Since both coronary heart disease and impotence can be reversed with a healthy diet, sexual dysfunction can be used as a motivator to change poor lifestyle habits.
50 Shades of Greens
Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.
“Motivating patients to change…poor lifestyle habits can be extremely difficult. Preventing cardiovascular [events], such as [heart attacks] or stroke[s], are relatively distant benefits, whereas barbecued ribs, [and] cheesecake [or sitting on your butt], promises almost instant gratification.” So, public health experts are hoping that “prevention or improvement” of erectile dysfunction could be “a more immediate motivator that physicians can use to improve their patients’ lifestyle, and in turn their overall cardiovascular health.” That’s how doctors can “save a life during a clinic visit for erectile dysfunction.”
We used to think of erectile dysfunction in young men, in their 20s and 30s, as “psychogenic in origin”—meaning it’s all in their heads. But now, we’re realizing it’s more likely the early signs of vascular disease.
But even “[w]hen the penis heads in the wrong direction, the heart need not follow.” Atherosclerosis in both organs can be reversed with lifestyle changes. We know that “[A] substantial body of knowledge demonstrates that the abundant consumption of vegetables, fruit, and whole grain, and the dietary patterns rich in these foods, convey a markedly lower risk of coronary disease.”
So, they tried putting impotent men on a Mediterranean diet, the main characteristics of which include an abundance of plant food. 37% of the men on the Mediterranean diet for two years “regained…normal sexual function.” What about the diet appeared to do it? Improvements in erectile function were tied to five things: increased intake of fruits, vegetables, nuts, beans, and, essentially, the ratio of plant to animal fats.
Similar benefits were found for women. The same kind of diet “significantly improved sexual function[s], together with a significant reduction of systemic…inflammation. As a whole, these findings suggest that a Mediterranean-style diet may be a safe strategy for amelioration of sexual function in women” with prediabetes or diabetes—significant improvement in sexual satisfaction on the healthier diet.
Why, though? Well, “[a]s dietary fiber may have anti-inflammatory roles, it may be due to the fiber content of [all those plants in] the Mediterranean diet,” magnified by all the antioxidants. This is the current thinking, given the anti-inflammatory and antioxidant effects of a plant-based diet.
But, does it really matter why? “From a public health perspective, it may be unnecessary to elucidate every mechanism” of single components: let’s just recommend people to eat healthy—such as “decreasing fat and increasing whole grains and greens.”
Please consider volunteering to help out on the site.
- S.-D. Chung, Y.-K. Chen, H.-C. Lin, H.-C. Lin. Increased risk of stroke among men with erectile dysfunction: A nationwide population-based study. J Sex Med. 2011 8(1):240 - 246.
- B. G. Schwartz, R. A. Kloner. How to save a life during a clinic visit for erectile dysfunction by modifying cardiovascular risk factors. Int. J. Impot. Res. 2009 21(6):327 - 335.
- F. Yao, Y. Huang, Y. Zhang, Y. Dong, H. Ma, C. Deng, H. Lin, D. Liu, K. Lu. Subclinical endothelial dysfunction and low-grade inflammation play roles in the development of erectile dysfunction in young men with low risk of coronary heart disease. Int. J. Androl. 2012 35(5):653 - 659.
- G. Corona, G. Fagioli, E. Mannucci, A. Romeo, M. Rossi, F. Lotti, A. Sforza, S. Morittu, V. Chiarini, G. Casella, G. Di Pasquale, E. Bandini, G. Forti, M. Maggi. Penile doppler ultrasound in patients with erectile dysfunction (ED): Role of peak systolic velocity measured in the flaccid state in predicting arteriogenic ED and silent coronary artery disease. J Sex Med. 2008 5(11):2623 - 2634.
- K.-K. Chew, N. Gibson, F. Sanfilippo, B. Stuckey, A. Bremner. Cardiovascular mortality in men with erectile dysfunction: Increased risk but not inevitable. J Sex Med. 2011 8(6):1761 - 1771.
- B. P. Gupta, M. H. Murad, M. M. Clifton, L. Prokop, A. Nehra, S. L. Kopecky. The effect of lifestyle modification and cardiovascular risk factor reduction on erectile dysfunction: A systematic review and meta-analysis. Arch. Intern. Med. 2011 171(20):1797 - 1803.
