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Lifestyle Management of Obesity: NHANES and Erectile Dysfunction— How to Motivate Change

amily Medicine Brown University School of Medicine, Swansea Family Practice Group, Swansea, Massachusetts, Martin_Miner{at}Brown.edu

Weight loss represents a significant goal for improving physical and psychological health. Management to obtain this goal must include gradual changes in both diet and physical activity, incorporating modifiable and reachable goals. Self-monitoring, goal setting, and stimulus control are the framework of any successful plan. Recently, lifestyle recommendations have been added to the Diet and Lifestyle Recommendations Revision put forth by the American Heart Association Nutrition Committee to lower risk of cardiovascular disease. The relationship of erectile dysfunction as a harbinger of occult vascular disease may serve as a motivator to prompt men to make changes in diet and lifestyle, as improvements in body mass index and physical activity are independently associated with improvements in sexual function, as documented by a recent randomized controlled trial.

Key Words: obesity • weight loss • cardiovascular disease • erectile dysfunction

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