Asupan zink dan magnesium makanan dengan disfungsi ereksi pada penderita sindrom metabolik

https://doi.org/10.22146/ijcn.18861

Saraheni Saraheni(1*), I Dewa Putu Pramantara(2), Herni Astuti(3)

(1) Instalasi Gizi Rumah Sakit Umum Daerah (RSUD) Abdul Wahab Syahranie Samarinda
(2) Bagian Penyakit Dalam Rumah Sakit Umum Pusat (RSUP) Dr. Sardjito, Yogyakarta
(3) Instalasi Gizi Rumah Sakit Umum Pusat (RSUP) Dr. Sardjito, Yogyakarta
(*) Corresponding Author

Abstract


Background: Metabolic syndrome (MetS) is a disease of disorder of lipid and nonlipid metabolism. The West of Scotland Coronary Prevention Study found that men with MetS had probability 3.7 dysfunctions of erection (ED) by using International Index of Erectile Function (IIEF). Patient with heart disease had the risk 2 times to get ED, hypertension was 1.5-2 times, DM was 3-4 times, depression was 2-3.5 times, testosterone deficiency syndrome (TDS) was 1.5-2 times, and high cholesterol was 4 times. The nutrient deficiency of zinc (Zn) and magnesium (Mg) was suspected being the main component which had a role in resisting a sexuality growth and maturation process.

Objective: Knowing the correlation of Zn and Mg feeding with erection dysfunction in MetS person.

Method: This study was observational analytic study, with case-control design in the patient aged 30-60 years old. The respondent in this study was people with MetS according to WHO criterion. There was 82 patient divided into two groups, consist of 41 cases of MetS and ED, 41 cases with the normal patient. The data collected by interview, laboratory assessment and anthropometric measurement. The data analysis using univariate, bivariate and multivariate analysis using multiple logistic regression.

Results: There was significant correlation between Zn feeding and ED (OR=7.15; 95% Cl=1.47-34.71; p=0.007) and there was significant correlation between Mg feeding with ED (OR=3.34; 95% Cl=1.07-10.4; p=0.033). The end result of the multivariate analysis showed the risk variable to the ED event, that was Zn feeding with OR=15.41. If the intake of Zn accompanied with risk factors associated as a cause of ED, multivariate analysis showed HbA1c’s degree with OR=12.57; triglyceride (OR=10.47); blood pressure (OR=5.82); and abdominal obesity (OR=6.94). The result shows that these risk factors can aggravate or anticipate the onset of dysfunction erection beside low Zn intake.

Conclusion: There was statistically significant correlation between Zn and Mg feeding with erection dysfunction in MetS patient.


Keywords


metabolic syndrome; erection dysfunction; zinc and magnesium

Full Text:

PDF


References

Hadi H. Gizi lebih sebagai tantangan baru dan implikasinya terhadap kebijakan pembangunan kesehatan nasional. Jurnal Gizi Klinik Indonesia 2004;1(2):51-8.

Adriansjah H, Adam J. Sindrom metabolik: pengertian, epidemiologi, dan kriteria diagnosis. Medika 2004;30:739-41.

Traish AM, Guay A, Feeley R, Saad F. The dark side of testosteron deficiency: I. metabolic syndrome and erectile dysfunction. J Androl 2009;30(1):10-22.

Kurnia Y. Sindrom X dan obesitas. Jurnal Meditek 2003;11(29):12-27.

Setiawan N. Kurang testosteron dan sindrom metabolik pun bikin disfungsi ereksi. [series online] 2009 [cited 2009 Mar 8]. Available from: URL: http.//doktersehat.com

Demir T, Demir O, Kefi A, Comlekci A, Yesil S, Esen A. Prevalence of erectile dysfunction in patients with metabolic syndrome. Int J Urol 2006;13(4):385-8.

Wibowo S, Gofir A. Disfungsi ereksi: patofisiologi, etiologi, mekanisme, dan kaitannya dengan neuropati diabetika. Yogyakarta: Pustaka Cendekia press; 2007.

Eardley I. Pathophysiology of erectile dysfunction. Br J Diabetes Vasc Dis2007;2(4):272-6.

Depkes RI. Riset kesehatan dasar (Riskesdas). Laporan Provinsi Kalimantan Timur tahun 2007. Jakarta: Depkes RI; 2008.

Russell ST, Khandheria BK, Nehra A. Erectile dysfunction and cardiovascular disease. Mayo Clin Proc 2004;79(6);782-94.

Linder MC. Biokimia nutrisi dan metabolisme. Jakarta: Universitas Indonesia; 1992.

Fatmah. Respon imunitas yang rendah pada tubuh manusia lanjut usia. Jurnal Makara Kesehatan 2006;10(1):47-53.

Martin GB, Markey CM, White CL. Roles of zink and other nutrien in testiculer development. In: current advance in andrology.

International Proceedings Division; 1997 Mei 25-29; Monduzzi, Salzburg (Austria).

Almatsier S. Prinsip dasar ilmu gizi. Jakarta: Gramedia Pustaka Utama; 2002.

Thomas GN, Tomlinson B, Abdullah AS, Yeung VT, Chan JC, Wong KS. Association of erectile dysfunction with cardiovascular risk factors and increasing existing vascular disease in Malae Chinese type 2 diabetic patients. Diabetes Care 2005;28(8):2051-3.

