On March 30, the "Chronic Disease and Men's Health Experts' Conference" with the theme of "Preventing Chronic Diseases, Happy Family" was co-sponsored by the Institute of Sexology of the Chinese Sexology Society and the Chronic Disease Center of the Chinese Center for Disease Control and Prevention (CDC). Media Conference" was held in Xi'an. Wu Jing, Deputy Director of the Chronic Disease Center of China CDC, Director of the Risk Factor Monitoring Office of the CDC Chronic Disease Center, Wang Limin, President of the Chinese Sexology Society and Dean of the Institute of Sexology, Professor Jiang Hui, Chairman of the Sexual Medicine Branch of the Chinese Sexology Society, Zhang Zhichao, and Chinese Sexology Society Experts including Chairman Zhou Huiliang of the Male Reproductive Medicine Branch and Deputy Chairman Wang Zhong of the Andrology Branch of the Chinese Medical Association attended the meeting.

At the meeting, Deputy Director Wu Jing shared the latest information on the United Nations Chronic Disease Summit Forum. Data show that the number of deaths from chronic diseases has accounted for more than 70% of the total number of deaths in the world; a total of 41 million people died of chronic diseases around the world throughout the year, of which about 16 million died in their prime (30-69 years old), and most ( About 82%) occur in developing countries; in addition, mental problems and diseases are also serious, with depression alone affecting 300 million people. The disease burden of chronic diseases in my country is heavier than the global average, so prevention and control must be strengthened. She emphasized that chronic diseases are preventable and controllable. The United Nations has proposed the latest 5*5 strategy, which focuses on preventing and controlling risk factors that are preventable and controllable, including unhealthy diet, tobacco use, harmful drinking, lack of physical activity, and air pollution. pollution etc. She also pointed out that common men's health problems are part of chronic diseases and are equally important and cannot be ignored. In order to achieve the goals of the national chronic disease prevention and control plan, we should pay more attention to men's health, focus on prevention and combine prevention and treatment, strengthen special research and practice, increase prevention and control efforts, jointly promote happy families, improve happiness, and promote the construction of a healthy China.

The results of the "Real-World Observation Study of 48 Million Men in the United States: The Relationship between Age and Erectile Dysfunction (ED) and Cardiovascular Disease, Diabetes, and Depression" (hereinafter referred to as "the study") became one of the focus topics of the conference. Dr. Lin Haocheng, deputy chairman of the Sexual Medicine Branch of the Chinese Sexology Society and a male from Peking University Third Hospital, gave a detailed interpretation and sharing of the study and its results.

According to Dr. Lin, the study is based on big data information with a total population of 48,004,379 in the U.S. insurance claims database, collecting real data from 9,839,578 men over 18 years old and meeting the inclusion criteria from 2010 to 2015, grouped by age (18-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80-89 and ≥90 years old), clarify the incidence of cardiovascular disease, diabetes and depression in ED and non-ED patients, and analyze The incidence of complications was compared between the two groups of patients at each age stage.

The study lasted 6 years and found that in real-world data in the United States, the diagnosis rate of ED is 6%, and increases with age. The incidence rate reaches a peak of 34.79% in the 50-59 age group, and 60 It turns to decline after age. The incidence of complications such as cardiovascular disease, diabetes, and depression also follows this trend. More importantly, the study found that cardiovascular disease, diabetes, and depression were closely related to the diagnosis of ED. Men with ED are more likely to develop cardiovascular disease, diabetes, and depression at all ages than men without ED. Among them, cardiovascular disease is about 18%, diabetes is about 24%, and the incidence of depression is about 11%. Previous studies have reported that the incidence of the three diseases is about 13%, 20%, and 11% respectively.

"The results of this study suggest that ED is associated with an increased risk of diabetes, cardiovascular disease, and depression, and can predict these comorbid diseases. At the same time, comorbid conditions such as ED and cardiovascular disease are not limited to the elderly." Peking University No. Professor Zhang Zhichao from the Andrology Department of a hospital said, “Therefore, during the diagnosis and treatment of ED, multiple systemic diseases should be considered, and the potential for serious diseases such as comorbid diseases, including cardiovascular disease, diabetes, and depression, should be detected, even if the age is young. The same is true for ED patients up to 30 years old."

Professor Zhou Huiliang, director of the Andrology Department of the First Affiliated Hospital of Fujian Medical University, said: "Previous studies have reported that age is an independent risk factor for the diagnosis of ED, but this study has further expanded, linking ED with chronic diseases such as cardiovascular disease, diabetes, and depression. Mental disorders are related to each other and provide data support and strategic ideas for clinical ED treatment. In the future, multidisciplinary collaboration between andrology, cardiovascular, endocrinology and psychiatry will be inevitable.

Professor Jiang Hui, Director of the Andrology Department of Peking University Third Hospital, reported on a study of 1,236 male infertile patients in the United States and found that 1.1% had serious underlying pathological conditions. Another study showed that 33/536 (6%) men were not evaluated for infertility. Other obvious pathological changes were found during childbirth. These results suggest that male infertility may be a barometer of male health. According to Professor Jiang, more studies have given similar hints from different angles: the incidence of cancer is higher in infertile men: complications are more common in men with abnormal semen parameters, such as endocrine diseases, genitourinary system diseases, and skin diseases. diseases, hypertension, non-ischemic heart disease, etc. Men with abnormal semen parameters are more likely to suffer from chronic diseases, such as diabetes, ischemic heart disease, alcohol abuse, drug abuse, etc. Therefore, infertility can be used as a marker of male health and needs the attention of patients and doctors. The increase in mortality among male infertile patients involves a series of serious health problems, including not only factors such as chronic diseases such as CVD, but also an increase in the incidence of various types of cancer, which should be taken seriously. It not only prevents and treats chronic diseases, but also helps patients rebuild happy families. ”

The Institute of Sexology of the Chinese Sexology Society and the Chronic Disease Center of the Chinese Center for Disease Control and Prevention have also reached a strategic cooperation intention for future joint construction. The two parties will use "men's health" as the entry point to jointly promote the prevention and treatment of chronic diseases such as cardiovascular disease and diabetes. Director Wu Jing pointed out that chronic diseases such as cardiovascular disease and diabetes bring a heavy burden to patients and the country, and prevention and control are of great significance. With the guidance and help of the Chronic Disease Center of the Chinese Center for Disease Control and Prevention, the Chinese Sexology Society will use the cutting-edge scientific research results in andrology as support, accelerate its clinical application, and jointly promote the improvement of chronic disease prevention and control in my country.

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