- K. Esposito, M. Ciotola, F. Giugliano, M. De Sio, G. Giugliano, M. D'armiento, D. Giugliano. Mediterranean diet improves erectile function in subjects with the metabolic syndrome. Int. J. Impot. Res. 2006 18(4):405 - 410.
- K. Esposito, F. Giugliano, M. I. Maiorino, D. Giugliano. Dietary factors, Mediterranean diet and erectile dysfunction. J Sex Med. 2010 7(7):2338 - 2345.
- F. Giugliano, M. I. Maiorino, C. Di Palo, R. Autorino, M. De Sio, D. Giugliano, K. Esposito. Adherence to Mediterranean diet and sexual function in women with type 2 diabetes. J Sex Med. 2010 7(5):1883 - 1890.
- D. R. Meldrum, J. C. Gambone, M. A. Morris, D. A. N. Meldrum, K. Esposito, L. J. Ignarro. The link between erectile and cardiovascular health: The canary in the coal mine. Am. J. Cardiol. 2011 108(4):599 - 606.
- K. Esposito, M. Ciotola, F. Giugliano, B. Schisano, R. Autorino, S. Iuliano, M. T. Vietri, M. Cioffi, M. De Sio, D. Giugliano. Mediterranean diet improves sexual function in women with the metabolic syndrome. Int. J. Impot. Res. 2007 19(5):486 - 491.
- K. Esposito, D. Giugliano. Lifestyle/dietary recommendations for erectile dysfunction and female sexual dysfunction. Urol. Clin. North Am. 2011 38(3):293 - 301.
- E. Chiurlia, R. D'Amico, C. Ratti, A. R. Granata, R. Romagnoli, M. G. Modena. Subclinical coronary artery atherosclerosis in patients with erectile dysfunction. J. Am. Coll. Cardiol. 2005 46(8):1503 - 1506.
- P. Montorsi, P. M. Ravagnani, S. Galli, F. Rotatori, A. Briganti, A. Salonia, P. Rigatti, F. Montorsi. The artery size hypothesis: A macrovascular link between erectile dysfunction and coronary artery disease. Am. J. Cardiol. 2005 96(12B):19M - 23M.
- G. Jackson. Erectile dysfunction and coronary disease: Evaluating the link. Maturitas 2012 72(3):263 - 264.
- M. M. Fung, R. Bettencourt, E. Barrett-Connor. Heart disease risk factors predict erectile dysfunction 25 years later: The Rancho Bernardo Study. J. Am. Coll. Cardiol. 2004 43(8):1405 - 1411.
- J.-Y. Dong, Y.-H. Zhang, L.-Q. Qin. Erectile dysfunction and risk of cardiovascular disease: Meta-analysis of prospective cohort studies. J. Am. Coll. Cardiol. 2011 58(13):1378 - 1385.
- K. Esposito, D. Giugliano. Lifestyle for erectile dysfunction: A good choice. Arch. Intern. Med. 2012 172(3):295 - 296.
- G. Jackson. Problem solved: Erectile dysfunction (ED) = early death (ED). Int. J. Clin. Pract. 2010 64(7):831 - 832.
- R. Shamloul, H. M. Ghanem, A. Salem, A. Elnashaar, W. Elnaggar, H. Darwish, A. A. Mousa.Correlation between penile duplex findings and stress electrocardiography in men with erectile dysfunction. Int J Impot Res. 2004 16(3):235 - 237.
- B. A. Inman, J. L. Sauver, D. J. Jacobson, M. E. McGree, A. Nehra, M. M. Lieber, V. L. Roger, S. J. Jacobsen. A population-based, longitudinal study of erectile dysfunction and future coronary artery disease. Mayo Clin Proc. 2009 84(2):108 - 113.
- F. Montorsi, A. Briganti, A. Salonia, P. Rigatti, A. Margonato, A. Macchi, S. Galli, P. M. Ravagnani, P. Montorsi. Erectile dysfunction prevalence, time of onset and association with risk factors in 300 consecutive patients with acute chest pain and angiographically documented coronary artery disease. Eur Urol. 2003 44(3):360-364; discussion 364-365.
- A. Nehra, G. Jackson, M. Miner, K. L. Billups, A. L. Burnett, J. Buvat, C. C. Carson, G. R. Cunningham, P. Ganz, I. Goldstein, A. T. Guay, G. Hackett, R. A. Kloner, J. Kostis, P. Montorsi, M. Ramsey, R. Rosen, R. Sadovsky, A. D. Seftel, R. Shabsigh, C. Vlachopoulos, F. C. Wu. The Princeton III Consensus recommendations for the management of erectile dysfunction and cardiovascular disease. Mayo Clin Proc. 2012 87(8):766-778.
