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Obesity, Body Image Dissatisfaction, and Sexual Dysfunction: A Narrative Review. SEXES 2022. [DOI: 10.3390/sexes3010002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
With approximately two-thirds of the United States adult population classified as overweight or obese, obesity remains a critical public health concern. Obesity not only contributes to several health complications including type 2 diabetes mellitus and cardiovascular disease, but the condition is also associated with sexual dysfunction in both women and men. Despite evidence linking obesity and its concomitant pathophysiology to sexual problems, the potential roles of psychosocial factors such as body image are understudied. This narrative review evaluates the research linkages between obesity and sexual dysfunction, with particular attention to the potential effects of body image dissatisfaction. A literature search of biomedical and psychological databases was used to identify research pertaining to obesity, sexual function, and/or body image constructs. The pathophysiological effects of obesity on sexual function are well-documented in mechanistic studies and animal trials, often with corroboration in human clinical samples. However, very few studies examine obesity, body image, and sexual function in tandem. Body image dissatisfaction appears to independently impinge upon the sexual response cycle and mental health outcomes, irrespective of body weight. While obesity is often associated with negative body image appraisal, it is unclear whether these constructs exert additive, synergistic, or antagonistic effects on sexual responsivity. Additionally, overweight/obese individuals who exhibit higher levels of body image satisfaction or self-confidence appear to be protected from the deleterious effects of obesity on sexual satisfaction, at least to some extent. Greater reliance upon conceptual/theoretical models from the body image literature may better clarify the relationships between these constructs.
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Do the body weight perception and body mass index affect the participation of exercise? BIOMEDICAL HUMAN KINETICS 2021. [DOI: 10.2478/bhk-2022-0002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Abstract
Study aim: In this study, it is aimed to find out the exercise preferences based on the Body Mass Index (BMI) and Body Weight Perception (BWP), and to determine the consistency between BMI and BWP calculated via the self-reporting method.
Material and methods: The study was conducted total of 297 volunteers, included 174 females (Mage = 27.19 ± 9.94 years) and 123 males (Mage = 26.08 ± 10.15 years), who were members of the physical activity center. The height and body weight values were obtained based on the self-reports. BWP was assessed by asking “how do you describe your weight?” As a statistical analysis, the Pearson chi-square test and Kappa statistics were used.
Results: It was determined that overweight/obese female prefered most the strength exercises, whereas, overweight/obese men, according to both methods, preferred the different kind of exercises (p < 0.05). When the mutual consistency of the BWP and BMI methods was compared, “average” level conformity was found in female, and “weak” level conformity was found in male (Female: κ = 0.48; p < 0.000; Male: κ = 0.21; p < 0.001).
Conclusion: It could be said that the type and application protocol of the exercise has been related with the frequency and duration of the exercise for both of the methods. Besides, it could be said that there was a higher consistency among female participants at the level of participating to the exercise and they had similar exercise preference, frequency and duration.
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Anjos LAD, Moraes CF. Agreement between self-assessment of body image and measured body mass index in the Brazilian adult population. CIENCIA & SAUDE COLETIVA 2021; 25:3027-3036. [PMID: 32785539 DOI: 10.1590/1413-81232020258.17392018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2017] [Accepted: 11/14/2018] [Indexed: 11/22/2022] Open
Abstract
Silhouettes are used in the self-assessment of one's body size, shape and satisfaction. This technique can be helpful in intervention studies and in household studies in which body size measurements are not feasible. Despite its popularity, few studies have validated the Stunkard Figure Rating Scale (SFRS) to assess body image (BI) or nutritional status (NS). The present study assessed the agreement between self-assessment of BI by SFRS and measured BMI in adults from a national household survey in Brazil (n = 11247; 57.2% women, aged 20-99y). The subjects were asked to choose a silhouette from the SFRS that most resembled their current status prior to measures of body mass and stature. BMI-derived NS was then matched to the SFRS. The prevalence of overweight and obesity (OB) was 34.4 and 19.0%, respectively. Weighted kappa between SFRS and BMI was 0.45 and 0.43 and Spearman's correlation coefficient was 0.64 and 0.59 for women and men, respectively. Sex-specific receiver operating curves indicated that the silhouettes correctly (area under the curve > 0.80) identified OB and underweight (UW). In conclusion, SFRS provides only reasonable results when estimating the BMI distribution but it works well to identify OB and UW in the Brazilian adult population.
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Affiliation(s)
- Luiz Antonio Dos Anjos
- Laboratório de Avaliação Nutricional e Funcional, Departamento de Nutrição Social, Universidade Federal Fluminense. R. Mário Santos Braga 30, Valonguinho. 24020-140 Niterói RJ Brasil.
| | - Cristiane Ferreira Moraes
- Laboratório de Avaliação Nutricional e Funcional, Departamento de Nutrição Social, Universidade Federal Fluminense. R. Mário Santos Braga 30, Valonguinho. 24020-140 Niterói RJ Brasil.
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Di Stasi V, Maseroli E, Rastrelli G, Scavello I, Cipriani S, Todisco T, Marchiani S, Sorbi F, Fambrini M, Petraglia F, Maggi M, Vignozzi L. SHBG as a Marker of NAFLD and Metabolic Impairments in Women Referred for Oligomenorrhea and/or Hirsutism and in Women With Sexual Dysfunction. Front Endocrinol (Lausanne) 2021; 12:641446. [PMID: 33854482 PMCID: PMC8040974 DOI: 10.3389/fendo.2021.641446] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Accepted: 02/17/2021] [Indexed: 12/20/2022] Open
Abstract
PCOS is one of the most common endocrine disorders and NAFLD is one of its most dangerous metabolic consequences. The diagnosis of NAFLD is not a practical task and the condition is at risk of being overlooked. The use of simpler but still reliable surrogate markers is necessary to identify women with a high likelihood of NAFLD. The aim of this study was to evaluate the clinical correlates of NAFLD Liver Fat Score (NAFLD-LFS) in women with oligomenorrhea and/or hirsutism. Furthermore, the study aimed to evaluate whether, among the hormonal parameters evaluated in such women, possible hallmarks of NAFLD may be identified. To this purpose, 66 women who attended our Outpatient Clinic for oligomenorrhea and/or hyperandrogenism were included in the study. In order to validate the results obtained in the first cohort, a second independent sample of 233 women evaluated for female sexual dysfunction (FSD) was analyzed. In cohort 1, NAFLD-LFS positively correlated with metabolic and inflammatory parameters. Among the hormone parameters, NAFLD-LFS showed no significant relationships with androgens but a significant negative correlation with SHBG (p<0.0001) that therefore appeared as a candidate hallmark for pathologic NAFLD-LFS. The ROC analysis showed a significant accuracy (81.1%, C.I.69.1-93.0, p <0.0001) for SHBG in identifying women with a pathological NAFLD-LFS. In particular, a SHBG 33.4 nmol/l was recognized as the best threshold, with a sensitivity of 73.3% and a specificity of 70.7%. In order to validate this SHBG as a marker of metabolic impairment possible related with the presence of NAFLD, we tested this threshold in cohort 2. FSD women with SHBG <33.4 nmol/l had worse metabolic parameters than women with SHBG ≥33.4 nmol/l and a significantly higher NAFLD-LFS even after adjusting for confounders (B=4.18 [2.05; 6.31], p=0.001). In conclusion, this study provides a new evidence in the diagnostic process of NAFLD, showing that the measurement of SHBG, which is routinely assessed in the workup of women referred for possible PCOS, could identify women at higher metabolic risk, thus detecting those who may deserve further targeted diagnostic assessment.
