Risk of erectile dysfunction induced by arsenic exposure through well water consumption in Taiwan

Fang I. Hsieh, Yi-Sheng Huang, Yi Chen Hsieh, Hsiu Chiung Lo, Chien Tien Su, Hui Shing Hsu, Hung Yi Chiou, Chien Jen Chen

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Background: Erectile dysfunction (ED) has a profound impact on the quality of life of many men. Many risk factors are associated with ED, such as aging, sex hormone levels, hypertension, cardiovascular diseases, and diabetes mellitus. Arsenic exposure could damage peripheral vessels and increase the risk of cardiovascular disease. However, the relationship between arsenic exposure and ED has seldom been evaluated. Objectives: In this study we aimed to investigate whether exposure to arsenic enhances the risk of ED. Methods: We recruited 177 males ≥ 50 years of age through health examinations conducted in three hospitals in Taiwan. We used a questionnaire (International Index of Erectile Function-5) to measure the level of erectile function. Sex hormones, induding total testosterone and sex hormone-binding globulin, were determined by radioimmunoassay. We used another standardized questionnaire to collect background and behavioral information (e.g., cigarette smoking, alcohol, tea, or coffee drinking; and physical activity). Results: The prevalence of ED was greater in the arsenic-endemic area (83.3%) than in the non-arsenic-endemic area (66.7%). Subjects with arsenic exposure > 50 ppb had a significantly higher rsk of developing ED than those with exposure ≤ 50 ppb, after adjusting for age, cigarette smoking, diabetes mellitus, hypertension, and cardiovascular disease [odds ratio (OR) = 3.4]. Results also showed that the risk of developing severe ED was drastically enhanced by arsenic exposure (OR = 7.5), after adjusting for free testosterone and traditional risk factors of ED. Conclusions: Results suggested that chronic arsenic exposure has a negative impact on erectile function.

Original languageEnglish
Pages (from-to)532-536
Number of pages5
JournalEnvironmental Health Perspectives
Volume116
Issue number4
DOIs
Publication statusPublished - Apr 2008

Fingerprint

Arsenic
Erectile Dysfunction
well water
Taiwan
Drinking
arsenic
sex hormone
Water
cardiovascular disease
hypertension
diabetes
Gonadal Steroid Hormones
testosterone
Cardiovascular Diseases
Medical problems
smoking
risk factor
Tobacco Products
Testosterone
Diabetes Mellitus

Keywords

  • Arsenic exposure
  • Calculated free testosterone
  • Erectile dysfunction
  • Sex hormone
  • Total testosterone

ASJC Scopus subject areas

  • Environmental Science(all)
  • Environmental Chemistry
  • Public Health, Environmental and Occupational Health

Cite this

Risk of erectile dysfunction induced by arsenic exposure through well water consumption in Taiwan. / Hsieh, Fang I.; Huang, Yi-Sheng; Hsieh, Yi Chen; Lo, Hsiu Chiung; Su, Chien Tien; Hsu, Hui Shing; Chiou, Hung Yi; Chen, Chien Jen.

In: Environmental Health Perspectives, Vol. 116, No. 4, 04.2008, p. 532-536.

Research output: Contribution to journalArticle

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N2 - Background: Erectile dysfunction (ED) has a profound impact on the quality of life of many men. Many risk factors are associated with ED, such as aging, sex hormone levels, hypertension, cardiovascular diseases, and diabetes mellitus. Arsenic exposure could damage peripheral vessels and increase the risk of cardiovascular disease. However, the relationship between arsenic exposure and ED has seldom been evaluated. Objectives: In this study we aimed to investigate whether exposure to arsenic enhances the risk of ED. Methods: We recruited 177 males ≥ 50 years of age through health examinations conducted in three hospitals in Taiwan. We used a questionnaire (International Index of Erectile Function-5) to measure the level of erectile function. Sex hormones, induding total testosterone and sex hormone-binding globulin, were determined by radioimmunoassay. We used another standardized questionnaire to collect background and behavioral information (e.g., cigarette smoking, alcohol, tea, or coffee drinking; and physical activity). Results: The prevalence of ED was greater in the arsenic-endemic area (83.3%) than in the non-arsenic-endemic area (66.7%). Subjects with arsenic exposure > 50 ppb had a significantly higher rsk of developing ED than those with exposure ≤ 50 ppb, after adjusting for age, cigarette smoking, diabetes mellitus, hypertension, and cardiovascular disease [odds ratio (OR) = 3.4]. Results also showed that the risk of developing severe ED was drastically enhanced by arsenic exposure (OR = 7.5), after adjusting for free testosterone and traditional risk factors of ED. Conclusions: Results suggested that chronic arsenic exposure has a negative impact on erectile function.

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