- G. Corona, M. Monami, V. Boddi, M. Cameron-Smith, F. Lotti, G. de Vita, C. Melani, D. Balzi, A. Sforza, G. Forti, E. Mannucci, M. Maggi. Male sexuality and cardiovascular risk. A cohort study in patients with erectile dysfunction. J Sex Med. 2010 7(5):1918-1927.
- A. B. Araujo, T. G. Travison, P. Ganz, G. R. Chiu, V. Kupelian, R. C. Rosen, S. A. Hall, J. B. McKinlay. Erectile dysfunction and mortality. J Sex Med. 2009 6(9):2445-2454.
Thanks to Ellen Reid, Maxim Fetissenko, PhD, and Laurie-Marie Pisciotta for their Keynote help.
- alimentación a base de vegetales
- antioxidantes
- apoplejía
- carne
- cereales
- diabetes
- dieta mediterránea
- disfunción erectil
- enfermedad cardiaca
- enfermedad cardiovascular
- fibra
- fruta
- frutos secos
- grasa
- grasa de origen animal
- impotencia
- inflamación
- lácteos
- legumbres
- prediabetes
- productos de origen animal
- salud de la mujer
- salud del pene
- salud masculina
- salud mental
- salud sexual
- veganos
- vegetarianos
- verduras
- verduras
Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.
“Motivating patients to change…poor lifestyle habits can be extremely difficult. Preventing cardiovascular [events], such as [heart attacks] or stroke[s], are relatively distant benefits, whereas barbecued ribs, [and] cheesecake [or sitting on your butt], promises almost instant gratification.” So, public health experts are hoping that “prevention or improvement” of erectile dysfunction could be “a more immediate motivator that physicians can use to improve their patients’ lifestyle, and in turn their overall cardiovascular health.” That’s how doctors can “save a life during a clinic visit for erectile dysfunction.”
We used to think of erectile dysfunction in young men, in their 20s and 30s, as “psychogenic in origin”—meaning it’s all in their heads. But now, we’re realizing it’s more likely the early signs of vascular disease.
But even “[w]hen the penis heads in the wrong direction, the heart need not follow.” Atherosclerosis in both organs can be reversed with lifestyle changes. We know that “[A] substantial body of knowledge demonstrates that the abundant consumption of vegetables, fruit, and whole grain, and the dietary patterns rich in these foods, convey a markedly lower risk of coronary disease.”
So, they tried putting impotent men on a Mediterranean diet, the main characteristics of which include an abundance of plant food. 37% of the men on the Mediterranean diet for two years “regained…normal sexual function.” What about the diet appeared to do it? Improvements in erectile function were tied to five things: increased intake of fruits, vegetables, nuts, beans, and, essentially, the ratio of plant to animal fats.
Similar benefits were found for women. The same kind of diet “significantly improved sexual function[s], together with a significant reduction of systemic…inflammation. As a whole, these findings suggest that a Mediterranean-style diet may be a safe strategy for amelioration of sexual function in women” with prediabetes or diabetes—significant improvement in sexual satisfaction on the healthier diet.
Why, though? Well, “[a]s dietary fiber may have anti-inflammatory roles, it may be due to the fiber content of [all those plants in] the Mediterranean diet,” magnified by all the antioxidants. This is the current thinking, given the anti-inflammatory and antioxidant effects of a plant-based diet.
But, does it really matter why? “From a public health perspective, it may be unnecessary to elucidate every mechanism” of single components: let’s just recommend people to eat healthy—such as “decreasing fat and increasing whole grains and greens.”
Please consider volunteering to help out on the site.
- S.-D. Chung, Y.-K. Chen, H.-C. Lin, H.-C. Lin. Increased risk of stroke among men with erectile dysfunction: A nationwide population-based study. J Sex Med. 2011 8(1):240 - 246.
- B. G. Schwartz, R. A. Kloner. How to save a life during a clinic visit for erectile dysfunction by modifying cardiovascular risk factors. Int. J. Impot. Res. 2009 21(6):327 - 335.
- F. Yao, Y. Huang, Y. Zhang, Y. Dong, H. Ma, C. Deng, H. Lin, D. Liu, K. Lu. Subclinical endothelial dysfunction and low-grade inflammation play roles in the development of erectile dysfunction in young men with low risk of coronary heart disease. Int. J. Androl. 2012 35(5):653 - 659.