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Affiliation(s)
- Vincenza Di Stasi
- Andrology, Women’s Endocrinology and Gender Incongruence Unit, Department of Experimental Clinical and Biomedical Sciences “Mario Serio,” University of Florence, Florence, Italy
| | - Elisa Maseroli
- Andrology, Women’s Endocrinology and Gender Incongruence Unit, Department of Experimental Clinical and Biomedical Sciences “Mario Serio,” University of Florence, Florence, Italy
| | - Giulia Rastrelli
- Andrology, Women’s Endocrinology and Gender Incongruence Unit, Department of Experimental Clinical and Biomedical Sciences “Mario Serio,” University of Florence, Florence, Italy
| | - Irene Scavello
- Andrology, Women’s Endocrinology and Gender Incongruence Unit, Department of Experimental Clinical and Biomedical Sciences “Mario Serio,” University of Florence, Florence, Italy
| | - Sarah Cipriani
- Andrology, Women’s Endocrinology and Gender Incongruence Unit, Department of Experimental Clinical and Biomedical Sciences “Mario Serio,” University of Florence, Florence, Italy
| | - Tommaso Todisco
- Andrology, Women’s Endocrinology and Gender Incongruence Unit, Department of Experimental Clinical and Biomedical Sciences “Mario Serio,” University of Florence, Florence, Italy
| | - Sara Marchiani
- Andrology, Women’s Endocrinology and Gender Incongruence Unit, Department of Experimental Clinical and Biomedical Sciences “Mario Serio,” University of Florence, Florence, Italy
| | - Flavia Sorbi
- Gynecology Unit, Department of Biomedical, Experimental and Clinical Sciences “Mario Serio,” University of Florence, Florence, Italy
| | - Massimiliano Fambrini
- Gynecology Unit, Department of Biomedical, Experimental and Clinical Sciences “Mario Serio,” University of Florence, Florence, Italy
| | - Felice Petraglia
- Gynecology Unit, Department of Biomedical, Experimental and Clinical Sciences “Mario Serio,” University of Florence, Florence, Italy
| | - Mario Maggi
- Endocrinology Unit, Department of Experimental Clinical and Biomedical Sciences “Mario Serio,” University of Florence, Florence, Italy
- I.N.B.B. (Istituto Nazionale Biostrutture e Biosistemi), Rome, Italy
| | - Linda Vignozzi
- Andrology, Women’s Endocrinology and Gender Incongruence Unit, Department of Experimental Clinical and Biomedical Sciences “Mario Serio,” University of Florence, Florence, Italy
- I.N.B.B. (Istituto Nazionale Biostrutture e Biosistemi), Rome, Italy
- *Correspondence: Linda Vignozzi,
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Aydogan Kirmizi D, Baser E, Onat T, Demir Caltekin M, Yalvac ES, Kara M, Gocmen AY. Sexual function and depression in polycystic ovary syndrome: Is it associated with inflammation and neuromodulators? Neuropeptides 2020; 84:102099. [PMID: 33120204 DOI: 10.1016/j.npep.2020.102099] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Revised: 09/17/2020] [Accepted: 10/18/2020] [Indexed: 01/20/2023]
Abstract
Numerous studies have been carried out on depression and sexual dysfunction concomitant with polycystic ovary syndrome (PCOS). Increasing evidence has revealed the importance of inflammation in the etiology of PCOS. In addition, it has been known that some neuromodulators affect depression and sexual function. However, their effects on PCOS are not known. This study aimed to evaluate the relationship of depression and sexual function with cytokines and neuromodulators in PCOS patients. The present study included 20 fertile and 30 infertile patients diagnosed with PCOS and 30 healthy volunteers. Metabolic and endocrine parameters, interleukin (IL)-1β, IL-6, TNFα, γ-aminobutyric acid (GABA), Glutamate, Brain-derived neurotrophic factor (BDNF) serum levels, Beck Depression Index (BDI) and Female Sexual Function Index (FSFI) scores of the patients were compared between the groups. TNFα, IL-1β, IL-6, glutamate, GABA, and BDI scores were found to be significantly higher (p < 0.05) in the PCOS group (p < 0.05). Glutamate, TNFα, IL-1β, and IL-6 values were higher whereas GABA and BDNF values were lower in pateints with moderate and severe depression (p < 0.05). There were no statistically significant relationships between these parameters and the FSFI scores (p > 0.05). Multivariate logistic regression analysis was conducted with potential factors that may affect sexual dysfunction. The results indicated that high waist-to-hip ratio (WHR) (> 0.80) with an odds ratio of 1.81 in PCOS patients, and body mass index (BMI) with an odds ratio of 2.3 and high WHR (> 0.80) with an odds ratio of 1.97 in all patients were found to be independent risk factors affecting sexual dysfunction. The results of the present study suggested that chronic low-dose inflammation seen in PCOS may interact with some neuromodulators, leading to the development of depression. However, no relationship was found between these parameters and sexual function.
