Lifestyle modifications

NUTRITION

  • Improve quality of diet (1)
  • A mediterranean diet or a diet high in vegetables, fruits, whole grain, legumes, walnuts and olive oil is associated with improved erectile dysfunction (3)
  • A high consumption of alcohol increases the risk of erectile dysfunction (4)

PHYSICAL ACTIVITY

  • Increase physical activity (1)
  • Physical activity is inversely associated with ED (2)

SMOKING

  • Smoking increases the risk of erectile dysfunction, while smoking cessation may improve erectile dysfunction (5)

STRESS & MENTAL HEALTH

  • For psychogenic erectile dysfunction address psychological stressors (1)

WEIGHT

  • Weight reduction if obese (1)
  • Obesity worsen sexual function and weight loss if obese improves sexual function (2)

References

1) https://bestpractice.bmj.com/topics/en-us/213/management-approach

2) https://onlinelibrary.wiley.com/doi/epdf/10.1038/oby.2012.104

3) https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1106016

4) https://www.nature.com/articles/s41443-018-0022-x

5) https://academic.oup.com/smr/article/11/1/61/6985842

Resources

EXPLANATION TO EVIDENCE PRESENTATION

Figure: Evidence pyramid

​Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD font

​Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE font

​Evidence based on randomized controlled trials is written in PLAIN font

​Evidence based on observational / cohort studies is written in CURSIVE font