Surgery for Obesity and Marriage Quality

Rand, Colleen S. W.; Kuldau, John M.; Robbins, Lynn

doi:10.1001/jama.1982.03320350023021

Cited by 71 publications

(37 citation statements)

References 10 publications

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“…13 However, weight reduction seems to improve sexual function in young obese women. [20][21][22] Veronelli et al 23 reported that obese women had a lower score in the FSFI questionnaire when compared with healthy women, and a higher FSFI score was associated with a healthier anthropometric and metabolic status. In addition, the FSFI global score was negatively correlated with the known risk factors for cardiovascular disease, such as blood pressure, HbA1c, low-density lipoprotein cholesterol and TSH, whereas it was positively correlated with high-density lipoprotein cholesterol.…”

Section: Discussionmentioning

confidence: 99%

“…19 The studies generally find that surgery (jejunoileal bypass) for obesity may affect sexual relationships in a positive manner, but the degree of the effect is not clear. 18,19 The study by Rand et al 20 compared sexual function among 32 morbidly obese women and 56 morbidly obese men (445 kg overweight), aged 36-38 years before and after surgery. 20 After 1 year of surgery, 61% (n ¼ 88) reported a better sex life compared with the presurgery condition, whereas 27% reported no change.…”

Section: Discussionmentioning

confidence: 99%

“…18,19 The study by Rand et al 20 compared sexual function among 32 morbidly obese women and 56 morbidly obese men (445 kg overweight), aged 36-38 years before and after surgery. 20 After 1 year of surgery, 61% (n ¼ 88) reported a better sex life compared with the presurgery condition, whereas 27% reported no change. In addition, 14 participants (34%) reported an increased interest in sex, and 56% reported that their partner had showed more interest in sex.…”

Section: Discussionmentioning

confidence: 99%

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Sexual dysfunction in obese and overweight women

2010

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Both overweight and obesity have been identified as risk factors for sexual dysfunction in men, but the relationship between sexual function and amount of body fat in females is still obscure. There are few reported studies in women assessing the relationship between female sexual function index (FSFI) and body weight. The aim of this study was to identify the frequency of female sexual dysfunction (FSD) among obese and overweight women. A total of 45 obese and overweight and 30 age-matched voluntary healthy women serving as a control group were evaluated by a detailed medical and sexual history, including the FSFI questionnaire. Serum prolactin, cortisol, luteinizing hormone (LH), follicle-stimulating hormone (FSH), dehydroepiandrosterone-SO 4 (DHEA-S), testosterone, estradiol and sex hormone-binding globulin (SHBG) levels were measured. No significant difference was observed between controls and patients in terms of the FSH, LH, estradiol, free thyroxine and thyrotropin (TSH), testosterone and DHEA-S levels. The comparison of total FSFI scores between patients and controls showed no significant difference (P ¼ 0.74). As the FSFI score of p26.55 indicated FSD, 86% of obese patients and 83% of controls were considered to have sexual dysfunction. The mean total FSFI score was 22.1±4.3 for obese patients and 23.1±3.7 for healthy women. FSFI scores were not correlated with any of the anthropometric measurements (body mass index (BMI), waist-to-hip ratio (WHR) and fat percent). The levels of total testosterone and DHEA-S were not correlated with total FSFI scores. We found a significant negative correlation between BMI and orgasm (P ¼ 0.007, r ¼ À0.413). Satisfaction was also negatively correlated with BMI (P ¼ 0.05, r ¼ À0.305) and weight (P ¼ 0.03, r ¼ À0.326). Testosterone levels were negatively correlated with only satisfaction domain scores of FSFI (P ¼ 0.01, r ¼ À0.385). We found that 86% of obese women and 83% of controls had sexual dysfunction. Although obesity does not seem to be a major contributor to sexual dysfunction, it affects several aspects of sexuality.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Sexual dysfunction in obese and overweight women

2010

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“…[17][18][19] However, weight reduction seems to improve sexual function in obese women. 20,21 Of several mechanisms that could contribute to an overall change in sexual function after weight reduction in obese young women, alteration of the sex hormones estrogen and androgen and improvement in body image are the most important. Whether a change in sex hormone status is an appropriate explanation for an improvement in sexual function is difficult to determine because estrogen and androgen levels either do not change significantly or, in fact, are reduced after weight loss.…”