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Affiliation(s)
- Demet Aydogan Kirmizi
- Department of Obstetrics and Gynecology, Yozgat Bozok University, Faculty of Medicine, Yozgat, Turkey.
| | - Emre Baser
- Department of Obstetrics and Gynecology, Yozgat Bozok University, Faculty of Medicine, Yozgat, Turkey
| | - Taylan Onat
- Department of Obstetrics and Gynecology, Yozgat Bozok University, Faculty of Medicine, Yozgat, Turkey
| | - Melike Demir Caltekin
- Department of Obstetrics and Gynecology, Yozgat Bozok University, Faculty of Medicine, Yozgat, Turkey
| | - Ethem Serdar Yalvac
- Department of Obstetrics and Gynecology, Yozgat Bozok University, Faculty of Medicine, Yozgat, Turkey
| | - Mustafa Kara
- Department of Obstetrics and Gynecology, Kırşehir Ahi Evran University, Faculty of Medicine, Kırşehir, Turkey
| | - Ayse Yesim Gocmen
- Department of Biochemistry, Yozgat Bozok University, Faculty of Medicine, Yozgat, Turkey
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Tam BT, Murphy J, Khor N, Morais JA, Santosa S. Acetyl-CoA Regulation, OXPHOS Integrity and Leptin Levels Are Different in Females With Childhood vs Adulthood Onset of Obesity. Endocrinology 2020; 161:bqaa142. [PMID: 32808657 DOI: 10.1210/endocr/bqaa142] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Accepted: 08/10/2020] [Indexed: 01/12/2023]
Abstract
Although childhood-onset obesity (CO) and adulthood-onset obesity (AO) are known to lead to distinctive clinical manifestations and disease risks, the fundamental differences between them are largely unclear. The aim of the current study is to investigate the fundamental differences between subcutaneous adipose tissue from CO and AO and to identify metabolic differences between abdominal (abSAT) and femoral subcutaneous adipose tissues (feSAT). Total and regional body composition was assessed using dual-energy x-ray absorptiometry (DXA) and computed tomography. Levels of acetyl-CoA, NAD+/NADH, acetyl-CoA network genes, mitochondrial complex abundance, H3 acetylation were determined in biopsied abSAT and feSAT. Serum leptin and adiponectin were measured. Our results showed that acetyl-CoA was higher in subcutaneous adipose tissue from subjects with AO compared with CO. Multiple linear regression revealed that ATP citrate lyase was the only main effect affecting the level of acetyl-CoA. Circulating leptin concentrations was higher in AO. The increased level of acetyl-CoA was strongly associated with histone H3 acetylation, LEP expression in adipose tissue, and circulating leptin in AO. NAD+/NADH was higher in CO; however, abundance of mitochondrial complexes, the complex II:complex V ratio, and the complex IV:complex V ratio were lower in CO, reflecting compromised mitochondrial function in subcutaneous adipose tissue from CO. Moreover, we identified differences in the level of acetyl-CoA and NAD+/NADH ratio between abSAT and feSAT, suggesting that these fat depots may possess different metabolic properties. The fundamental difference in the important metabolic intermediate acetyl-CoA between CO and AO may help us better understand the development of obesity and the pathogenesis of different obesity-related diseases in humans.
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Affiliation(s)
- Bjorn T Tam
- Department of Health, Kinesiology, and Applied Physiology, Concordia University, Montreal, Quebec, Canada
- Metabolism, Obesity, Nutrition Lab, PERFORM Centre, Concordia University, Montreal, Quebec, Canada
| | - Jessica Murphy
- Department of Health, Kinesiology, and Applied Physiology, Concordia University, Montreal, Quebec, Canada
- Metabolism, Obesity, Nutrition Lab, PERFORM Centre, Concordia University, Montreal, Quebec, Canada
| | - Natalie Khor
- Department of Health, Kinesiology, and Applied Physiology, Concordia University, Montreal, Quebec, Canada
- Metabolism, Obesity, Nutrition Lab, PERFORM Centre, Concordia University, Montreal, Quebec, Canada
| | - Jose A Morais
- Department of Health, Kinesiology, and Applied Physiology, Concordia University, Montreal, Quebec, Canada
- Division of Geriatric Medicine and Research Institute of McGill University Health Centre, Montreal, Quebec, Canada
| | - Sylvia Santosa
- Department of Health, Kinesiology, and Applied Physiology, Concordia University, Montreal, Quebec, Canada
- Metabolism, Obesity, Nutrition Lab, PERFORM Centre, Concordia University, Montreal, Quebec, Canada
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Kogure GS, Ribeiro VB, Lopes IP, Furtado CLM, Kodato S, Silva de Sá MF, Ferriani RA, Lara LADS, Maria Dos Reis R. Body image and its relationships with sexual functioning, anxiety, and depression in women with polycystic ovary syndrome. J Affect Disord 2019; 253:385-393. [PMID: 31082731 DOI: 10.1016/j.jad.2019.05.006] [Citation(s) in RCA: 49] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2018] [Revised: 02/06/2019] [Accepted: 05/04/2019] [Indexed: 12/20/2022]
Abstract
BACKGROUND Polycystic ovary syndrome (PCOS) is associated with lower levels of satisfaction with body image, which can affect sexuality and social well-being. Thus, we evaluated body image in women with PCOS and its association with body dis(satisfaction), anthropometric indices, sexual function, anxiety, and depression. METHODS In this cross-sectional study, 94 women of reproductive age were grouped by body mass index (BMI) and sexual function. The Female Sexual Function Index (FSFI), Body Shape Questionnaire (BSQ), Figure Rating Scale (FRS), hospital anxiety (HADS-A) and depression (HADS-D) measurement scales, and anthropometric indices were used for data collection. RESULTS Women with PCOS presented with perceptual distortions of self-image independent of sexual function and BMI. There were negative correlations between HADS-A and HADS-D scores and the FSFI total score, and HADS-D scores had positive correlations with weight, anthropometric indices, and BSQ total score. The degree of dis(satisfaction) was a predictor of FSFI total score, depression, and anxiety, and the FSFI total score was predicted by HADS-D. Desired and ideal-gender BMIs were risk factors for sexual dysfunction, and overweight and obesity were risk factors for the degree of dis(satisfaction). LIMITATIONS This study had the limitations of using a cross-sectional design and it investigated a restricted number of clinical/biochemical parameters, as well as lacked objective measures of acne and hirsutism, and a control group. CONCLUSIONS Perception and cognitive-affective dimensions appear to play important roles in body image dysfunction in women with PCOS, and impact sexual dysfunction and depression associated the syndrome. Furthermore, these results provide additional treatment considerations for women with PCOS.
