There is an extensive literature on sexual disorders among diabetic patients, but a shortage of studies on their prevalence in selection-free populations.
In the present trial (JEVIN), 90% of all insulin-treated diabetic patients (IDDM/NIDDM, n=127/117) aged 16-60 years and living in the city of Jena (100247 inhabitants) were studied.
Each subject underwent a structured interview followed by a clinical and laboratory examination.
The prevalence of sexual disorders was 32% in IDDM and 46% in NIDDM male patients.
Patients with sexual disorders were older (IDDM 47.5 ± 9.8 vs. 37.7 ± 11.6, P=0.0004 ; NIDDM 53.4 ± 4.3 vs. 49.5 ± 8.2 years, P=0.04) and had longer diabetes duration (IDDM 23. 1 ± 13.8 vs. 13.5 ± 11.1, P=0.001 ; NIDDM 12.4 ± 7.5 vs. 8.4 ± 5.8 years, P=0.03) than patients without sexual disorders.
There were no significant differences (P<0.05) between the groups as regards HbAlc, body-mass index and insulin dose/kg body weight.
The prevalence of diabetes long-term complications in men with versus men without sexual disorders (IDDM/NIDDM) :
retinopathy, 65/53% vs. 50/18% (P=0.34/0.03) ;
neuropathy, 58/48% vs. 9/34% (P=0.001/0.47) ;
nephropathy, 65/50% vs. 12/36% (P=0.001/0.45).
In addition, all the patients completed standardized questionnaires according to Bradley et al. and Lewis et al. to assess quality of life and treatment satisfaction, and one question concerning sexual disorders. (...)
Mots-clés Pascal : Diabète insulinodépendant, Diabète non insulinodépendant, Complication, Qualité vie, Fonction sexuelle, Epidémiologie, Prévalence, Etude comparative, Hémoglobine A1c, Indice masse corporelle, Allemagne, Europe, Adulte, Homme, Adolescent, Endocrinopathie, Immunopathologie, Maladie autoimmune
Mots-clés Pascal anglais : Insulin dependent diabetes, Non insulin dependent diabetes, Complication, Quality of life, Sexual function, Epidemiology, Prevalence, Comparative study, Hemoglobin A1c, Body mass index, Germany, Europe, Adult, Human, Adolescent, Endocrinopathy, Immunopathology, Autoimmune disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0379755
Code Inist : 002B30A01A2. Création : 22/03/2000.