- G. Corona, G. Fagioli, E. Mannucci, A. Romeo, M. Rossi, F. Lotti, A. Sforza, S. Morittu, V. Chiarini, G. Casella, G. Di Pasquale, E. Bandini, G. Forti, M. Maggi. Penile doppler ultrasound in patients with erectile dysfunction (ED): Role of peak systolic velocity measured in the flaccid state in predicting arteriogenic ED and silent coronary artery disease. J Sex Med. 2008 5(11):2623 - 2634.
- K.-K. Chew, N. Gibson, F. Sanfilippo, B. Stuckey, A. Bremner. Cardiovascular mortality in men with erectile dysfunction: Increased risk but not inevitable. J Sex Med. 2011 8(6):1761 - 1771.
- B. P. Gupta, M. H. Murad, M. M. Clifton, L. Prokop, A. Nehra, S. L. Kopecky. The effect of lifestyle modification and cardiovascular risk factor reduction on erectile dysfunction: A systematic review and meta-analysis. Arch. Intern. Med. 2011 171(20):1797 - 1803.
- K. Esposito, M. Ciotola, F. Giugliano, M. De Sio, G. Giugliano, M. D'armiento, D. Giugliano. Mediterranean diet improves erectile function in subjects with the metabolic syndrome. Int. J. Impot. Res. 2006 18(4):405 - 410.
- K. Esposito, F. Giugliano, M. I. Maiorino, D. Giugliano. Dietary factors, Mediterranean diet and erectile dysfunction. J Sex Med. 2010 7(7):2338 - 2345.
- F. Giugliano, M. I. Maiorino, C. Di Palo, R. Autorino, M. De Sio, D. Giugliano, K. Esposito. Adherence to Mediterranean diet and sexual function in women with type 2 diabetes. J Sex Med. 2010 7(5):1883 - 1890.
- D. R. Meldrum, J. C. Gambone, M. A. Morris, D. A. N. Meldrum, K. Esposito, L. J. Ignarro. The link between erectile and cardiovascular health: The canary in the coal mine. Am. J. Cardiol. 2011 108(4):599 - 606.
- K. Esposito, M. Ciotola, F. Giugliano, B. Schisano, R. Autorino, S. Iuliano, M. T. Vietri, M. Cioffi, M. De Sio, D. Giugliano. Mediterranean diet improves sexual function in women with the metabolic syndrome. Int. J. Impot. Res. 2007 19(5):486 - 491.
- K. Esposito, D. Giugliano. Lifestyle/dietary recommendations for erectile dysfunction and female sexual dysfunction. Urol. Clin. North Am. 2011 38(3):293 - 301.
- E. Chiurlia, R. D'Amico, C. Ratti, A. R. Granata, R. Romagnoli, M. G. Modena. Subclinical coronary artery atherosclerosis in patients with erectile dysfunction. J. Am. Coll. Cardiol. 2005 46(8):1503 - 1506.
- P. Montorsi, P. M. Ravagnani, S. Galli, F. Rotatori, A. Briganti, A. Salonia, P. Rigatti, F. Montorsi. The artery size hypothesis: A macrovascular link between erectile dysfunction and coronary artery disease. Am. J. Cardiol. 2005 96(12B):19M - 23M.
- G. Jackson. Erectile dysfunction and coronary disease: Evaluating the link. Maturitas 2012 72(3):263 - 264.
- M. M. Fung, R. Bettencourt, E. Barrett-Connor. Heart disease risk factors predict erectile dysfunction 25 years later: The Rancho Bernardo Study. J. Am. Coll. Cardiol. 2004 43(8):1405 - 1411.
- J.-Y. Dong, Y.-H. Zhang, L.-Q. Qin. Erectile dysfunction and risk of cardiovascular disease: Meta-analysis of prospective cohort studies. J. Am. Coll. Cardiol. 2011 58(13):1378 - 1385.
- K. Esposito, D. Giugliano. Lifestyle for erectile dysfunction: A good choice. Arch. Intern. Med. 2012 172(3):295 - 296.
- G. Jackson. Problem solved: Erectile dysfunction (ED) = early death (ED). Int. J. Clin. Pract. 2010 64(7):831 - 832.