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Affiliation(s)
- Gislaine Satyko Kogure
- Ribeirão Preto Medical School, Human Reproduction Sector, Departament of Gynecology and Obstetrics, University of São Paulo, Ribeirão Preto 14049-900 SP, Brazil.
| | - Victor Barbosa Ribeiro
- Ribeirão Preto Medical School, Human Reproduction Sector, Departament of Gynecology and Obstetrics, University of São Paulo, Ribeirão Preto 14049-900 SP, Brazil; Federal Institute of São Paulo, Jacareí Campus, Brazil
| | - Iris Palma Lopes
- Ribeirão Preto Medical School, Human Reproduction Sector, Departament of Gynecology and Obstetrics, University of São Paulo, Ribeirão Preto 14049-900 SP, Brazil
| | - Cristiana Libardi Miranda Furtado
- Ribeirão Preto Medical School, Human Reproduction Sector, Departament of Gynecology and Obstetrics, University of São Paulo, Ribeirão Preto 14049-900 SP, Brazil; Drug Research and Development Center, Federal University of Ceará, Fortaleza, Brazil
| | - Sérgio Kodato
- Department of Psychology, Faculty of Philosophy, Science and Letters, University of São Paulo, Ribeirão Preto, Brazil
| | - Marcos Felipe Silva de Sá
- Ribeirão Preto Medical School, Human Reproduction Sector, Departament of Gynecology and Obstetrics, University of São Paulo, Ribeirão Preto 14049-900 SP, Brazil
| | - Rui Alberto Ferriani
- Ribeirão Preto Medical School, Human Reproduction Sector, Departament of Gynecology and Obstetrics, University of São Paulo, Ribeirão Preto 14049-900 SP, Brazil
| | - Lúcia Alves da Silva Lara
- Ribeirão Preto Medical School, Human Reproduction Sector, Departament of Gynecology and Obstetrics, University of São Paulo, Ribeirão Preto 14049-900 SP, Brazil
| | - Rosana Maria Dos Reis
- Ribeirão Preto Medical School, Human Reproduction Sector, Departament of Gynecology and Obstetrics, University of São Paulo, Ribeirão Preto 14049-900 SP, Brazil
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Morotti E, Casadio P, Guasina F, Battaglia B, Mattioli M, Battaglia C. Weight gain, body image and sexual function in young patients treated with contraceptive vaginal ring. A prospective pilot study. Gynecol Endocrinol 2017; 33:660-664. [PMID: 28412867 DOI: 10.1080/09513590.2017.1306850] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
INTRODUCTION Oral contraceptives could induce mood changes. As far as our knowledge, there are no studies in literature that have examined the role of vaginal contraception in self-perceived body image. AIM To evaluate the effects of intravaginal contraception on weight gain and perceived body image in relation with the Beck's Depression Inventory questionnaire (BDI) and the McCoy Female Sexuality Questionnaire (MFSQ). METHODS Twenty-one adult (18-35 years old) eumenorrheic (menstrual cycle of 25-35 days), lean (body mass index - BMI - of 19-25 kg/m2) women who were referred for hormonal contraception were administered the Stunkard Figure Rating Scale (FRS), BDI and MFSQ. Subjects were studied in basal condition and after 6 months of therapy with vaginal contraception (NuvaRing®; Organon-Schering-Plough Italia, Milan, Italy). MAIN OUTCOME MEASURES BMI, FRS, MFSQ and BDI. RESULTS After 6 months of therapy with NuvaRing®, both body weight (60.0 ± 8.3; p = 0.050) and BMI (22.1 ± 3.1; p = 0.028) slightly, but statistically, increased. FRS and BDI showed no differences after the vaginal contraception. Hormonal contraception was associated with a significant decrease in the two-factor Italian MFSQ score. CONCLUSIONS Vaginal ring seems a good alternative to other hormonal contraceptive not significantly altering the female sexuality and not influencing the FRS and BDI.
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MESH Headings
- Adolescent
- Adult
- Body Dysmorphic Disorders/chemically induced
- Body Dysmorphic Disorders/ethnology
- Body Dysmorphic Disorders/etiology
- Body Dysmorphic Disorders/psychology
- Body Mass Index
- Contraceptive Devices, Female/adverse effects
- Desogestrel/adverse effects
- Desogestrel/analogs & derivatives
- Drug Combinations
- Ethinyl Estradiol/adverse effects
- Female
- Health Knowledge, Attitudes, Practice/ethnology
- Humans
- Italy
- Overweight/chemically induced
- Overweight/ethnology
- Overweight/etiology
- Overweight/psychology
- Pilot Projects
- Prospective Studies
- Psychiatric Status Rating Scales
- Sexual Dysfunction, Physiological/chemically induced
- Sexual Dysfunction, Physiological/ethnology
- Sexual Dysfunction, Physiological/etiology
- Sexual Dysfunction, Physiological/psychology
- Sexual Dysfunctions, Psychological/chemically induced
- Sexual Dysfunctions, Psychological/ethnology
- Sexual Dysfunctions, Psychological/etiology
- Sexual Dysfunctions, Psychological/psychology
- Weight Gain/drug effects
- Weight Gain/ethnology
- Young Adult
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Affiliation(s)
- Elena Morotti
- a Department of Gynaecology and Pathophysiology of Human Reproduction , Alma Mater Studiorum-University of Bologna , Italy
| | - Paolo Casadio
- a Department of Gynaecology and Pathophysiology of Human Reproduction , Alma Mater Studiorum-University of Bologna , Italy
| | - Francesca Guasina
- a Department of Gynaecology and Pathophysiology of Human Reproduction , Alma Mater Studiorum-University of Bologna , Italy
| | - Bruno Battaglia
- a Department of Gynaecology and Pathophysiology of Human Reproduction , Alma Mater Studiorum-University of Bologna , Italy
| | - Mara Mattioli
- a Department of Gynaecology and Pathophysiology of Human Reproduction , Alma Mater Studiorum-University of Bologna , Italy
| | - Cesare Battaglia
- a Department of Gynaecology and Pathophysiology of Human Reproduction , Alma Mater Studiorum-University of Bologna , Italy
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Simoncig Netjasov A, Tančić-Gajić M, Ivović M, Marina L, Arizanović Z, Vujović S. Influence of obesity and hormone disturbances on sexuality of women in the menopause. Gynecol Endocrinol 2016; 32:762-766. [PMID: 27871199 DOI: 10.3109/09513590.2016.1161746] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE To assess influence of obesity and hormone disturbances on sexuality in the menopause. METHODS The study included 73 menopausal women, who were divided into groups according to body mass index (BMI) ≥ 26.7 kg/m2. Anthropometric characteristics and blood pressure were measured. Blood was taken at 08:00 for hormones. All the participants filled in McCoy Female Sexual Questionnaire for the assessment of sexual life. STATISTICS Student's t-test, correlation, analysis of variance (ANOVA). RESULTS Follicle-stimulating hormone (FSH), luteinizing hormone (LH) and sex hormone-binding globulin (SHBG) were very significantly lower in obese compared to controls. E2 and systolic blood pressure were very significantly, while diastolic blood pressure significantly higher in obese compared to controls. Obese women had significantly decreased frequency of pain during sexual intercourse (3.48 ± 2.64 vs. 4.09 ± 2.81). Influence of age on frequency of sexual intercourse was very significant. Significant influence in interaction between BMI and age on frequency of sexual fantasies as well as significant influence of BMI on satisfaction with partner as lover is also found. CONCLUSION Obesity has influence on different aspects of sexuality in the postmenopausal women. Our results suggest the need of awareness toward obesity and its impact on sexuality in the menopause.
