Department of Psychological, Health and Territorial Sciences, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100, Chieti, Italy.
Department of Medicine and Aging, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy.
Eat Weight Disord. 2021 Aug;26(6):1801-1811. doi: 10.1007/s40519-020-00995-4. Epub 2020 Sep 12.
It is well known that body mass index (BMI) affects how individuals perceive their well-being and that obese individuals tend to report poorer levels of subjective health status. The aim of this study was to compare subjects with and without FSD and to examine the direct and indirect impact of BMI on female sexual dysfunction (FSD) in overweight/obese and normal-weight women.
A cross-sectional study was conducted on 186 overweight/obese and 233 normal-weight women. FSD assessed with the Female Sexual Function Index (FSFI) was investigated in relation to body satisfaction assessed with the Body Uneasiness Test (BUT-A) and self-esteem assessed with the Rosenberg Self-Esteem scale (RSE).
No difference in the prevalence of FSD was found between overweight/obese (44.4%) and normal-weight women (55.6%), even though significant between-group differences in body image were found. Structural Equation Modelling (SEM) showed that BMI contribute to FSD only through the mediating role of body dissatisfaction and self-esteem.
The present results support the notion that sexual functioning is not related directly to BMI in women but to a more complex interactions of body weight, satisfaction with one's own body image, and levels of self-esteem. Clinicians should take into account that for women having a good sexual life seems not related to body weight but to the way their body weight is perceived within the context of self-image.
Level III, case-control analytic study.
众所周知，体重指数（BMI）会影响个体对自身健康的感知，而肥胖个体往往报告自身健康状况较差。本研究旨在比较有无性功能障碍（FSD）的受试者，并探讨 BMI 对超重/肥胖和正常体重女性性功能障碍的直接和间接影响。
对 186 名超重/肥胖和 233 名正常体重的女性进行了横断面研究。采用女性性功能指数（FSFI）评估 FSD，采用身体不适测试（BUT-A）评估身体满意度，采用罗森伯格自尊量表（RSE）评估自尊。
超重/肥胖组（44.4%）和正常体重组（55.6%）的 FSD 患病率无差异，尽管两组的身体形象存在显著差异。结构方程模型（SEM）显示，BMI 仅通过身体不满和自尊的中介作用对 FSD 产生影响。
本研究结果支持这样一种观点，即女性的性功能与 BMI 无直接关系，而是与体重、对自身身体形象的满意度和自尊水平等更复杂的相互作用有关。临床医生应考虑到，对女性来说，拥有良好的性生活似乎与体重无关，而是与身体在自我形象中的感知方式有关。
III 级，病例对照分析研究。
