Erectile dysfunction
Lifestyle modifications
NUTRITION
Improve quality of diet (1)
A mediterranean diet or a diet high in vegetables, fruits, whole grain, legumes, walnuts and olive oil is associated with improved erectile dysfunction (3)
A high consumption of alcohol increases the risk of erectile dysfunction (4)
PHYSICAL ACTIVITY
Increase physical activity (1)
Physical activity is inversely associated with ED (2)
SMOKING
Smoking increases the risk of erectile dysfunction, while smoking cessation may improve erectile dysfunction (5)
STRESS & MENTAL HEALTH
For psychogenic erectile dysfunction adress psychological stressors (1)
WEIGHT
Weight reduction if obese (1)
Obesity worsen sexual function and weight loss if obese improves sexual function (2)
References
1) https://bestpractice.bmj.com/topics/en-us/213/management-approach
2) https://onlinelibrary.wiley.com/doi/epdf/10.1038/oby.2012.104
3) https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1106016
Resources

EXPLANATION TO EVIDENCE PRESENTATION
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Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD
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Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE
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Evidence based on randomized controlled trials is written in plain font
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Evidence based on observational / cohort studies is written in CURSIVE
Figure: Evidence pyramid