Tulsa top in study's Viagra need list: A health magazine assesses several factors to produce that rating

You know the old saying, "If it happened to men, the world would be different"?

Well, men are going to want to see this.

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Tulsa men might want to start exercising, losing weight, controlling their diabetes and stop smoking.

In fact, Tulsa men might go crazy trying to get fit after they read this.

The list of the 100 U.S. cities that are most in need of Viagra puts Tulsa at the top, the April edition of Men's Health magazine reports. Oklahoma City is right in there, ranking No. 6.

Dr. Raji Gill, a urologist at Oklahoma State University Medical Center, said of the magazine's report: "I don't know how scientific it was. They were sort of using erections as a barometer for how healthy a guy is."

Yet, that can be a valid barometer, he said. The overall health of a man often is reflected in his sexual function, he said.

"It did make sense," Gill said.

The magazine based its rankings on data from a number of categories. First, it looked at federal Centers for Disease Control and Prevention rates of smoking, obesity and diabetes.

The three are critical risk factors for erectile dysfunction, doctors say. And numerous reports have shown the high prevalence of smoking, obesity and diabetes in Oklahoma.

"A lot of it can be linked to the Southern diet," Gill said. "We eat a lot of fried, fatty foods. And when you can get cigarettes at Indian smoke shops at nearly half the price of Wal-Mart, people are going to keep smoking."

Smoking,

obesity and diabetes can hamper blood flow, which is critical for men to sustain an erection, he said.

"There is definitely that correlation with somebody who has these problems and ED," he said.

Next, the researchers looked at how much men exercise and how many urologists per capita Tulsa has.

The city ranked 54th for its percentage of urologists per 100,000 men.

"The more medical issues a man has, they're going to have some not-so-good erections," Gill said.

Finally, researchers took into account how many prescriptions for drugs such as Viagra, Cialis and Levitra are filled.

Among the 100 cities, Tulsa's rate of prescriptions filled for these drugs ranked near the top, the magazine reported.

"You can take statistics and show anything with them," Gill said.

"You can go to any place and you have healthy people and unhealthy people.

"Tulsa has also been called the most livable city. Look at the health of its economy. It's a great place to live."

So if the threat of heart disease and stroke doesn't get men to change their lifestyles, maybe this will.

Top 10 cities for erectile dysfunction:

1. Tulsa

2. Lubbock, Texas

3. Charleston, W.Va.

4. Arlington, Texas

5. Fort Worth

6. Oklahoma City

7. Anchorage, Alaska

8. Bakersfield, Calif.

9. Modesto, Calif.

10. Omaha, Neb.

Top 10 nonerectile dysfunction cities

1. New York

2. San Francisco

3. Newark, N.J.

4. Jersey City, N.J.

5. Durham, N.C.

6. Burlington, Vt.

7. Atlanta

8. Washington

9. Hartford, Conn.

10. Boston

Source: Men's Health magazine