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Affiliation(s)
| | - Milina Tančić-Gajić
- b Clinical Center of Serbia, Institute of Endocrinology, Diabetes and Metabolic Disorders , Dr Subotića 13 , Belgrade , Serbia
| | - Miomira Ivović
- b Clinical Center of Serbia, Institute of Endocrinology, Diabetes and Metabolic Disorders , Dr Subotića 13 , Belgrade , Serbia
| | - Ljiljana Marina
- b Clinical Center of Serbia, Institute of Endocrinology, Diabetes and Metabolic Disorders , Dr Subotića 13 , Belgrade , Serbia
| | - Zorana Arizanović
- b Clinical Center of Serbia, Institute of Endocrinology, Diabetes and Metabolic Disorders , Dr Subotića 13 , Belgrade , Serbia
| | - Svetlana Vujović
- b Clinical Center of Serbia, Institute of Endocrinology, Diabetes and Metabolic Disorders , Dr Subotića 13 , Belgrade , Serbia
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da Silva Lara LA, Dos Santos Lima ML, Romão GS, Ferriani RA, de Albuquerque Salles Navarro PA. Factors Related to Coital Frequency of Women in Their Thirties. JOURNAL OF SEX & MARITAL THERAPY 2016; 42:403-412. [PMID: 26036273 DOI: 10.1080/0092623x.2015.1053024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
This cross-sectional study aimed to identify factors related to coital frequency (CF) among 254 women in their 30s using a semistructured interview to collect sociodemographic, anthropometric, reproductive, clinical, and relationship data. CF was characterized as (a) never, (b) rarely (≤1 times/month), (c) occasionally (≤1 times /week), (d) regularly (2-3 times/week), or (e) frequently (>3 times/week). The mean age was 34.38 ± 0.43 years, mean body mass index (BMI) was 27.86 ± 6.52 kg, mean family income was US$1,044.18 ± 796.19, mean number of children was 1.71 ± 0.89, and mean relationship duration was 8.87 ± 5.11 years. Eighty-seven women (35.2%) were taking hormonal contraceptives, 143 (98.0%) were employed, 239 (96.48%) had a secondary or higher education, and 9 (3.62%) had primary schooling. CF was classified as >3 times/week in 22 (8.66%), 2-3 times/week for 98 (38.58%), ≤1 times/week in 40 (15.75%), ≤1 times/month in 14 (5.51%), and never in 5 (1.97%). Women who reported having coitus >3 times/week a week had significantly higher body mass index (BMI; 32.72 ± 7.42 kg/m(2)) than those who had coitus 2-3 times/week (28.45 ± 6.76 kg/m(2)) and ≤1 times /week (26.81 ± 5.39 kg/m(2)) (p < 0.01 for both comparisons). Thus, coital frequency varies in women in their 30s. Obese women had a higher CF than normal-weight and overweight women.
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Affiliation(s)
- Lúcia Alves da Silva Lara
- a Sexual Medicine Service, Sector of Human Reproduction, Department of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo , Ribeirão Preto, São Paulo , Brazil
| | - Maria Lucia Dos Santos Lima
- a Sexual Medicine Service, Sector of Human Reproduction, Department of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo , Ribeirão Preto, São Paulo , Brazil
| | - Gustavo Salata Romão
- a Sexual Medicine Service, Sector of Human Reproduction, Department of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo , Ribeirão Preto, São Paulo , Brazil
| | - Rui Alberto Ferriani
- b Sexual Medicine Service, Sector of Human Reproduction, Department of Gynecology and Obstetrics, and INCt/CNPq Hormones, Protection and Risks for Women's Health, Ribeirão Preto Medical School, University of São Paulo , Ribeirão Preto, São Paulo , Brazil
| | - Paula Andrea de Albuquerque Salles Navarro
- b Sexual Medicine Service, Sector of Human Reproduction, Department of Gynecology and Obstetrics, and INCt/CNPq Hormones, Protection and Risks for Women's Health, Ribeirão Preto Medical School, University of São Paulo , Ribeirão Preto, São Paulo , Brazil
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Costa RM, Brody S. Obesity, Overweight, Female Sexual Function, and Penile-Vaginal Intercourse Frequency. JOURNAL OF SEX & MARITAL THERAPY 2016; 42:293-296. [PMID: 26167661 DOI: 10.1080/0092623x.2015.1069434] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Affiliation(s)
- Rui M Costa
- a William James Center for Research , ISPA-Instituto Universitário , Lisbon , Portugal
| | - Stuart Brody
- b Charles University , Department of General Anthropology, Faculty of Humanities , Prague , Czech Republic
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Abstract
Advantaged socioeconomic position (SEP) is associated with lower body image satisfaction (BIS) among women. However, motherhood and social trajectory (an individual's path from childhood SEP to adulthood SEP) could change this relationship. We aimed to assess the association between social trajectory and BIS immediately before getting pregnant in primiparous and multiparous mothers of a birth cohort. The birth cohort Generation XXI was assembled after delivery, in Porto, in 2005-2006. This analysis includes 5,470 women. Women's and their parents' education were used as indicators of adulthood and childhood SEP, respectively. Social trajectory was classified as stable-high, upward, stable-low, downward, according to both education variables. BIS was assessed with Stunkard silhouettes immediately after birth as the difference between perceived body size before the index pregnancy and ideal body size. Odds ratios (OR) between social trajectory and BIS were computed using multinomial logistic regression (women satisfied with body image were the outcome reference category), adjusting for age and prepregnancy body mass index. In primiparous women, no association was found between childhood SEP, adulthood SEP or social trajectory and feeling too small or too large regarding their ideal figure. Multiparous women with a downward social trajectory presented a higher likelihood of dissatisfaction [too small: adjusted OR 2.21, 95 % confidence interval (95 % CI) 1.10-4.46; too large: adjusted OR 1.64, 95 % CI 1.07-2.51]. Downward social trajectory was associated with a higher likelihood of dissatisfaction with body image in multiparae, while there was no effect among primiparae.
