Correlation between Serum Levels of Nitric Oxide and Adropin and Erectile Dysfunction in Males with Nonalcoholic Fatty Liver Disease: An Observational Study

The current study aimed to evaluate the serum levels of nitric oxide (NO) and adropin in males with non-alcoholic fatty liver disease (NAFLD) induced erectile dysfunction (ED) and NAFLD patients without ED and controls. The current study selected 165 participants from the hepatology department from...

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Veröffentlicht in:Reproductive sciences (Thousand Oaks, Calif.) Calif.), 2024-09, Vol.31 (9), p.2676-2684
Hauptverfasser: Ragab, Ahmed, Fattah, Ali M Abdel, Sayed, Ahmed Reda, GamalEl Din, Sameh Fayek, Mahmoud Hassan, Shrouk Matrawy, Mohamed, Aya Yaseen Mohamed, Hamed, Mostafa Ahmed
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container_title Reproductive sciences (Thousand Oaks, Calif.)
container_volume 31
creator Ragab, Ahmed
Fattah, Ali M Abdel
Sayed, Ahmed Reda
GamalEl Din, Sameh Fayek
Mahmoud Hassan, Shrouk Matrawy
Mohamed, Aya Yaseen Mohamed
Hamed, Mostafa Ahmed
description The current study aimed to evaluate the serum levels of nitric oxide (NO) and adropin in males with non-alcoholic fatty liver disease (NAFLD) induced erectile dysfunction (ED) and NAFLD patients without ED and controls. The current study selected 165 participants from the hepatology department from November 2021 to November 2022. The patients were either suffering from NAFLD with normal liver functions or non-alcoholic steatohepatitis with abnormal liver functions. They were diagnosed by abdominal ultrasonography. Participants were evaluated using the validated Arabic version of the International Index of Erectile Function (ArIIEF-5), the Arabic form of the Generalized Anxiety Disorder-7 (GAD-7) questionnaire and the Patient Health Questionnaire-9 (PHQ-9). Noteworthy, there were significant positive correlations between ArIIEF-5 score, NO, adropin and total testosterone (r = 0.380, p = 0.001; r = 0.507, p =  
doi_str_mv 10.1007/s43032-024-01537-4
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The current study selected 165 participants from the hepatology department from November 2021 to November 2022. The patients were either suffering from NAFLD with normal liver functions or non-alcoholic steatohepatitis with abnormal liver functions. They were diagnosed by abdominal ultrasonography. Participants were evaluated using the validated Arabic version of the International Index of Erectile Function (ArIIEF-5), the Arabic form of the Generalized Anxiety Disorder-7 (GAD-7) questionnaire and the Patient Health Questionnaire-9 (PHQ-9). Noteworthy, there were significant positive correlations between ArIIEF-5 score, NO, adropin and total testosterone (r = 0.380, p = 0.001; r = 0.507, p =  &lt; 0.001; r = 0.246, p = 0.038, respectively). Meanwhile, there were significant negative correlations between ArIIEF-5 score, creatinine, duration of the disease and scores of GAD-7 and PHQ-9 (r = -0.656, p =  &lt; 0.001; r = -0.368, p = 0.002; r = -0.663, p =  &lt; 0.001; r = -0.248, p = 0.037, respectively). Finally, a linear regression analysis revealed that GAD-7, creatinine, and adropin were the only strong independent predictors of ArIIEF-5, as the 95% confidence interval in the form of upper and lower bounds was -0.349, -0.843, p &lt; 0.001, -6.507, -18.402, p &lt; 0.001, 0.476, 0.117, and p 0.002, respectively. Impaired NO and adropin levels play a potential role in the development of ED in patients with NAFLD.</description><identifier>ISSN: 1933-7191</identifier><identifier>ISSN: 1933-7205</identifier><identifier>EISSN: 1933-7205</identifier><identifier>DOI: 10.1007/s43032-024-01537-4</identifier><identifier>PMID: 38691315</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Biomarkers - blood ; Blood Proteins - analysis ; Blood Proteins - metabolism ; Embryology ; Erectile Dysfunction - blood ; Erectile Dysfunction - diagnosis ; Humans ; Intercellular Signaling Peptides and Proteins - blood ; Male ; Male Reproduction: Original Article ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Nitric Oxide - blood ; Non-alcoholic Fatty Liver Disease - blood ; Non-alcoholic Fatty Liver Disease - complications ; Obstetrics/Perinatology/Midwifery ; Reproductive Medicine</subject><ispartof>Reproductive sciences (Thousand Oaks, Calif.), 2024-09, Vol.31 (9), p.2676-2684</ispartof><rights>The Author(s) 2024</rights><rights>2024. 