Online citations, reference lists, and bibliographies.

Sexual Functioning And Sex Hormones In Persons With Extreme Obesity And Seeking Surgical And Nonsurgical Weight Loss.

David B Sarwer, Jacqueline C. Spitzer, Thomas A Wadden, Raymond C. Rosen, James E Mitchell, Kathy Lancaster, Anita P Courcoulas, William F Gourash, Nicholas J. Christian
Published 2013 · Medicine
Cite This
Download PDF
Analyze on Scholarcy
BACKGROUND Many individuals with obesity are motivated to lose weight to improve weight-related co-morbidities or psychosocial functioning, including sexual functioning. Few studies have documented rates of sexual dysfunction in persons with obesity. This study investigated sexual functioning, sex hormones, and relevant psychosocial constructs in individuals with obesity who sought surgical and nonsurgical weight loss. METHODS One hundred forty-one bariatric surgery patients (median BMI [25th percentile, 75th percentile] 44.6 [41.4, 50.1]) and 109 individuals (BMI = 40.0 [38.0, 44.0]) who sought nonsurgical weight loss participated. Sexual functioning was assessed by the Female Sexual Function Index (FSFI) and the International Index of Erectile Function (IIEF). Hormones were assessed by blood assay. Quality of life, body image, depressive symptoms, and marital adjustment were assessed by validated questionnaires. RESULTS Fifty-one percent of women presenting for bariatric surgery reported a sexual dysfunction; 36% of men presenting for bariatric surgery reported erectile dysfunction (ED). This is in contrast to 41% of women who sought nonsurgical weight loss and reported a sexual dysfunction and 20% of men who sought nonsurgical weight loss and reported ED. These differences were not statistically significant. Sexual dysfunction was strongly associated with psychosocial distress in women; these relationships were less strong and less consistent among men. Sexual dysfunction was unrelated to sex hormones, except for sex hormone binding globulin (SHGB) in women. CONCLUSION Women and men who present for bariatric surgery, compared with individuals who sought nonsurgical weight loss, were not significantly more likely to experience a sexual dysfunction. There were few differences in reproductive hormones and psychosocial constructs between candidates for bariatric surgery and individuals interested in nonsurgical weight loss.
This paper references
Relationship between Sexual Function and Quality of Life in Obese Persons Seeking Weight Reduction
Reneé H Moore (2013)
Obesity and the role of gut and adipose hormones in female reproduction.
Gabriella G. Gosman (2006)
Female sexual dysfunction related to depression and antidepressant medications.
Clayton Ah (2002)
Development of a brief measure to assess quality of life in obesity.
Ronette L Kolotkin (2001)
Sexual desire and the female sexual function index (FSFI): a sexual desire cutpoint for clinical interpretation of the FSFI in women with and without hypoactive sexual desire disorder.
Eric P. Gerstenberger (2010)
Comparison of psychosocial status in treatment-seeking women with class III vs. class I-II obesity.
Thomas A Wadden (2006)
Erectile dysfunction in type 2 diabetic men: relationship to exercise fitness and cardiovascular risk factors in the Look AHEAD trial.
Raymond C. Rosen (2009)
SF-36 health survey: Manual and interpretation guide
John E Ware (2003)
Relationship of body mass index with demographic and clinical characteristics in the Longitudinal Assessment of Bariatric Surgery (LABS).
Steven H. Belle (2008)
Sexual functioning and obesity: a review.
Ronette L. Kolotkin (2012)
Psychosocial and behavioral aspects of bariatric surgery.
David B Sarwer (2005)
Sexual dysfunction in the United States: prevalence and predictors.
Edward O. Laumann (1999)
Safety and efficacy of bariatric surgery: Longitudinal Assessment of Bariatric Surgery.
Steven H. Belle (2007)
The development and validation of the body shape questionnaire
Peter J. Cooper (1987)
Body image and obesity in adulthood.
David B Sarwer (2005)
Prevalence and degree of sexual dysfunction in a sample of women seeking bariatric surgery.
Dale S Bond (2009)
Long-term effects on sexual function of five antihypertensive drugs and nutritional hygienic treatment in hypertensive men and women. Treatment of Mild Hypertension Study (TOMHS)
Richard H. Grimm (1997)
Assessing Impact of Weight on Quality of Life.
Ronette L Kolotkin (1995)
Measuring Dyadic Adjustment: New Scales for Assessing the Quality of Marriage and Similar Dyads.
Graham B. Spanier (1976)
The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction.
Raymond C. Rosen (1997)
Is obesity associated with major depression? Results from the Third National Health and Nutrition Examination Survey.
Chiadi U. Onyike (2003)
Erectile dysfunction and quality of life in type 2 diabetic patients: a serious problem too often overlooked.
Giorgia de Berardis (2002)
Perioperative safety in the longitudinal assessment of bariatric surgery.
David R. Flum (2009)
Diagnostic evaluation of the erectile function domain of the International Index of Erectile Function.
Joseph C. Cappelleri (1999)
A Review of the Relationships Between Extreme Obesity, Quality of Life, and Sexual Function
David B Sarwer (2012)
The impact of body image experiences: development of the body image quality of life inventory.
Thomas F. Cash (2002)
Does hypertension and its pharmacotherapy affect the quality of sexual function in women?
L E Duncan (2000)
The Female Sexual Function Index (FSFI): Cross-Validation and Development of Clinical Cutoff Scores
Markus Wiegel (2005)
The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function.
Raymond C. Rosen (2000)
Sexual Function in Men Older Than 50 Years of Age: Results from the Health Professionals Follow-up Study
Constance G Bacon (2003)

