Is the metabolic syndrome a risk factor for female sexual dysfunction in sexually active women?

Ponholzer, Anton; Temml, Christian; Rauchenwald, Michael; Marszalek, Martin; Madersbacher, Stephan

doi:10.1038/sj.ijir.3901605

Cited by 83 publications

(77 citation statements)

References 20 publications

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“…29,30 Somatic comorbidity was entered into our multivariate analysis but showed no significant association with low PISQ-12 scores. We recognize that assessing the impact of comorbidity on lower urinary tract and sexual function may require sophisticated tools, developed and validated specifically for this purpose.…”

Section: Discussionmentioning

confidence: 99%

Sexual function in obese women: impact of lower urinary tract dysfunction

et al. 2008

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Objective: To assess the impact on sexual function attributed to lower urinary tract dysfunction in a female obese population. Design: We performed a case-control study based on the registry of a university hospital obesity unit. A consecutive sample of women with body mass index(BMI) X30 (obese) was randomly matched by age, gender and residential county to control subjects using the computerized Register of the Total Population. Data were collected by a self-reported postal survey including the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Results: The questionnaire was completed and returned by 279/446 patients (62%) and 430/892 control subjects (48%). Obese women reported significantly lesser satisfaction with their sexual life, more frequent symptoms of urinary incontinence at intercourse, more often fear of urine leakage at intercourse, a higher tendency toward avoiding intercourse and more frequent feelings of guilt and disgust during intercourse (Po0.001). While considering sexual function in a subset of women with urge or stress urinary incontinence, the overall PISQ-12 scores were significantly lower in obese women compared to their age-matched nonobese controls for both the conditions (Po0.001). In an adjusted multivariate analysis, a BMI 430 was independently associated with a significantly increased risk for sexual dysfunction (odds ratio (OR) 1.8; 95% confidence interval (CI) 1.1-2.9), as were symptoms of urge or stress urinary incontinence (OR, 2.0; 95% CI, 1.3-3.1 and OR, 2.6; 95% CI, 1.7-4.0), respectively. Conclusion: Urge and stress urinary incontinences are more common and have greater impact on sexual function in obese women.

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Section: Discussionmentioning

confidence: 99%

Sexual function in obese women: impact of lower urinary tract dysfunction

et al. 2008

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“…Study on postmenopausal women in Austria showed that the prevalence of metabolic syndrome was 32.6% [26]. In another study on postmenopausal women in Chengdu, China, the prevalence of metabolic syndrome was shown to be 37.34% [25].…”

Section: Different Viewsmentioning

confidence: 96%

“…Studies indicated that women aged more than 55 have a higher incidence of cardiovascular disease than younger women [8,[22][23]. Other studies showed that there is a high prevalence of metabolic syndrome among postmenopausal women, which varies from 32.6% to 41.5 % [24][25][26]. Study of Rossi et al [27] demonstrated that postmenopausal women with metabolic syndrome have lower incidence of cardiovascular risk factors.…”

Section: Introductionmentioning

confidence: 99%

A Review on Metabolic Syndrome

Marjani

2012

J Endocrinol Metab

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The metabolic syndrome is described by the clustering of several risk factors for Type 2 diabetes and cardiovascular disease. Lipid disorder, obesity, diabetes in general and high blood pressure are collectively defined as risk factors for cardiovascular disease triggered by metabolic syndrome. The metabolic syndromes have a correlation with the variations in genetic susceptibility, nutritional regiment, physical exercise, chronological age and gender which play direct role in the incidence of metabolic syndrome and its side effects. There are several definitions of Metabolic Syndrome in the World: World Health Organization's (WHO), The NCEP Adult Treatment Panel (ATP) III and the International Diabetes Federation (IDF). It appears that the female type 2 diabetic patients need to change their life style to halt the burden of cardiovascular complications in type 2 diabetic patients. Clinicians should significantly consider screening all people regardless of age for abnormalities in glucose level. Early treatment in people with abnormal glucose level constitutes a strategy of preventing type 2 diabetes mellitus and metabolic syndrome. Studies about metabolic syndrome have shown that females were more affected than males. This may be due to the specific characteristics in the lifestyle changes between females and males diabetic patients. Postmenopausal status might be a predictor of metabolic syndrome. Some related factors of metabolic syndrome among postmenopausal women may increase cardiovascular risk in postmenopausal women.