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Sci</addtitle><addtitle>Reprod Sci</addtitle><description>The current study aimed to evaluate the serum levels of nitric oxide (NO) and adropin in males with non-alcoholic fatty liver disease (NAFLD) induced erectile dysfunction (ED) and NAFLD patients without ED and controls. The current study selected 165 participants from the hepatology department from November 2021 to November 2022. The patients were either suffering from NAFLD with normal liver functions or non-alcoholic steatohepatitis with abnormal liver functions. They were diagnosed by abdominal ultrasonography. Participants were evaluated using the validated Arabic version of the International Index of Erectile Function (ArIIEF-5), the Arabic form of the Generalized Anxiety Disorder-7 (GAD-7) questionnaire and the Patient Health Questionnaire-9 (PHQ-9). 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Sci</stitle><addtitle>Reprod Sci</addtitle><date>2024-09-01</date><risdate>2024</risdate><volume>31</volume><issue>9</issue><spage>2676</spage><epage>2684</epage><pages>2676-2684</pages><issn>1933-7191</issn><issn>1933-7205</issn><eissn>1933-7205</eissn><abstract>The current study aimed to evaluate the serum levels of nitric oxide (NO) and adropin in males with non-alcoholic fatty liver disease (NAFLD) induced erectile dysfunction (ED) and NAFLD patients without ED and controls. The current study selected 165 participants from the hepatology department from November 2021 to November 2022. The patients were either suffering from NAFLD with normal liver functions or non-alcoholic steatohepatitis with abnormal liver functions. They were diagnosed by abdominal ultrasonography. Participants were evaluated using the validated Arabic version of the International Index of Erectile Function (ArIIEF-5), the Arabic form of the Generalized Anxiety Disorder-7 (GAD-7) questionnaire and the Patient Health Questionnaire-9 (PHQ-9). Noteworthy, there were significant positive correlations between ArIIEF-5 score, NO, adropin and total testosterone (r = 0.380, p = 0.001; r = 0.507, p =  &lt; 0.001; r = 0.246, p = 0.038, respectively). Meanwhile, there were significant negative correlations between ArIIEF-5 score, creatinine, duration of the disease and scores of GAD-7 and PHQ-9 (r = -0.656, p =  &lt; 0.001; r = -0.368, p = 0.002; r = -0.663, p =  &lt; 0.001; r = -0.248, p = 0.037, respectively). Finally, a linear regression analysis revealed that GAD-7, creatinine, and adropin were the only strong independent predictors of ArIIEF-5, as the 95% confidence interval in the form of upper and lower bounds was -0.349, -0.843, p &lt; 0.001, -6.507, -18.402, p &lt; 0.001, 0.476, 0.117, and p 0.002, respectively. Impaired NO and adropin levels play a potential role in the development of ED in patients with NAFLD.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>38691315</pmid><doi>10.1007/s43032-024-01537-4</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-1918-5132</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1933-7191
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subjects Adult
Biomarkers - blood
Blood Proteins - analysis
Blood Proteins - metabolism
Embryology
Erectile Dysfunction - blood
Erectile Dysfunction - diagnosis
Humans
Intercellular Signaling Peptides and Proteins - blood
Male
Male Reproduction: Original Article
Medicine
Medicine & Public Health
Middle Aged
Nitric Oxide - blood
Non-alcoholic Fatty Liver Disease - blood
Non-alcoholic Fatty Liver Disease - complications
Obstetrics/Perinatology/Midwifery
Reproductive Medicine
title Correlation between Serum Levels of Nitric Oxide and Adropin and Erectile Dysfunction in Males with Nonalcoholic Fatty Liver Disease: An Observational Study
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