Longitudinal Trends of AMS and IIEF-5 Scores in Randomly-Selected Community Men 40 to 80 Years Old: Preliminary Results. Issue 10 (22nd August 2019)

• Record Type: Journal Article
• Authors: Zheng, Jun-Biao; Liang, Qun-Feng; Li, Jian-Hui; Zhang, Shu-Cheng; Yu, Xiao-Hua; Zhao, Jing; Liang, Guo-Qing; Shi, Hui-Juan; Zhou, Wei-Jin; Zhu, Qian-Xi
• Is Part Of: Journal of sexual medicine. Volume 16:Issue 10(2019)
• Page Start: 1567
• Page End: 1573
• Publication Date: 2019-08-22
• Subjects: Aging Males' Symptoms -- Cohort Study -- International Index Of Erectile Function -- Natural Progression; Sexual disorders -- Periodicals; Sex -- Periodicals; Sexual health -- Periodicals; 616.69005
• DOI: 10.1016/j.jsxm.2019.07.017
• Languages: English
• ISSNs: 1743-6095

Abstract

Abstract: Introduction: Most of conclusions on the relationship between age and reproductive health in aging men relied on cross-sectional data. Aim: To better characterize the natural degradation trajectory of reproductive health of aging men based on longitudinal data. Methods: A community cohort study was performed in randomly selected men 40 to 80 years old, initiated in 2012 and followed up in 2014 and 2016. Participants were investigated by face-to-face structured interview, including demographic information and International Index of Erectile Function (IIEF-5) and Aging Males' Symptoms (AMS) scales. Main Outcome Measures: The differences among the 3 assessments of IIEF-5 and AMS were analyzed, and progression trajectories were traced. Results: The high degree of variability on AMS and IIEF-5 was evident across individual subjects, as was the variability within individuals. The average IIEF-5 score of 248 subjects decreased from 16.9 to 14.1 during the 4 years, and the total AMS score increased from 22.6–27.0 ( P < .001). Longitudinal data, both of individuals and of groups, showed the more rapid increase or decrease on AMS or IIEF-5 scores over 4 years in the 61–70 age group than in other age groups. Clinical Implication: The evidence of the greatest changes on AMS and IIEF-5 scores in the 61–70 age group prompts the importance of early intervention to postpone the degradation of reproductive health. Strength & Limitations: Compared with cross-sectional data, longitudinal data can provide a more natural progression trajectory of reproductive health of aging male individuals. The low follow-up rate might affect the parameter estimation to some extent. Conclusion: Cohort data over 4 years' follow-up showed more abrupt changes on AMS and IIEF-5 scores in the 61–70 age group than in other age groups.