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“…Los factores asociados a la disfunción sexual han sido estudiados por varios autores, registrando el síndrome metabólico como un factor de riesgo independiente (16)(17)(18), la edad, el grado de instrucción, la salud física (19,20) y mental en la mujer (21), aunque otros autores refieren además el estado civil casado, hábito de fumar (22), así como tener más de 14 años de matrimonio, más de 2 hijos, el grado de instrucción, el tener una pareja mayor de 42 años (23) y el uso de terapia antidepresiva (24).…”

Section: Introductionunclassified

“…Results: 342 women (114 cases / 228 controls) participated, with a mean age of 40.5 ± 9.2 and a BMI of 25.2 ± 3.5; 45.9% (157) are married; 53.5% (183) with secondary level, 41.5% (142) housewives, 17.8% (61) menopausal, 34.8% (119) with metabolic syndrome. In addition, with chronic disease, 32.7% (112), anxiety 16.4% (56), depression 5% (17), drug consumption 35.1% (72). In the bivariate analysis, the factors of widowhood, retired occupation, 2 previous pregnancies, ill health, chronic illness, smoking, anxiety and depression, and as a protective factor, married marital status and higher educational level as associated factors.…”

mentioning

confidence: 99%

Factores asociados a disfunción sexual en mujeres atendidas en un hospital nivel III-Chiclayo-Perú

Díaz-Vélez

Samalvides-Cuba

2017

Rev. chil. obstet. ginecol.

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386 Trabajos OriginalesFactores asociados a disfunción sexual en mujeres atendidas en un hospital nivel III-Chiclayo-Perú Associated factors in women's sexual dysfunction in a hospital level attended III-Chiclayo -Peru RESUMENObjetivo: Identificar los factores asociados a la disfunción sexual en las mujeres atendidas en un hospital nivel III. Material y Método: estudio de casos y controles emparejados por edad e índice de masa corporal, realizada en mujeres de 18-59 años que acuden a consultorio externo. Se usó el Índice de Función Sexual Femenina para definir caso (≥24 puntos) y control (<24 puntos), y los factores a evaluar fueron síndrome metabólico definida según International Diabetes Federation (IDF), ansiedad y depresión mediante test validados; menopausia, alcohol, fumar, situación de salud, estado civil, grado de instrucción, ocupación, número de embarazos. Resultados: participaron 342 mujeres (114 casos/228 controles), con edad promedio de 40,5±9,2 e IMC de 25,2±3,5; 45,9% (157) son casadas; 53,5% (183) con nivel secundaria, 41,5% (142) amas de casa, 17,8% (61) menopaúsicas, 34,8% (119) con síndrome metabólico. Además, con enfermedad crónica 32,7% (112), ansiedad 16,4% (56), depresión 5% (17), consumo de medicamentos 35,1% (72). En el análisis bivariado los factores estado civil viuda, ocupación jubilada, 2 embarazos previos, estado de salud enferma, enfermedad crónica, fumar, ansiedad y depresión, y como factor protector, el estado civil casada y nivel de instrucción superior como factores asociados. En el análisis multivariado realizada con regresión logística, se obtuvieron como factores asociados al estado civil casada 0,58 (IC95%: 0,33-0,87), conviviente 8,11 (IC95%: 2,36-17,84), fumar 2,26 (IC95%: 1,08-4,76), ansiedad 1,21 (IC95%: 1,10-1,45) y estado de salud enfermo 1,50 (IC95%: 1,26-1,94). Conclusiones: la disfunción sexual femenina está asociada con estado civil casada/conviviente, ansiedad, estado de salud y fumar.PALABRAS CLAVE: disfunción sexual, síndrome metabólico, calidad de vida. ABSTRACTObjective: To identify the factors associated with sexual dysfunction in women treated at a level III hospital. Material and Method: case-control study matched by age and body mass index, performed in women aged 18-59 years who attend an outpatient clinic. The Female Sexual Function Index was used to define case (≥24 points) and control (<24 points), and the factors to be evaluated were International Diabetes Federation (IDF) -

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Is the metabolic syndrome a risk factor for female sexual dysfunction in sexually active women?

Cited by 83 publications

References 20 publications

Sexual function in obese women: impact of lower urinary tract dysfunction

Sexual function in obese women: impact of lower urinary tract dysfunction

A Review on Metabolic Syndrome

Factores asociados a disfunción sexual en mujeres atendidas en un hospital nivel III-Chiclayo-Perú

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