, Rochester, Minn.
¹³ Department of Cardiology and Internal Medicine, Marshall University Joan C. Edwards School of Medicine, Huntington, WV.
¹⁴ Division of Cardiology, Department of Medicine, Wilford Hall Ambulatory Surgical Center, San Antonio, Tex.
¹⁵ Division of Cardiology, Brigham and Women's Hospital, Boston, Mass.
¹⁶ Division of Cardiology, James A. Haley VA Medical Center, Tampa, Fla.
¹⁷ Clinical Professor of Medicine, University of California, San Francisco.
¹⁸ Department of Medicine, Division of Cardiology, National Jewish Health, Denver, Colo.

PMID: 33227246
DOI: 10.1016/j.amjmed.2020.09.033

Abstract

Vasculogenic erectile dysfunction has been aptly called the "canary in the coal mine" for cardiovascular disease because it almost always precedes other manifestations of atherosclerotic cardiovascular disease, including myocardial infarction and stroke. It is common, associated with the presence of modifiable cardiovascular risk factors, and impacted by diet and lifestyle choices. This concise review provides an update on the use of dietary and other lifestyle interventions to improve vasculogenic erectile dysfunction and atherosclerotic cardiovascular disease.

Keywords: Cardiovascular disease; Diet; Erectile dysfunction; Lifestyle.

Publication types

Research Support, N.I.H., Extramural
Review

MeSH terms

Atherosclerosis / complications
Diet*
Humans
Impotence, Vasculogenic / etiology
Impotence, Vasculogenic / therapy*
Life Style*
Male

Grants and funding

TL1 TR001864/TR/NCATS NIH HHS/United States