College of Public Health, Temple University, 3223 N. Broad St., Suite 175, Philadelphia, PA, 19104, USA.
School of Nursing, College of Pharmacy, Nursing, and Allied Sciences, North Dakota State University, Fargo, ND, USA.
Curr Obes Rep. 2018 Dec;7(4):301-307. doi: 10.1007/s13679-018-0319-6.
Sexual functioning is an important, yet often overlooked, aspect of quality of life for many individuals with obesity.
With the growing recognition of obesity as a significant, international public health issue, a developing body of research has investigated the relationship between obesity and sexual functioning. Several studies have found that obesity is associated with impairments in sexual functioning. The mechanisms of this relationship, whether physiological, psychosocial, or a combination of the two, are yet to be fully elucidated. Other studies have suggested that weight loss, whether induced by bariatric surgery or less intensive interventions, is associated with significant and clinically meaningful change in sexual functioning and relevant reproductive hormones. This chapter reviews the research in these areas and provides recommendations for future research on these relationships.
性机能是肥胖人群生活质量的一个重要但常被忽视的方面。
随着肥胖作为一个重大的国际性公共卫生问题逐渐得到认识，越来越多的研究调查了肥胖与性机能之间的关系。一些研究发现肥胖与性机能障碍有关。但该关系的机制，无论是生理、心理社会方面的，还是两者的结合，尚未完全阐明。其他研究表明，体重减轻（无论是通过减重手术还是不太密集的干预措施诱导）与性机能和相关生殖激素的显著和有临床意义的变化有关。本章综述了这些领域的研究，并为这些关系的未来研究提供了建议。