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Abstract
The association between obesity and sexual dysfunction has been described in many studies. Neurobiological, hormonal, vascular and mental disturbances are the main reasons in male and in female gender. Sexual interest and desire, sexual arousal, orgasm, painful intercourse and premature ejaculation can be involved. Data for prevalence of sexual function disturbances in obese people are scarce and most studies were small. For screening of sexual function we recommend the International Index of Erectile Function (IIEF)-Score, which contains 15 Items for males and the Female Sexual Function Index (FSFI), which contains 19 items for females. Treatment of sexual function disturbances include lifestyle changes with an increase of physical activity, weight control, healthy eating and smoking cessation. Testosterone substitution in cases of real hypogonadism and treatment with PDE-5 inhibitors are well documented treatment options in male individuals. New treatment options for female patients with variable effectiveness are fibanserin, testosterone, bupropione and oxytocin.
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Weinberger NA, Kersting A, Riedel-Heller SG, Luck-Sikorski C. Body Dissatisfaction in Individuals with Obesity Compared to Normal-Weight Individuals: A Systematic Review and Meta-Analysis. Obes Facts 2016; 9:424-441. [PMID: 28013298 PMCID: PMC5644896 DOI: 10.1159/000454837] [Citation(s) in RCA: 201] [Impact Index Per Article: 25.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2016] [Accepted: 11/23/2016] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Body dissatisfaction has been identified as a psychological correlate of obesity that is related to disordered eating, poor self-esteem, and depression. However, not all individuals with obesity are equally vulnerable to these correlates, and 'normative discontent' is present in individuals with normal weight, too. In this light, the complex relationship of body image and individual weight status seems like a worthwhile direction of research inquiry. As such, this review aims to systematically explore the degree of body dissatisfaction in individuals with obesity compared to normal-weight individuals. METHODS A systematic literature search was conducted. All quantitative studies of adult samples reporting results regarding differences in body dissatisfaction between individuals with normal weight and obesity were included. RESULTS 17 articles were found. Across studies, individuals with obesity reported higher body dissatisfaction than normal-weight individuals (questionnaires: d = 0.89, 95% CI = 0.63-1.16, p < 0.001; silhouette scales: d = 1.41, 95% CI = 0.57-2.25, p < 0.001). Meta-regression revealed a significant association of female gender and higher body dissatisfaction (b = 0.60, p = 0.007). CONCLUSION The findings underline the severity of body dissatisfaction among individuals with obesity and especially among women. Future research recommendations are discussed.
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Affiliation(s)
- Natascha-Alexandra Weinberger
- Leipzig University Hospital, Integrated Research and Treatment Center (IFB) AdiposityDiseases, Leipzig, Germany
- Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany
- University of Applied Sciences SRH Gera, Gera, Germany
- *Natascha-Alexandra Weinberger, University of Applied Sciences SRH Gera, Neue Straße 28–30, 07548 Gera, Germany,
| | - Anette Kersting
- Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig, Leipzig, Germany
| | - Steffi G. Riedel-Heller
- Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany
| | - Claudia Luck-Sikorski
- Leipzig University Hospital, Integrated Research and Treatment Center (IFB) AdiposityDiseases, Leipzig, Germany
- Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany
- University of Applied Sciences SRH Gera, Gera, Germany
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Overweight, obesity and female sexuality in perimenopause: a preliminary report. MENOPAUSE REVIEW 2015; 14:97-104. [PMID: 26327896 PMCID: PMC4498028 DOI: 10.5114/pm.2015.52151] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/24/2014] [Revised: 01/12/2015] [Accepted: 02/09/2015] [Indexed: 11/17/2022]
Abstract
INTRODUCTION The research was conducted among patients of the Department of Perinatology and Gynaecology of the Poznań University of Medical Sciences. Its aim was to investigate the influence of overweight and obesity on female sexuality during the perimenopausal period. Preliminary results of the research are presented in the thesis, which was as a matter of fact intended as a preliminary report. The examination of sexual functions of the patients was performed with the use of the Female Sexual Function Index (FSFI) form. MATERIAL AND METHODS Sixty-one women during the perimenopausal period filled out the survey, with the average age of these women being 51 years. Forty-two of the examined women had an appropriate body mass index (BMI), i.e. between 18.5 and 25, while for 19 of the women, the BMI was above normal. For statistical analysis and in order to assess the differences between the two above-mentioned groups of patients, the nonparametric Mann-Whitney test was applied. A statistically significant value was assumed at p < 0.05. The results of the conducted research indicated no such difference between the women with differing BMI for the specific domains of the FSFI test. RESULTS The results obtained show that research in the area needs to be continued. CONCLUSIONS All the hitherto existing scientific studies also seem to indicate that the influence of overweight and obesity on female sexuality during the perimenopause has not yet been unambiguously proven. Beyond any doubt, however, sexual disorders appear in women at this time of life and the factors which determine them can vary greatly. Given the character of the situation, women ought to be supported both by a team of specialists representing different branches of medicine as well as by their relatives. The whole situation also calls for more research of the important subject matter.
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Lara LAS, Ramos FKP, Kogure GS, Costa RS, Silva de Sá MF, Ferriani RA, dos Reis RM. Impact of Physical Resistance Training on the Sexual Function of Women with Polycystic Ovary Syndrome. J Sex Med 2015; 12:1584-90. [PMID: 25982537 DOI: 10.1111/jsm.12909] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
INTRODUCTION There is a need for specific measures to address overall care in women with polycystic ovary syndrome (PCOS). Physical resistance training (PRT) has been shown to improve certain body parameters. However, the effect of PRT on the sexual function of PCOS women has not been evaluated. AIM The study aimed to assess sexual function and emotional status of PCOS women after 16 weeks of PRT. METHODS This case-control study involved 43 women with PCOS and 51 control ovulatory women, aged 18-37 years. All women were subjected to a supervised PRT protocol for 16 weeks and evaluated at the end of the program. Sexual function was assessed at baseline and after PRT protocol. MAIN OUTCOME MEASURES The main outcome measure used was the Female Sexual Function Index (FSFI). RESULTS Of the 43 women with PCOS, 30 (69.70%) had a basal total FSFI score ≤ 26.55 and 24 of them (58.54%) had a score ≤ 26.55 after PRT (P = 0.08). Of the 51 control women, 32 (62.7%) and 27 (52.9%) had FSFI scores < 26.55 at baseline and after PRT, respectively (P = 0.06). Control women experienced a significant improvement in pain domain score after PRT (P < 0.03). PCOS women experienced significant increases in total score and in the desire, excitement and lubrication domains after PRT (P < 0.01 each). After PRT, there was a significant difference between the PCOS and control groups in the sexual desire domain (4.09 ± 1.29 vs. 3.75 ± 1.42, P = 0.04). Significantly fewer women in the PCOS group were at risk of depression (P < 0.01) and anxiety (P < 0.02) after than before PRT, whereas the differences in the control group were not significant. Mean depression and anxiety scores were reduced significantly in both the PCOS (P < 0.01 each) and control (P < 0.01) groups. CONCLUSIONS PRT significantly enhanced total score and the desire, excitement, and lubrication domains of the FSFI in PCOS women. PRT reduced pain, and total depression and anxiety scores in both groups.
