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dc.contributor.authorHsu, B
dc.contributor.authorHirani, V
dc.contributor.authorWaite, L
dc.contributor.authorNaganathan, V
dc.contributor.authorBlyth, F
dc.contributor.authorLe Couteur, D
dc.contributor.authorSeibel, M
dc.contributor.authorCumming, R
dc.contributor.authorHandelsman, D
dc.date.accessioned2019-09-09
dc.date.available2019-09-09
dc.date.issued2018-06-08
dc.identifier.citationBenjumin Hsu, Vasant Hirani, Louise M Waite, Vasi Naganathan, Fiona M Blyth, David G Le Couteur, Markus J Seibel, Robert G Cumming, David J Handelsman, Temporal associations between sexual function and cognitive function in community-dwelling older men: the Concord Health and Ageing in Men Project, Age and Ageing, Volume 47, Issue 6, November 2018, Pages 900–904, https://doi.org/10.1093/ageing/afy088en_AU
dc.identifier.urihttp://hdl.handle.net/2123/21047
dc.description.abstractBackground previous cross-sectional studies have reported bidirectional associations between sexual activity and cognitive function among older people. However, the temporal associations have not been studied. Methods community-dwelling men aged 70+ from the Concord Health and Ageing in Men Project were assessed. This study was based on 986 men at baseline, 829 men at 2 year and 595 men at 5-year follow-up. Sexual function using a standardised questionnaire (erectile function, sexual activity, sexual satisfaction, sexual desire) was analysed by generalised estimating equations to examine associations between changes in sexual function and changes in mini-mental state examination (MMSE) across three time points over 5 years. Age, BMI, comorbidity, self-rated health, smoking, number of medications, country of birth, education, marital status, depression and reproductive hormones were also measured at all time points. Results in unadjusted models, declines in erectile function (β = −0.317) and sexual activity (β = −0.575) over time were statistically significantly associated with a decline in MMSE over time. The associations observed in the unadjusted models remained after adjusting for a range of covariables. Declines in sexual satisfaction and sexual desire over time were not associated with changes in MMSE. Conclusions our findings provide evidence of a longitudinal temporal relationship between sexual activity and cognitive function. Further studies are warranted to examine whether maintaining a healthy sexual life has a positive effect on cognitive function in older men.en_AU
dc.description.sponsorshipNational Health and Medical Research Council (NHMRC), Sydney Medical School Foundation, Ageing and Alzheimer’s Institute.en_AU
dc.language.isoen_AUen_AU
dc.publisherOxford University Pressen_AU
dc.relationNHMRC 301916en_AU
dc.rightsThis is a pre-copyedited, author-produced version of an article accepted for publication in Age and Ageing following peer review. The version of record Benjumin Hsu, Vasant Hirani, Louise M Waite, Vasi Naganathan, Fiona M Blyth, David G Le Couteur, Markus J Seibel, Robert G Cumming, David J Handelsman, Temporal associations between sexual function and cognitive function in community-dwelling older men: the Concord Health and Ageing in Men Project, Age and Ageing, Volume 47, Issue 6, November 2018, Pages 900–904, https://doi.org/10.1093/ageing/afy088 is available online at: https://academic.oup.com/ageing/article/47/6/900/5034910 and https://doi.org/10.1093/ageing/afy088en_AU
dc.titleTemporal Associations between sexual function and cognitive function in community-dwelling older men: The Concord Health and Ageing in Men Projecten_AU
dc.typeArticleen_AU
dc.subject.asrcFoR::111799 - Public Health and Health Services not elsewhere classifieden_AU
dc.identifier.doi10.1093/ageing/afy088
dc.type.pubtypePost-printen_AU


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