PMID- 23635309 OWN - NLM STAT- MEDLINE DCOM- 20140626 LR - 20220316 IS - 1743-6109 (Electronic) IS - 1743-6095 (Linking) VI - 10 IP - 7 DP - 2013 Jul TI - Comparing effects of low- and high-volume moderate-intensity exercise on sexual function and testosterone in obese men. PG - 1823-32 LID - 10.1111/jsm.12154 [doi] AB - INTRODUCTION: Obesity and inactivity are associated with erectile dysfunction and hypogonadism. AIM: To compare the effects of low volume (LV) and high volume (HV) of moderate-intensity exercise on sexual function, testosterone, lower urinary tract symptoms (LUTS), endothelial function, and quality of life (QoL) in obese men. MAIN OUTCOME MEASURES: Weight, waist circumference (WC), body composition, International Index of Erectile Function 5-item (IIEF-5), International Prostate Symptom Scale (IPSS) (for LUTS), and 36-item Short Form Survey version 2 Instrument (SF-36) (for QoL) scores, plasma testosterone, sex-hormone binding globulin, glucose, insulin and lipids, and endothelial function (by Reactive Hyperaemia Index [RHI] using finger plethysmography) were measured at baseline and 24 weeks. METHODS: Ninety abdominally obese (body mass index > 27.5 kg/m(2), WC > 90 cm), sedentary (exercise approximately 80 minutes/week) Asian men (mean age 43.6 years, range 30-60) were prescribed a diet to reduce daily intake by approximately 400 kcal below calculated requirement and randomized to perform moderate-intensity exercise of LV (<150 minutes/week) or HV (200-300 minutes/week) (n = 45 each) for 24 weeks. Seventy-five men (83.3%) completed the study. RESULTS: Weekly exercise volume was significantly greater in the HV (236 +/- 9 minutes) than the LV (105 +/- 9 minutes) group. The HV group had significantly greater increases in IIEF-5 score (2.6 +/- 0.5 points) and testosterone (2.06 +/- 0.46 nmol/L) and reductions in weight (-5.9 +/- 0.7 kg, -6.2%), WC (-4.9 +/- 0.8 cm, -4.9%), and fat mass (-4.7 +/- 1.0 kg, -14.5%) than the LV group (-2.9 +/- 0.7 kg, -3.0%; -2.7 +/- 0.7 cm, -2.5%; -1.1 +/- 0.8 kg, -3.2%; 0.79 +/- 0.46 nmol/L; and 1.8 +/- 0.5 points). Improvements in IPSS and SF-36 scores, and RHI, were similar. CONCLUSIONS: Moderate-intensity HV aerobic exercise > 200 minutes/week produces greater improvements in sexual function, testosterone, weight, WC, and fat mass than smaller exercise volume. CI - (c) 2013 International Society for Sexual Medicine. FAU - Khoo, Joan AU - Khoo J AD - Department of Endocrinology, Changi General Hospital, Singapore, Singapore. joan_khoo@cgh.com.sg FAU - Tian, Ho-Heng AU - Tian HH FAU - Tan, Benedict AU - Tan B FAU - Chew, Kelvin AU - Chew K FAU - Ng, Chung-Sien AU - Ng CS FAU - Leong, Darren AU - Leong D FAU - Teo, Raymond Choon-Chye AU - Teo RC FAU - Chen, Richard Yuan-Tud AU - Chen RY LA - eng SI - ClinicalTrials.gov/NCT01554735 PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20130501 PL - Netherlands TA - J Sex Med JT - The journal of sexual medicine JID - 101230693 RN - 0 (Sex Hormone-Binding Globulin) RN - 3XMK78S47O (Testosterone) SB - IM MH - Adult MH - Aged MH - Body Composition MH - Body Mass Index MH - Body Weight MH - Erectile Dysfunction/etiology/*therapy MH - *Exercise MH - Humans MH - Male MH - Obesity/complications/*therapy MH - Prostate/physiopathology MH - Quality of Life MH - Sex Hormone-Binding Globulin MH - Testosterone/*blood MH - Waist Circumference OTO - NOTNLM OT - Erectile Dysfunction OT - LUTS OT - Obesity OT - Regular Physical Exercise OT - Weight Loss EDAT- 2013/05/03 06:00 MHDA- 2014/06/27 06:00 CRDT- 2013/05/03 06:00 PHST- 2013/05/03 06:00 [entrez] PHST- 2013/05/03 06:00 [pubmed] PHST- 2014/06/27 06:00 [medline] AID - S1743-6095(15)30417-3 [pii] AID - 10.1111/jsm.12154 [doi] PST - ppublish SO - J Sex Med. 2013 Jul;10(7):1823-32. doi: 10.1111/jsm.12154. Epub 2013 May 1.