Title Heart Rate Variability and Erectile Function in Younger Men: A Pilot Study.
Author Costa, Rui Miguel; Mangia, Paula; Pestana, Jose; Costa, David
Journal Appl Psychophysiol Biofeedback Publication Year/Month 2021-Sep
PMID 33387097 PMCID -N/A-
Affiliation + expend 1.William James Center for Research, ISPA - Instituto Universitario, Rua do Jardim do Tabaco 34, 1149-041, Lisbon, Portugal. rcosta@ispa.pt.

Erectile dysfunction (ED) in younger men is an increasing concern. In middle aged and older men, ED was related to lower resting heart rate variability (HRV), but research in younger men is lacking. The present study examined, in a nonclinical sample of 105 men between 18 and 39 years, the association of ED with several parameters of resting HRV. Scores of the 5-item version of the International Index of Erectile Function (IIEF-5) below 22 were considered as indicating ED. Eighteen men (17.1%) reported ED (mild in 16, mild to moderate in 2). Welch\'s tests revealed that ED was associated with lower low-frequency power (LF), lower high-frequency power (HF), lower standard deviation of interbeat intervals, and lower standard deviation of the heart rate, which is influenced by both sympathetic and parasympathetic activity. After removing outliers, ED was unrelated to HF. In younger men, erections might be facilitated by a combination of higher parasympathetic tone and relatively higher sympathetic tone in the heart, as indicated by LF and greater standard deviation of the heart rate, a largely overlooked parameter in HRV research.

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