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Affiliation(s)
- Lúcia Alves Silva Lara
- Gynecology and Obstetric Department, Ribeirão Preto Medical School of University of São Paulo, Ribeirão Preto, Brazil
| | - Fabiene Karine Piccki Ramos
- Gynecology and Obstetric Department, Ribeirão Preto Medical School of University of São Paulo, Ribeirão Preto, Brazil
| | - Gislaine Satiko Kogure
- Gynecology and Obstetric Department, Ribeirão Preto Medical School of University of São Paulo, Ribeirão Preto, Brazil
| | - Rafael Silva Costa
- Gynecology and Obstetric Department, Ribeirão Preto Medical School of University of São Paulo, Ribeirão Preto, Brazil
| | - Marcos Felipe Silva de Sá
- Gynecology and Obstetric Department, Ribeirão Preto Medical School of University of São Paulo, Ribeirão Preto, Brazil
| | - Rui Alberto Ferriani
- Gynecology and Obstetric Department, Ribeirão Preto Medical School of University of São Paulo, Ribeirão Preto, Brazil
| | - Rosana Maria dos Reis
- Gynecology and Obstetric Department, Ribeirão Preto Medical School of University of São Paulo, Ribeirão Preto, Brazil
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17
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Lordello MC, Ambrogini CC, Fanganiello AL, Embiruçu TR, Zaneti MM, Veloso L, Piccirillo LB, Crude BL, Haidar M, Silva I. Creation and Validation of the Self-esteem/Self-image Female Sexuality (SESIFS) Questionnaire. CLINICAL MEDICINE INSIGHTS. WOMEN'S HEALTH 2015; 7:37-43. [PMID: 25574149 PMCID: PMC4266193 DOI: 10.4137/cmwh.s19182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/05/2014] [Revised: 10/30/2014] [Accepted: 11/06/2014] [Indexed: 11/11/2022]
Abstract
INTRODUCTION Self-esteem and self-image are psychological aspects that affect sexual function. AIMS To validate a new measurement tool that correlates the concepts of self-esteem, self-image, and sexuality. METHODS A 20-question test (the self-esteem/self-image female sexuality [SESIFS] questionnaire) was created and tested on 208 women. Participants answered: Rosenberg’s self-esteem scale, the female sexual quotient (FSQ), and the SESIFS questionnaire. Pearson’s correlation coefficient was used to test concurrent validity of the SESIFS against Rosenberg’s self-esteem scale and the FSQ. Reliability was tested using the Cronbach’s alpha coefficient. RESULT The new questionnaire had a good overall reliability (Cronbach’s alpha r = 0.862, p < 0.001), but the sexual domain scored lower than expected (r = 0.65). The validity was good: overall score r = 0.38, p < 0.001, self-esteem domain r = 0.32, p < 0.001, self-image domain r = 0.31, p < 0.001, sexual domain r = 0.29, p < 0.001. CONCLUSIONS The SESIFS questionnaire has limitations in measuring the correlation among self-esteem, self-image, and sexuality domains. A new, revised version is being tested and will be presented in an upcoming publication.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Mauro Haidar
- Gynecology Department, Federal University of São Paulo, SP, Brazil
| | - Ivaldo Silva
- Gynecology Department, Federal University of São Paulo, SP, Brazil
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Lev-Ari L, Baumgarten-Katz I, Zohar AH. Show Me Your Friends, and I Shall Show You Who You Are: The Way Attachment and Social Comparisons Influence Body Dissatisfaction. EUROPEAN EATING DISORDERS REVIEW 2014; 22:463-9. [DOI: 10.1002/erv.2325] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2014] [Revised: 09/07/2014] [Accepted: 09/08/2014] [Indexed: 12/12/2022]
Affiliation(s)
| | - Inbar Baumgarten-Katz
- Ruppin Academic Center; Israel
- Sha'ar Menashe Mental Health Center Hadera, Israel, affiliated to Rappaport Faculty of Medicine; Technion, Israel Institute of Technology; Israel
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Lev-Ari L, Baumgarten-Katz I, Zohar AH. Mirror, mirror on the wall: how women learn body dissatisfaction. Eat Behav 2014; 15:397-402. [PMID: 25064289 DOI: 10.1016/j.eatbeh.2014.04.015] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2013] [Revised: 02/19/2014] [Accepted: 04/29/2014] [Indexed: 11/18/2022]
Abstract
Extensive research indicates that exposure to media as well as pressure and modeling by sociocultural agents, such as peers and family, are predictive of the development of body image dissatisfaction (BID). This influence is mediated by social comparison and internalization of the thin-ideal. In the current study we assessed comparisons between participants and other women with whom they were in close relationships, (e.g. mother, sister and close female friend), and hypothesized that these would influence women's BID and drive-to-thinness. 283 women between the ages of 18-42 (mean=25.04; SD=3.53) sampled through social networking completed an online self-report which included the original Figure Rating Scale, which yielded self-ideal disparity, as well as a modified version comparing self to mother, self to sister closest-in-age, and self to best friend and then were asked to directly compare themselves to these women. In addition they completed the EDI-2's drive-for-thinness and body dissatisfaction subscales, and reported on Body Mass Index (BMI). Results indicate that comparisons to mothers, sisters, and best friend, were all associated with self-ideal disparity. BMI only slightly mediated this effect. Comparison to sister and to best friend, but not to mother, influenced drive-for-thinness and body dissatisfaction. Positive correlations were found between direct and indirect comparisons to others. Comparison to best friend was the most influential on body ideal. We conclude that comparison to others in close proximity greatly influences women's body ideal and may have a formative role in the development of women's body dissatisfaction. While women cannot choose their mother and sister closest in age, they do choose their best friend; and it is interesting that the comparison to the best friend is so influential.
