Department of Applied Health Science, School of Public Health-Bloomington, Indiana University, Bloomington, IN, USA.
Department of Psychology, Valparaiso University, Valparaiso, IN, USA.
Curr Diab Rep. 2023 Nov;23(11):315-327. doi: 10.1007/s11892-023-01523-1. Epub 2023 Aug 26.
Sexual dysfunction is commonly associated with overweight/obesity, but the underlying physiological and psychosocial mechanisms are not fully understood. This review contextualizes the obesity-sexual (dys)function relationship, describes recent insights from the medical and social science literature, and suggests opportunities for continued research.
Although sexual dysfunction has been historically evaluated as a consequence/outcome of obesity, it is increasingly considered as a harbinger of future metabolic comorbidities, including type 2 diabetes and cardiovascular disease. Body image dissatisfaction is a consistent predictor for lower sexual satisfaction across BMI categories, likely mediated by cognitive distraction during partnered sex. To fully capture the relationship between obesity and sexual dysfunction, multidisciplinary research approaches are warranted. While clinically significant weight loss tends to improve sexual functioning for women and men, higher body image satisfaction may independently promote sexual function and satisfaction without concomitant weight loss.
性功能障碍通常与超重/肥胖有关，但潜在的生理和心理社会机制尚不完全清楚。本综述从上下文角度阐述了肥胖与性功能（障碍）的关系，描述了医学和社会科学文献中的最新见解，并为进一步研究提供了机会。
虽然性功能障碍在历史上被评估为肥胖的后果/结果，但它越来越被认为是未来代谢合并症的预兆，包括 2 型糖尿病和心血管疾病。身体形象不满是 BMI 各分类中较低性满意度的一致预测因素，这可能是由于在伴侣性行为期间认知分心所致。为了全面捕捉肥胖与性功能障碍之间的关系，需要采用多学科研究方法。虽然临床上显著的体重减轻往往会改善女性和男性的性功能，但更高的身体形象满意度可能会独立促进性功能和满意度，而无需伴随体重减轻。