- R. Shamloul, H. M. Ghanem, A. Salem, A. Elnashaar, W. Elnaggar, H. Darwish, A. A. Mousa.Correlation between penile duplex findings and stress electrocardiography in men with erectile dysfunction. Int J Impot Res. 2004 16(3):235 - 237.
- B. A. Inman, J. L. Sauver, D. J. Jacobson, M. E. McGree, A. Nehra, M. M. Lieber, V. L. Roger, S. J. Jacobsen. A population-based, longitudinal study of erectile dysfunction and future coronary artery disease. Mayo Clin Proc. 2009 84(2):108 - 113.
- F. Montorsi, A. Briganti, A. Salonia, P. Rigatti, A. Margonato, A. Macchi, S. Galli, P. M. Ravagnani, P. Montorsi. Erectile dysfunction prevalence, time of onset and association with risk factors in 300 consecutive patients with acute chest pain and angiographically documented coronary artery disease. Eur Urol. 2003 44(3):360-364; discussion 364-365.
- A. Nehra, G. Jackson, M. Miner, K. L. Billups, A. L. Burnett, J. Buvat, C. C. Carson, G. R. Cunningham, P. Ganz, I. Goldstein, A. T. Guay, G. Hackett, R. A. Kloner, J. Kostis, P. Montorsi, M. Ramsey, R. Rosen, R. Sadovsky, A. D. Seftel, R. Shabsigh, C. Vlachopoulos, F. C. Wu. The Princeton III Consensus recommendations for the management of erectile dysfunction and cardiovascular disease. Mayo Clin Proc. 2012 87(8):766-778.
- G. Corona, M. Monami, V. Boddi, M. Cameron-Smith, F. Lotti, G. de Vita, C. Melani, D. Balzi, A. Sforza, G. Forti, E. Mannucci, M. Maggi. Male sexuality and cardiovascular risk. A cohort study in patients with erectile dysfunction. J Sex Med. 2010 7(5):1918-1927.
- A. B. Araujo, T. G. Travison, P. Ganz, G. R. Chiu, V. Kupelian, R. C. Rosen, S. A. Hall, J. B. McKinlay. Erectile dysfunction and mortality. J Sex Med. 2009 6(9):2445-2454.
Thanks to Ellen Reid, Maxim Fetissenko, PhD, and Laurie-Marie Pisciotta for their Keynote help.
- alimentación a base de vegetales
- antioxidantes
- apoplejía
- carne
- cereales
- diabetes
- dieta mediterránea
- disfunción erectil
- enfermedad cardiaca
- enfermedad cardiovascular
- fibra
- fruta
- frutos secos
- grasa
- grasa de origen animal
- impotencia
- inflamación
- lácteos
- legumbres
- prediabetes
- productos de origen animal
- salud de la mujer
- salud del pene
- salud masculina
- salud mental
- salud sexual
- veganos
- vegetarianos
- verduras
- verduras
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50 Shades of Greens
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This is the second video of my three-part series on sexual health. If you missed it, check out the first video, Survival of the Firmest: Erectile Dysfunction & Death, and the finale, Pistachio Nuts for Erectile Dysfunction.
For more on preventing sexual dysfunction in women in the first place, see Cholesterol & Female Sexual Dysfunction.
2018 Update: Check out my more recent videos on the subject – Viagra & Cancer, Saffron for Erectile Dysfunction, and Are Apples the Best Food for a Better Sex Life in Women?
A similar Mediterranean diet failed to help fibromyalgia in the short term (see Fibromyalgia vs. Mostly Raw & Mostly Vegetarian Diets), but diets that were even more plant-based were found to be beneficial (see Fibromyalgia vs. Vegetarian & Raw Vegan Diets).
Other benefits of fiber may include improved bowel function and frequency (see Prunes vs. Metamucil vs. Vegan Diet), lower colorectal cancer risk (see Stool Size Matters), lower breast cancer risk (see Relieving Yourself of Excess Estrogen and Fiber vs. Breast Cancer), lower blood pressure (see Whole Grains May Work as Well as Drugs), lower blood cholesterol (see How Fiber Lowers Cholesterol), weight loss (see Beans & the Second Meal Effect) and a longer lifespan (see What Women Should Eat to Live Longer).
For additional context, check out my associated blog posts: Top 10 Most Popular Videos of 2013, Foods for a Long Life & Love Life, Pills vs. Diet for Erectile Dysfunction, and Pistachios May Help Erectile Dysfunction.
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