Department of Obstetrics, São Paulo Federal University (UNIFESP), São Paulo, Brazil.
Internal Medicine Department, São Paulo Federal University (UNIFESP), São Paulo, Brazil.
PLoS One. 2014 Apr 15;9(4):e95094. doi: 10.1371/journal.pone.0095094. eCollection 2014.
Obesity and gestational diabetes mellitus (GDM) are increasing worldwide and may compromise female sexual function. We hypothesize that among GDM patients in the third trimester of pregnancy, those with excess body fat would have worse female sexual function scores than normal weight women. Our aim was to assess the sexual function of overweight compared to normal weight women with GDM. This was a cross-sectional survey involving 143 Brazilian women with GDM in the third trimester of pregnancy: 76 were overweight (pre-pregnancy body mass index-BMI≥25.0 Kg/m2) and 67 were normal weight (BMI 18.5-24.9 Kg/m2). Participants were recruited from March 2010 to April 2013 at the antenatal clinic of a single public tertiary teaching institution. The Female Sexual Function Index (FSFI) questionnaire was used to assess sexual function. Overall, 51.7% of the 143 participants were at risk for sexual dysfunction symptoms (FSFI scores ≤26); this rate was significantly higher among overweight compared to normal weight women (60.5% versus 41.8%, p = 0.038). Mean total FSFI scores were significantly lower in overweight compared to normal weight women (21.7±9.2 versus 24.9±8.0, p = 0.029). Compared to normal weight women, overweight participants had lower mean scores in desire (3.4±1.2 versus 4.0±1.4, p = 0.007) and lubrication (3.8±2.0 versus 4.5±1.6, p = 0.023). According to these results, overweight women with GDM in the third trimester of pregnancy have lower female sexual function scores than normal weight women with the same disorder.
肥胖和妊娠糖尿病（GDM）在全球范围内呈上升趋势，可能会影响女性的性功能。我们假设在妊娠晚期的 GDM 患者中，那些体脂过多的患者的性功能评分会比体重正常的女性更差。我们的目的是评估超重与体重正常的 GDM 女性的性功能。这是一项横断面调查，涉及 143 名巴西妊娠晚期 GDM 女性：76 名超重（孕前 BMI≥25.0 Kg/m2），67 名体重正常（BMI 18.5-24.9 Kg/m2）。参与者于 2010 年 3 月至 2013 年 4 月在一家公立三级教学机构的产前门诊招募。使用女性性功能指数（FSFI）问卷评估性功能。总体而言，143 名参与者中有 51.7%（FSFI 评分≤26）存在性功能障碍症状的风险；超重女性的这一比例明显高于体重正常的女性（60.5%比 41.8%，p=0.038）。超重女性的总 FSFI 评分明显低于体重正常的女性（21.7±9.2 比 24.9±8.0，p=0.029）。与体重正常的女性相比，超重参与者的欲望评分（3.4±1.2 比 4.0±1.4，p=0.007）和润滑评分（3.8±2.0 比 4.5±1.6，p=0.023）均较低。根据这些结果，妊娠晚期超重的 GDM 女性的女性性功能评分低于患有相同疾病的体重正常女性。