Section: Discussionmentioning

confidence: 99%

Influence of weight reduction by sibutramine on female sexual function

et al. 2006

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Background: It is well known that selective serotonin reuptake inhibitors (SSRIs) can cause sexual dysfunction, so it is possible that sibutramine, a serotonin and norepinephrine reuptake inhibitor, could induce sexual dysfunction. Design and subjects: The effect of sibutramine on sexual function was evaluated in 46 overweight and obese (body mass index (BMI) X23 kg/m 2 ) but otherwise healthy married women (28-44 years). Participants were randomly assigned at baseline to either the sibutramine or control group. The Female Sexual Function Index (FSFI) questionnaire was used to assess sexual function at baseline and after treatment with behavioral therapy plus sibutramine 10 mg once daily or behavioral therapy alone (control) for 8 weeks.Results: Mean weight loss from baseline to week 8 was À6.03% in sibutramine group and À0.38% in the control group. There was significant improvement of FSFI total score, arousal domain score and lubrication domain score in the sibutramine group (Po0.05), and significant differences in arousal, orgasm, satisfaction domain score and total score (Po0.05) in favor of sibutramine. Decreases in body weight and BMI were correlated with the improvement of arousal (r ¼ À0.44 and r ¼ À0.48, respectively) and orgasm (r ¼ À0.45 and r ¼ À0.46, respectively) domains. Conclusion: Treatment with sibutramine plus behavioral therapy did not induce sexual dysfunction and sibutramine-induced weight reduction appeared to have a positive impact on sexual function in this small group of overweight and moderately obese women. The degree of improvement in sexual function was correlated with the degree of weight reduction.

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“…Table 3 gives the results from published weight reduction studies and sexual function. In total, eight studies [22][23][24][25][26][27][28][29] have been published since 1982. demonstrated that weight loss significantly increased the overall perception of sexual functioning (P ¼ 0.02) and increased sexual satisfaction (P ¼ 0.06) (using Drive subscales, the Satisfaction subscale and the Global Sexual Satisfaction Index of the Derogatis Sexual Functioning Inventory). Kaukua et al 24 measured the effect of weight loss on changes in sex hormones and sexual function among obese men (n ¼ 38).…”

Section: Introduction Studies On Weight Reduction and Ed/fsdmentioning

confidence: 99%

Sexual function and obesity

2007

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Objective: To review the literature on the relationship between obesity and sexual function. Method: A search in the medical literature from 1966 and onwards was carried out through Medline and Embase for publications on obesity, in combination with Medical Subject Heading words related to sexual function and dysfunction. Comments: Four prospective and seven cross-sectional studies were found describing association between obesity and erectile dysfunction (ED). One cross-sectional study was found describing obesity and female sexual dysfunction (FSD). The prospective studies on ED all demonstrated a direct association and so did five of the seven cross-sectional studies. The single FSD study did not find any relationship. Eight intervention studies on weight loss and sexual difficulties were identified. All included few individuals and results were mixed even if most indicated an increase of sexual activity among both men and women after weight loss intervention. Conclusion: Support for the assumption that obesity is associated with ED was found in both prospective and cross-sectional studies. FSD was not adequately described in the literature and prospective studies are needed here. Results from weight loss intervention studies are less conclusive, but also point toward improvement in sexual dysfunction with reduced weight. Keywords: body mass index; sexual function; sexual dysfunction; weight loss; metabolic syndrome; erectile dysfunction IntroductionAt present, 10-30% of all individuals from developed countries are obese. In addition, 1/3-2/3 are considered to be overweight.1 Obesity is on the increase throughout the world, and increasing trends cause concern among health authorities about the associated comorbidities, for example, type 2 diabetes, heart disease, hypertension, certain cancers, reduced life expectancy 1 and their cost to society. Other somatic and psychological malfunctions are also known to follow obesity such as fertility problems, osteoarthritis, social disabilities caused by stigmatization, sleeping problems or apnea. Sexual dysfunctions may also relate to obesity, but are rarely mentioned, and may, for both individual and partner, cause concern and constitute a great problem. Obesity is also rarely mentioned as a cofactor to sexual problems in textbooks on human sexuality, and, if so, with no reference to data in support of a causal relationship. 2,3The aim of the present review was therefore to evaluate the current evidence from the scientific literature of a possible association between obesity and sexual dysfunction among men and women.Obesity and sexual dysfunction There seems to be no available evidence that sexual dysfunction may cause obesity, but there are indicators that obesity may cause sexual dysfunction. However, it may be difficult to single out the independent effects on dysfunction of obesity from other causes, as obesity is a known independent risk factor for vascular risk factors such as dyslipidemia, hypertension, diabetes mellitus and depression, all known to be direct...

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Surgery for Obesity and Marriage Quality

Cited by 71 publications

References 10 publications

Sexual dysfunction in obese and overweight women

Sexual dysfunction in obese and overweight women

Influence of weight reduction by sibutramine on female sexual function

Sexual function and obesity

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