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Affiliation(s)
| | - Inbar Baumgarten-Katz
- Ruppin Academic Center, Emek Hefer 40250, Israel; Sha'ar Menashe Mental Health Center Hadera, Israel, affiliated to Rappaport Faculty of Medicine, Technion, Israel Institute of Technology
| | - Ada H Zohar
- Ruppin Academic Center, Emek Hefer 40250, Israel
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20
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Ben Thabet J, Sallemi R, Charfi N, Maâlej Bouali M, Charfi N, Zouari L, Zouari N, Abid M, Maâlej M. Satisfaction sexuelle chez des sujets obèses tunisiens. SEXOLOGIES 2014. [DOI: 10.1016/j.sexol.2014.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Zueff LN, Lara LADS, Vieira CS, Martins WDP, Ferriani RA. Body composition characteristics predict sexual functioning in obese women with or without PCOS. JOURNAL OF SEX & MARITAL THERAPY 2014; 41:227-237. [PMID: 24274091 DOI: 10.1080/0092623x.2013.864369] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Polycystic ovary syndrome is frequently related to obesity and hyperandrogenism that potentially may impair sexual function. This case-control study aimed to determine the effect of the polycystic ovary syndrome on the sexual functioning of obese women and to determine which body measures can predict sexual functioning among 87 sexually active women obese women with and without polycystic ovary syndrome, 18-40 years old, divided in two groups; obese women (n = 44) or obese women with polycystic ovary syndrome (n = 43). The groups were compared using the Sexual Quotient-Female version and Hospital Anxiety and Depression scales, and by serum tests. No significant difference between groups was observed in weight, waist-hip ratio, body mass index, serum glucose, cholesterol, triglycerides, total testosterone, sex hormone binding globulin, total Sexual Quotient-Female version score, and the total score of ≤ 60 for subjects (risk for sexual dysfunction) and Hospital Anxiety and Depression. Significant difference was observed in age, parity, and Free Androgen Index. Each unit increase in waist-hip ratio conferred a greater chance of score of ≤ 60. A height of less than 161 cm and the presence of depression were found to be risk factors with a score of ≤ 60. Women with a score of ≤ 60 had significantly smaller hip measurements and waist-hip ratio. The presence of polycystic ovary syndrome was not a risk factor for decreased sexual functioning.
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Affiliation(s)
- Lucimara Nobre Zueff
- a Sector of Human Reproduction, Department of Gynaecology and Obstetrics, Faculty of Medicine of Ribeirão Preto , São Paulo University , Ribeirão Preto , Brazil
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Câmara CNDS, Corrêa HVV, Silva SCBE, Silva CSAD, Junior MS, Brito RS. Life Cycle Comparative Analysis of Sexual Function in Women with Normal and Overweight Body Mass Index. ACTA ACUST UNITED AC 2014. [DOI: 10.4236/ce.2014.515155] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Poggiogalle E, Di Lazzaro L, Pinto A, Migliaccio S, Lenzi A, Donini LM. Health-related quality of life and quality of sexual life in obese subjects. Int J Endocrinol 2014; 2014:847871. [PMID: 24707290 PMCID: PMC3953417 DOI: 10.1155/2014/847871] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/16/2013] [Revised: 01/12/2014] [Accepted: 01/13/2014] [Indexed: 01/15/2023] Open
Abstract
The increased prevalence of obesity represents, currently, one of the major public health issues, due to its consequences on physical and psychological health status as well as on the psychosocial functioning. As defined by the World Health Organization, sexual health is "a state of physical, emotional, mental, and social well-being in relation to sexuality." The aim of the present study was to explore the relationship between sexual life in obese subjects and quality of life, psychological status, and disability. Methods. 95 obese subjects were recruited from June 2012 to February 2013 and underwent physical examination and measures for the assessment of quality of life, sexual life, psychological status, and disability. Results. In obese subjects sexual life was related to gender, age, psychological status, disability, and quality of life. Conclusion. As obesity is a multifactorial disease, and is accompanied by multiple comorbidities, it is difficult to identify a single causative factor responsible for the impairment of sexual life in obese subjects; thus, a thorough, multidimensional evaluation including sexual function assessment should be performed in obese people.
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Affiliation(s)
- Eleonora Poggiogalle
- Medical Pathophysiology, Food Science and Endocrinology Section, Department of Experimental Medicine, “Sapienza” University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy
- *Eleonora Poggiogalle:
| | - Luca Di Lazzaro
- Medical Pathophysiology, Food Science and Endocrinology Section, Department of Experimental Medicine, “Sapienza” University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy
| | - Alessandro Pinto
- Medical Pathophysiology, Food Science and Endocrinology Section, Department of Experimental Medicine, “Sapienza” University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy
| | - Silvia Migliaccio
- Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00195 Rome, Italy
| | - Andrea Lenzi
- Medical Pathophysiology, Food Science and Endocrinology Section, Department of Experimental Medicine, “Sapienza” University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy
| | - Lorenzo M. Donini
- Medical Pathophysiology, Food Science and Endocrinology Section, Department of Experimental Medicine, “Sapienza” University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy
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Henriques A, Alves E, Barros H, Azevedo A. Women's satisfaction with body image before pregnancy and body mass index 4 years after delivery in the mothers of generation XXI. PLoS One 2013; 8:e70230. [PMID: 23936169 PMCID: PMC3729558 DOI: 10.1371/journal.pone.0070230] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2013] [Accepted: 06/17/2013] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Body image satisfaction (BIS) influences body weight regulation and may contribute to long-term healthier lifestyle after pregnancy. Thus, we aimed to assess the association between BIS before pregnancy and body mass index (BMI) 4 years after the index pregnancy. METHODS As part of the follow-up of a birth cohort, 3612 women with prepregnancy BMI >18.5 kg/m(2) were reevaluated 4 years after the birth of a child. BIS was defined as the difference between perceived and ideal body size before pregnancy, assessed by Stunkard Silhouettes after birth. The associations of BIS with BMI change (continuous) and BMI classes at 4 years, based on measured weight and height, were estimated using linear and multinomial regression, respectively. RESULTS Among women with normal prepregnancy BMI, those who felt too small, regarding their ideal, had a 0.25 kg/m(2) smaller increase in BMI within 4 years and a lower likelihood of becoming overweight or obese [multivariate-adjusted odds ratio (OR) = 0.63; 95% confidence interval (95%CI): 0.44-0.91 and OR = 0.21; 95%CI: 0.05-0.91, respectively) than those satisfied with body image. Feeling too large was associated with a 0.41 kg/m(2) larger increase in BMI and a higher risk of becoming overweight or obese (OR = 2.12; 95%CI:1.73-2.59 and OR = 3.42; 95%CI:2.02-5.79, respectively). A similar, non-significant, trend was observed for overweight women. Obese women who felt too large had a non-significant decrease in BMI. CONCLUSIONS BIS plays a role in maternal body weight after delivery. Realistic body size goals may promote the motivation to lose weight and contribute to higher success in attaining them.
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Affiliation(s)
- Ana Henriques
- Department of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Porto, Portugal.
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