Main Article Content

Occupational cycling is a risk factor for erectile dysfunction in east Africa

E.L. Mugalo
R.M. Ojiambo
C. Tam
B. Erickson
D. Ayuku
E.L. Anjila


Background: The association between bicycle riding and erectile dysfunction is controversial and hypothesised to be caused by pressure from the bicycle seat on the pudendal nerve.
Objectives: To evaluate erectile function in East African occupational cyclists (OC) using International Index of Erectile Function questionnaire in comparison to non-cyclists .
Design: A cross sectional study.
Settings: The environment of Eldoret town in Uasin Gishu county of Kenya.
Subjects: Male occupational cyclists aged 18-65 years
Results: Total International Index of Erectile Function scores were significantly  lower in occupational cyclists versus non-occupational cyclists (19.8±3.4 vs. 21.6±2.2, P<0.05). Furthermore, Erectile Dysfunction (ED) rates were higher in the cyclist group (76% vs. 31%, p < 0.0001). Logistic regression indicated that the odds of reporting Erectile Dysfunction were 9.1 (95% CI: 5.4-15.5) times higher in cyclists compared to noncyclists controls.
Conclusion: In East Africa, occupational cycling is associated with lower  International Index of Erectile Function scores and higher rates of Erectile  Dysfunction.
     View our Diamond Open Access Survey (closes on February 29, 2024)

Journal Identifiers

eISSN: 0012-835X