运动对女性性功能的影响。
The Effects of Exercise on Sexual Function in Women.
机构信息
Department of Psychology, University of Texas at Austin, Austin, TX, USA.
Department of Psychology, University of Texas at Austin, Austin, TX, USA.
出版信息
Sex Med Rev. 2018 Oct;6(4):548-557. doi: 10.1016/j.sxmr.2018.02.004. Epub 2018 Mar 30.
BACKGROUND
Acute exercise is associated with transient changes in metabolic rate, muscle activation, and blood flow, whereas chronic exercise facilitates long-lasting adaptations that ultimately improve physical performance. Exercise in general is known to improve both physical and psychological health, but the differential effects of brief bouts of exercise vs long-term exercise regimens on sexual function are less clear.
AIM
The purpose of this review was to assess the direct and indirect effects of both acute and chronic exercise on multiple domains of sexual function in women.
METHODS
A literature review of published studies on exercise and sexual function was conducted. Terms including "acute exercise," "chronic exercise," "sexual function," "sexual arousal," "sexual desire," "lubrication," "sexual pain," and "sexual satisfaction" were used.
OUTCOMES
This review identifies key relationships between form of exercise (ie, chronic or acute) and domain of sexual function.
RESULTS
Improvements in physiological sexual arousal following acute exercise appear to be driven by increases in sympathetic nervous system activity and endocrine factors. Chronic exercise likely enhances sexual satisfaction indirectly by preserving autonomic flexibility, which benefits cardiovascular health and mood. Positive body image due to chronic exercise also increases sexual well-being. Though few studies have examined the efficacy of month-long exercise programs for the treatment of sexual dysfunction, exercise interventions have alleviated sexual concerns in 2 specific clinical populations: women with anti-depressant-induced sexual dysfunction and women who have undergone hysterectomies.
CONCLUSIONS
This review highlights the positive effects of acute and chronic exercise on sexual function in women. Directions for future research are discussed, and clinicians are encouraged to tailor specific exercise prescriptions to meet their patients' individual needs. Stanton AM, Handy AB, Meston CM. The Effects of Exercise on Sexual Function in Women. Sex Med Rev 2018;6:548-557.
背景
急性运动与代谢率、肌肉活动和血流的短暂变化有关，而慢性运动则促进持久的适应，最终提高身体表现。一般来说，运动有益于身心健康，但短暂运动与长期运动方案对性功能的差异影响尚不清楚。
目的
本综述旨在评估急性和慢性运动对女性性功能多个领域的直接和间接影响。
方法
对已发表的关于运动与性功能的研究进行了文献综述。使用了包括“急性运动”、“慢性运动”、“性功能”、“性唤起”、“性欲”、“润滑”、“性疼痛”和“性满意度”等术语。
结果
急性运动后生理性性唤起的改善似乎是由交感神经系统活动和内分泌因素的增加驱动的。慢性运动可能通过保持自主神经灵活性间接增强性满意度，这有益于心血管健康和情绪。由于慢性运动而产生的积极的身体形象也增加了性幸福感。尽管很少有研究检查为期一个月的运动方案治疗性功能障碍的疗效，但运动干预已经缓解了两种特定临床人群的性问题：抗抑郁药引起性功能障碍的女性和接受子宫切除术的女性。
结论
本综述强调了急性和慢性运动对女性性功能的积极影响。讨论了未来研究的方向，并鼓励临床医生根据患者的个体需求制定特定的运动处方。Stanton AM, Handy AB, Meston CM. The Effects of Exercise on Sexual Function in Women. Sex Med Rev 2018;6:548-557.
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