Association between obesity, sexual activity and sexual function in women with pelvic floor disorders.
作者信息
Tsai Katy K, Marques Felisha, Myers Deborah L, Sung Vivian W
机构信息
From the *Alpert Medical School of Brown University, and †Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Providence, RI.
出版信息
Female Pelvic Med Reconstr Surg. 2010 Nov;16(6):331-5. doi: 10.1097/SPV.0b013e3181f526c8.
OBJECTIVES
: The objective of this study was to determine the association between obesity, sexual activity and sexual function in women with pelvic floor disorders (PFDs).
METHODS
: A retrospective study of women seeking care for PFDs was conducted between May 2008 and May 2009. Obesity was defined as body mass index ≥ 30 kg/m. Outcomes included sexual activity and sexual function measured using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 (PISQ-12). Multivariable regression was used to estimate the association between obesity and sexual inactivity and function.
RESULTS
: There were 161 (45.5%) non-obese and 193 (54.5%) obese women, with a subset of 214 sexually active women. Obesity was not associated with sexual inactivity, but was associated with worse PISQ-12 scores compared with non-obese women (mean score 36.9 ± 38 versus 74.8 ± 34, P < 0.001). On multivariable linear regression, obese women had a mean score of 30 points lower (95% confidence interval -40.6 to -20.2, P < 0.001) on the PISQ-12 compared with non-obese women.
CONCLUSIONS
: Obesity is associated with worse sexual function in women with PFDs.
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