Collado-Mateo D, Olivares P R, Adsuar J C, Gusi N
Faculty of Sport Science, University of Extremadura, Cáceres, Spain.
Instituto de Actividad Física y Salud, Universidad Autónoma de Chile, Talca, Chile.
J Back Musculoskelet Rehabil. 2020;33(3):355-361. doi: 10.3233/BMR-170970.
The prevalence of sexual problems is very high among women with fibromyalgia.
To evaluate the prevalence of sexual problems in women with FM and the potential association among physical activity, quality of life and sexual function. We aimed to contribute in the understanding of the relationships between sexual function and the symptoms of FM.
The sample of this cross-sectional study comprised 113 women with FM and 116 age-matched women without FM. Sexual function was assessed using the 15D questionnaire. Health-related quality of life (using EQ-5D-5L and 15D questionnaires), impact of fibromyalgia and physical activity were also assessed.
The prevalence of sexual problems among women with fibromyalgia was 76%, while it was 15% in healthy controls. This prevalence was even higher among those aged 50 or over. Sexual function was significantly associated with quality of life, distance walked, impact of fibromyalgia and four of the symptoms: depression, anxiety, tenderness and memory problems.
More than three out of four women with fibromyalgia have any kind of sexual problem. Depression, anxiety and tenderness seems to be the most relevant symptoms associated with sexual function. Physical activity may be protective and reduce the risk of having sexual problems.
纤维肌痛女性患者中性功能障碍的患病率非常高。
评估纤维肌痛（FM）女性患者性功能障碍的患病率以及身体活动、生活质量和性功能之间的潜在关联。我们旨在促进对性功能与FM症状之间关系的理解。
这项横断面研究的样本包括113名FM女性患者和116名年龄匹配的非FM女性。使用15D问卷评估性功能。还评估了与健康相关的生活质量（使用EQ-5D-5L和15D问卷）、纤维肌痛的影响和身体活动情况。
纤维肌痛女性患者性功能障碍的患病率为76%，而健康对照组为15%。50岁及以上人群中这一患病率更高。性功能与生活质量、行走距离、纤维肌痛的影响以及四种症状显著相关：抑郁、焦虑、压痛和记忆问题。
超过四分之三的纤维肌痛女性存在某种性功能问题。抑郁、焦虑和压痛似乎是与性功能最相关的症状。身体活动可能具有保护作用并降低出现性功能问题的风险。
