Abstract
We evaluated changes in sexual quality of life as they relate to weight loss over a 2-year period in individuals undergoing weight loss treatment. Six dimensions of sexual quality of life were measured using items from the Impact of Weight on Quality of Life questionnaire (feeling sexually unattractive, lacking sexual desire, reluctance to be seen undressed, difficulty with sexual performance, avoidance of sexual encounters and lack of enjoyment of sexual activity). At baseline women were more likely than men to report lack of sexual enjoyment and reluctance to be seen undressed in spite of lower body mass index (BMI). Weight loss averaged 13.1% and was significantly associated with improvements in all sexual quality of life dimensions. A 3–4% regain did not appear to negatively affect sexual quality of life. The greatest improvements for women had occurred by 3 months and were observed in all dimensions, whereas for men only ‘not feeling sexually attractive’ showed marked improvement in this short time frame.
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References
Fontaine KR, Barofsky I . Obesity and health-related quality of life. Obesity Reviews 2001; 2: 173–182.
Kolotkin RL, Meter K, Williams GR . Quality of life and obesity. Obesity Reviews 2001; 2: 219–229.
Kushner RF, Foster G . Obesity and quality of life. Nutrition 2000; 16: 947–952.
Kolotkin RL, Binks M, Crosby RD, Ostbye T, Gress RE, Adams TD . Obesity and sexual quality of life. Obesity (Silver Spring) 2006; 14: 472–479.
Assimakopoulos K, Panayiotopoulos S, Iconomou G, Karaivazoglou K, Matzaroglou C, Vagenas K et al. Assessing sexual function in obese women preparing for bariatric surgery. Obes Surg 2006; 16: 1087–1091.
Larsen SH, Wagner G, Heitmann BL . Sexual function and obesity. Int J Obes (Lond) 2007; 31: 1189–1198.
Kinzl JF, Trefalt E, Fiala M, Hotter A, Biebl W, Aigner F . Partnership, sexuality, and sexual disorders in morbidly obese women: consequences of weight loss after gastric banding. Obes Surg 2001; 11: 455–458.
Larsen F . Psychosocial function before and after gastric banding surgery for morbid obesityA prospective psychiatric study. Acta Psychiatr Scand Suppl 1990; 359: 1–57.
Rand CS, Kowalske K, Kuldau JM . Characteristics of marital improvement following obesity surgery. Psychosomatics 1984; 25: 221–223, 226.
Camps MA, Zervos E, Goode S, Rosemurgy AS . Impact of Bariatric surgery on body image perception and sexuality in morbidly obese patients and their partners. Obes Surg 1996; 6: 356–360.
Dziurowicz-Kozlowska A, Lisik W, Wierzbicki Z, Kosieradzki M . Health-related quality of life after the surgical treatment of obesity. J Physiol Pharmacol 2005; 56 (Suppl 6): 127–134.
Esposito K, Giugliano F, Di Palo C, Giugliano G, Marfella R, D'Andrea F et al. Effect of lifestyle changes on erectile dysfunction in obese men: a randomized controlled trial. J Am Med Assoc 2004; 291: 2978–2984.
Kaukua J, Pekkarinen T, Sane T, Mustajoki P . Sex hormones and sexual function in obese men losing weight. Obes Res 2003; 11: 689–694.
Kim KK, Kang HC, Kim SS, Youn BB . Influence of weight reduction by sibutramine on female sexual function. Int J Obes 2006; 30: 758–763.
Kolotkin RL, Crosby RD, Williams GR, Hartley GG, Nicol S . The relationship between health-related quality of life and weight loss. Obes Res 2001; 9: 564–571.
Kolotkin RL, Head S, Hamilton MA, Tse CTJ . Assessing impact of weight on quality of life. Obes Res 1995; 3: 49–56.
Kolotkin RL, Crosby RD, Kosloski KD, Williams GR . Development of a brief measure to assess quality of life in obesity. Obes Res 2001; 9: 102–111.
Hedeker D, Gibbons R . Longitudinal Data Analysis. John Wiley & Sons: Hoboken, New Jersey, 2006, pp 113–129.
Smith DE, Thompson JK, Raczynski JM, Hilner JE . Body image among men and women in a biracial cohort: the Cardia study. Int J Eat Disord 1999; 25: 71–82.
Laumann EO, Paik A, Rosen RC . Sexual dysfunction in the United States: prevalence and predictors. J Am Med Assoc 1999; 281: 537–544.
Katz DA, McHorney CA, Atkinson RL . Impact of obesity on health-related quality of life in patients with chronic illness. J Gen Intern Med 2000; 15: 789–796.
Sullivan M, Karlsson J, Sjostrom L, Backman L, Bengtsson C, Bouchard C et al. Swedish obese subjects (SOS)—an intervention study of obesity. Baseline evaluation of health and psychosocial functioning in the first 1743 subjects examined. Int J of Obes 1993; 1743: 503–512.
Kolotkin RL, Crosby RD, Williams GR . Health-related quality of life varies among obese subgroups. Obes Res 2002; 10: 748–756.
Kolotkin RL, Crosby RD . Psychometric evaluation of the Impact Of Weight On Quality Of Life-Lite Questionnaire (IWQOL-Lite) in a community sample. Qual Life Res 2002; 11: 157–171.
Kolotkin RL, Head S, Brookhart A . Construct validity of the impact of weight on quality of life questionnaire. Obes Res 1997; 5: 434–441.
Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A . The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology 1997; 49: 822–830.
Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 2000; 26: 191–208.
Symonds T, Boolell M, Quirk F . Development of a questionnaire on sexual quality of life in women. J Sex Marital Ther 2005; 31: 385–397.
Acknowledgements
We acknowledge the valuable assistance of Susan Nicol, PhD, LP, psychologist at Hennepin County Medical Center (HCMC), who contributed to the design of the protocol of the clinical trial and coordinated psychological evaluation of subjects and Mehmood Khan, MD, endocrinologist at HCMC, who contributed to the design of the protocol and recruited and provided medical evaluation of and supervised medical care of some of the subjects. The authors have no duality of interest to disclose. Portions of this paper were presented orally at The Obesity Society (NAASO) 2005 meeting in Vancouver BC, Canada. There was no funding for this project.
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Kolotkin, R., Binks, M., Crosby, R. et al. Improvements in sexual quality of life after moderate weight loss. Int J Impot Res 20, 487–492 (2008). https://doi.org/10.1038/ijir.2008.32
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DOI: https://doi.org/10.1038/ijir.2008.32
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