Sexual functioning of men and women with severe obesity before bariatric surgery.

作者: Kristine J. Steffen , Wendy C. King , Gretchen E. White , Leslee L. Subak , James E. Mitchell

DOI: 10.1016/J.SOARD.2016.09.022

关键词: Sexual dysfunctionSexual functionObesityOrdered logitUrinary incontinenceMass indexSurgeryMedian bodyMedicineSexual desire

摘要: Abstract Background Obesity may impair sexual function through multiple mechanisms, but little is known about dysfunction among adults with severe obesity seeking bariatric procedures. Objectives To describe and associated factors before surgery. Setting Ten U.S. clinical facilities. Methods Before surgery, 2225 of 2458 Longitudinal Assessment Bariatric Surgery-2 study participants (79% female, median age 45 years body mass index 46 kg/m 2 ) completed a survey over the past month. Mixed effects ordinal logistic regression models were used to identify independently related 4 domains function. Results One third women (34%) one quarter men (25%) not sexually active, alone or partner, in Twenty-six percent 12% reported no desire. Physical health limited activity at least moderately 38% 44% men. About half (49%) (54%) very dissatisfied their life. Among women, older age, being Caucasian, urinary incontinence, depressive symptoms, antidepressant medication use poorer domains. In men, married, Conclusion approximately are Older severity both sexes.

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