This paper is referenced by
Metabolic and Endocrine Consequences of Bariatric Surgery
Isabel Cornejo-Pareja (2019)
Bariatric Surgery Candidates’ Peer and Romantic Relationships and Associations with Health Behaviors
Keeley J Pratt (2016)
Gender differences in sexual dysfunctions among individuals with obesity
C. Niolu (2016)
Body Image Evaluation of the Obese Population in a Surgical weight Reduction Context: Systematic Review
Thiago Gomes de Castro (2017)
Psychological and Psychiatric Traits in Post-bariatric Patients Asking for Body-Contouring Surgery
Chiara Pavan (2016)
Health-Related Quality of Life and Quality of Sexual Life in Obese Subjects
Eleonora Poggiogalle (2014)
Changes in Dietary Intake and Eating Behavior in Adolescents After Bariatric Surgery: an Ancillary Study to the Teen-LABS Consortium
David B Sarwer (2017)
4-Year Changes in Sex Hormones, Sexual Functioning, and Psychosocial Status in Women Who Underwent Bariatric Surgery
David B Sarwer (2017)
Impacto de la cirugía bariátrica en la función sexual de la mujer
Carmen Jiménez (2014)
A review of the psychosocial aspects of clinically severe obesity and bariatric surgery.
David B Sarwer (2020)
Changes in sexual functioning and sex hormone levels in women following bariatric surgery.
David B Sarwer (2014)
Sexual Function After Bariatric Surgery: A New Level of Comorbidity Improvement.
Nabeel R. Obeid (2019)
Female Sexual Function Before and After Bariatric Surgery: a Cross-Sectional Study and Review of Literature
Michał R. Janik (2015)
Effect of Bariatric Surgery on Male Sexual Function: A Meta-Analysis and Systematic Review
Jiangnan Xu (2019)
Sexuality in eating disorders patients: etiological factors, sexual dysfunction and identity issues. A systematic review
Giovanni Castellini (2016)
Evaluación de la función sexual en pacientes con obesidad, antes y después de la cirugía bariátrica
José Miguel Silva (2019)
What Is the Impact of Bariatric Surgery on Erectile Function? A Systematic Review and Meta-Analysis.
Felipe Placco Araujo Glina (2017)
Obesity and Sexual Functioning
David B Sarwer (2018)
Implanted Muscle-Derived Stem Cells Ameliorate Erectile Dysfunction in a Rat Model of Type 2 Diabetes, but Their Repair Capacity Is Impaired by Their Prior Exposure to the Diabetic Milieu.
Istvan Kovanecz (2016)
Associations between relationship stability, relationship quality, and weight loss outcomes among bariatric surgery patients.
Shannon M. Clark (2014)
Best Practice & Research Clinical Obstetrics and Gynaecology
Kalaivani Ramalingam (2015)
Change in Sexual Dysfunction Following Bariatric Surgery
Laura Wingfield (2015)
Long-Term Effects of Bariatric Surgery on Health-Related Quality of Life: A Systematic Review
Roberta Sônia Rodrigues Álvares (2018)
Mechanisms for T 2 DM Remission After BS
Isabel Cornejo-Pareja (2019)
Sizes, Numbers and Distribution of Uterine Fibroids Enucleated At Laparoscopic Myomectomy from Nigerian Women with Primary or Secondary Infertility
Abayomi Bolaji Ajayi (2017)
Changes in Sexual Functions of Female Patients After Bariatric Surgery: Relationship with Body Image, Depression, and Anxiety
Çelik ErdenSelime (2015)
Body Composition Characteristics Predict Sexual Functioning in Obese Women With or Without PCOS
Lucimara Facio Nobre Zueff (2015)
Sexual Distress in Obesity
Erika Limoncin (2015)
Effects of Bariatric Surgery on Female Pelvic Floor Disorders.
Avner Leshem (2017)
Changes in Sexual Function and Positions in Women With Severe Obesity After Bariatric Surgery
Claudia Fernandes de Almeida Oliveira (2019)
Effect of A Very Low-Calorie Ketogenic Diet on Food and Alcohol Cravings, Physical and Sexual Activity, Sleep Disturbances, and Quality of Life in Obese Patients
Ana I. Castro (2018)
Obesity and pelvic floor dysfunction.
Kalaivani Ramalingam (2015)
See more
Semantic Scholar Logo Some data provided by SemanticScholar