Aytac IA, Mckinley JB, Krane RJ. The likely worldwide increase in erectile dysfunction between 1995 and 2025 and some possible policy consequences. BJU Int 1999;84(1):50-6.

Shiri R, Koskimaki J, Hakkinen J, Tammela TL, Huhtala H, Hakama M, Auvinen A. Effects of age, comorbidity and lifestyle factors on erectile fungction: Tampere Ageing Male Urological Study (TAMUS). Eur Urol 2003;45(5):628-33.

Wandell EP, Brorsson B. Assessing sexual functioning in patients with chronic disorders by using a generic health-related quality of life questionnaire. Qual Life Res 2000;9(10):1081-92.

Hudoyo A, Sunarya N, Mangunnegoro H. Disfungsi seksual pada laki-laki dengan paru abstruktif kronik (PPOK). J Respir Indo 1996;16(4):143-6.

Sastroasmoro S, Ismael S. Dasar-dasar metodologi penelitian klinis. Edisi ketiga. Jakarta: Binarupa Aksara; 2008.

Santoso M, Damayanti M. Sebaran prevalensi sindrom metabolik menurut kriteria idf pada penderita yang di rawat jalan dan inap di RSUD Koja periode Juni 2000-Juni 2005. Meditek 2005;13(35):16-21.

Lue TF. Male sexual dysfunction. In : Tanagho (eds). 16 th ed. Smith’s General Urology. Connecticut: Appleton & Lange; 2004.

Gibney MJ, Margetts BM, Kearney JM, Arab L. Gizi kesehatan masyarakat. Jakarta: EGC; 2009.

Hastono SP. Analisis multivariat: basic data analysis for health research. (Modul ke tiga). Jakarta: FKM UI; 2006.

Nicolosi A, Moreira ED Jr, Shirai M, Bin Mohd Tambi MI, Glasser DB. Epidemiology of erectile dysfunction in four countries: cross-national study of the prevalence and correlates of erectile dysfunction. Urology 2003;61(1):201-6.

Wagner G, Tejada IS. Update on male erectile dysfunction. BMJ 1998;316(7132):678-82.

Mulhall JP, Goldstein I, Bushmakin AG, Cappelleri JC, Hvidsten K. Validition of the erection hardness score. J Sex Med 2007;4(6):1626-34.

Prasad AS, Mantzoros CS, Beck FW, Hess JW, Brewer GJ. Zinc status and serum testosteron levels of healthy adults. Nutrition 1996;12(5):344-8.

Shabsigh R, Arver S, Channer KS, Eardley I, Fabbri A, Gooren L, Heufelder A, Jones H, Meryn S, Zitzmann M. The triad of erectile dysfunction, hypogonadism and the metabolic sindrom. Int J Pract 2008;62(5):791-8.

Mooradian AD, Morley JE. Micronutrient status in diabetes mellitus. Am J Clin Nutr 1987;45(5):877-95.

Wibowo S. Erectile dysfunction in diabetic patients: as a breakthrough. Dalam: Asdie, (ed). Naskah Lengkap Pertemuan Ilmiah Tahunan IV Endokrin.Yogyakarta; 2003.

Mahan LK, Stump SE. Krause’s food nutrition & diet therapy. Philadelphia, Pennsylvania: Saunders Company; 2000.

Budiyanto AK. Dasar-dasar ilmu gizi. edisi ke-3. Malang: Fakultas Muhammadiyah Malang; 2004.

Ohira T, Peacock JM, Iso H, Chambless LE, Rosamond WD, Folsom AR. Serum and dietary magnesium and risk of ischemic stroke. Am J Epidemiol 2009;169(12):1437-44.

Fine SR. Erectile dysfunction and comorbid diseases, androgen deficiency and diminished libido in men. J Am Osteopath Assoc 2004;104(1 Suppl 1):S9-15.

Stein RA. Endhotelial dysfunction, erectile dysfunction and coronary heart disease: the pathophysiologic and clinical linkage. Rev Urol 2003;5(7):S21-27.

Widiyanti A, Ratulangi BT. Pemeriksaan laboratorium penderita diabetes mellitus. [serial online] 2006 [cited 2009 Mar 8]. Available from: URL: http.//www.tempo.co.id/medika/online/tmp.online.old/pus-1.htm

Familia D. Seluk beluk & fakta disfungsi seksual yang wajib anda ketahui.Yogyakarta: A Plus Books; 2010.

Carr MC, Brunzell JD. Abdominal obesity and dyslipidemia in the metabolic syndrome: importance of type 2 diabetes and familial combined hyperpilidemia in coronary artery disease risk. J Clin Endocinol Metab 2004;89(6):2601-7.

DiSilvestro RA. Zinc in relation to diabetes and oxidative disease. J Nutr 2000;130(5 Suppl):15099S-11S.



DOI: https://doi.org/10.22146/ijcn.18861

Article Metrics

Abstract views : 4160 | views : 4020

Refbacks

  • There are currently no refbacks.




Copyright (c) 2017 Jurnal Gizi Klinik Indonesia (The Indonesian Journal of Clinical Nutrition)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
  

  free
web stats View My Stats