Association of Urinary Phthalate Metabolites With Erectile Dysfunction in Racial and Ethnic Groups in the National Health and Nutrition Examination Survey 2001-2004

David S. Lopez, Shailesh Advani, Konstantinos K. Tsilidis, Run Wang, Jacques Baillargeon, Adrian Dobs, Elaine Symanski, Steven Canfield

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Phthalates are endocrine-disrupting compounds detectable in more than 75% of the U.S. population with differential distributions across racial and ethnic groups, and they have been linked with reduced levels of serum testosterone. This study aims to investigate the associations of phthalate metabolites with erectile dysfunction (ED) and to determine whether these associations vary by race/ethnicity among men in the United States. Analyzed data for 12 phthalate metabolites from 3,746 men (≥20 years old), who participated in the National Health and Nutrition Examination Survey 2001-2004 cross-sectional study, were included. Metabolites included MBP, MCHP, MEP, MEHP, MiNP, MBzP, MMP, MCPP, MEHHP, MEOHP, MiBP, and MECPP. Racial/ethnic groups included non-Hispanic Blacks (n = 770), non-Hispanic Whites (n = 2,147), and Mexican Americans (n = 829). ED was assessed by a single question during a self-paced, computer-assisted self-interview. In racial/ethnic stratified analyses, there were higher MBP and MBzP concentrations that had a strong-dose response association with lower prevalence odds of ED among Mexican Americans, ptrend <.01, and ptrend =.03, respectively. Similarly, a significant inverse association between MEHHP and likelihood of ED among non-Hispanic Black men (ptrend <.04) was observed. Furthermore, significant inverse associations between higher concentrations of phthalates and ED were identified only in minority populations. Further investigations, particularly prospective studies, are warranted to determine the role of phthalates on the biological mechanism(s) associated with ED. A focus may be placed on testosterone levels which are suggested to be affected by phthalates, and also low levels of testosterone are suggested to increase the risk of ED.

Original languageEnglish (US)
Pages (from-to)576-584
Number of pages9
JournalAmerican Journal of Men's Health
Volume11
Issue number3
DOIs
StatePublished - May 1 2017

Fingerprint

Nutrition Surveys
Erectile Dysfunction
Ethnic Groups
nutrition
ethnic group
examination
health
Testosterone
cross-sectional study
ethnicity
minority
interview
phthalic acid
Matrix Metalloproteinases
Population
Cross-Sectional Studies
Prospective Studies
Interviews
Serum

Keywords

  • erectile dysfunction
  • NHANES
  • phthalates
  • race and ethnicity

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Association of Urinary Phthalate Metabolites With Erectile Dysfunction in Racial and Ethnic Groups in the National Health and Nutrition Examination Survey 2001-2004. / Lopez, David S.; Advani, Shailesh; Tsilidis, Konstantinos K.; Wang, Run; Baillargeon, Jacques; Dobs, Adrian; Symanski, Elaine; Canfield, Steven.

In: American Journal of Men's Health, Vol. 11, No. 3, 01.05.2017, p. 576-584.

Research output: Contribution to journalArticle

Lopez, David S. ; Advani, Shailesh ; Tsilidis, Konstantinos K. ; Wang, Run ; Baillargeon, Jacques ; Dobs, Adrian ; Symanski, Elaine ; Canfield, Steven. / Association of Urinary Phthalate Metabolites With Erectile Dysfunction in Racial and Ethnic Groups in the National Health and Nutrition Examination Survey 2001-2004. In: American Journal of Men's Health. 2017 ; Vol. 11, No. 3. pp. 576-584.
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