An L-shaped association between lymphocyte-to-monocyte ratio and erectile dysfunction in NHANES 2001–2004

Abstract This study aimed to explore the relationship between the lymphocyte/monocyte ratio (LMR) and erectile dysfunction (ED) in adult men in the United States using a comprehensive dataset. A cross-sectional study design was used to analyze the relationship between the lymphocyte-to-monocyte rati...

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Main Authors: Donggang Shan, Chenze Yan, Zhong Jia
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-85261-2
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author Donggang Shan
Chenze Yan
Zhong Jia
author_facet Donggang Shan
Chenze Yan
Zhong Jia
author_sort Donggang Shan
collection DOAJ
description Abstract This study aimed to explore the relationship between the lymphocyte/monocyte ratio (LMR) and erectile dysfunction (ED) in adult men in the United States using a comprehensive dataset. A cross-sectional study design was used to analyze the relationship between the lymphocyte-to-monocyte ratio (LMR) and the prevalence of erectile dysfunction (ED) among adult male participants in the NHANES 2001–2004 dataset. Statistical analyses were performed to adjust for potential confounders and explore non-linear associations, with LMR categorized into quartiles to investigate the relationship with ED prevalence. There was an L-shaped relationship between LMR and ED. The odds of ED decreased as LMR levels increased, but beyond a value of 3.50, the protective effect plateaued. Specifically, the odds of ED significantly decreased for LMR values ≤ 3.50 (OR = 0.67, 95% CI: 0.49–0.90, p = 0.009). Beyond an LMR of 3.50, there was no significant further reduction in the odds of ED, indicating a diminishing protective effect past this threshold. There is a distinctly L-shaped and negative correlation between LMR and ED in the NHANES dataset from 2001 to 2004.
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spelling doaj-art-c00d1e9bdfcd4a759ced83fd5a4c37b72025-01-05T12:14:51ZengNature PortfolioScientific Reports2045-23222025-01-011511910.1038/s41598-025-85261-2An L-shaped association between lymphocyte-to-monocyte ratio and erectile dysfunction in NHANES 2001–2004Donggang Shan0Chenze Yan1Zhong Jia2The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou First People’s HospitalThe Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou First People’s HospitalDepartment of Hepatobiliary Surgery, Affiliated Hangzhou First People’s Hospital, School of Medicine, Westlake UniversityAbstract This study aimed to explore the relationship between the lymphocyte/monocyte ratio (LMR) and erectile dysfunction (ED) in adult men in the United States using a comprehensive dataset. A cross-sectional study design was used to analyze the relationship between the lymphocyte-to-monocyte ratio (LMR) and the prevalence of erectile dysfunction (ED) among adult male participants in the NHANES 2001–2004 dataset. Statistical analyses were performed to adjust for potential confounders and explore non-linear associations, with LMR categorized into quartiles to investigate the relationship with ED prevalence. There was an L-shaped relationship between LMR and ED. The odds of ED decreased as LMR levels increased, but beyond a value of 3.50, the protective effect plateaued. Specifically, the odds of ED significantly decreased for LMR values ≤ 3.50 (OR = 0.67, 95% CI: 0.49–0.90, p = 0.009). Beyond an LMR of 3.50, there was no significant further reduction in the odds of ED, indicating a diminishing protective effect past this threshold. There is a distinctly L-shaped and negative correlation between LMR and ED in the NHANES dataset from 2001 to 2004.https://doi.org/10.1038/s41598-025-85261-2Lymphocyte/monocyte ratioErectile dysfunctionNHANES
spellingShingle Donggang Shan
Chenze Yan
Zhong Jia
An L-shaped association between lymphocyte-to-monocyte ratio and erectile dysfunction in NHANES 2001–2004
Scientific Reports
Lymphocyte/monocyte ratio
Erectile dysfunction
NHANES
title An L-shaped association between lymphocyte-to-monocyte ratio and erectile dysfunction in NHANES 2001–2004
title_full An L-shaped association between lymphocyte-to-monocyte ratio and erectile dysfunction in NHANES 2001–2004
title_fullStr An L-shaped association between lymphocyte-to-monocyte ratio and erectile dysfunction in NHANES 2001–2004
title_full_unstemmed An L-shaped association between lymphocyte-to-monocyte ratio and erectile dysfunction in NHANES 2001–2004
title_short An L-shaped association between lymphocyte-to-monocyte ratio and erectile dysfunction in NHANES 2001–2004
title_sort l shaped association between lymphocyte to monocyte ratio and erectile dysfunction in nhanes 2001 2004
topic Lymphocyte/monocyte ratio
Erectile dysfunction
NHANES
url https://doi.org/10.1038/s41598-025-85261-2
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