부산대학교 도서관

Objective: This study evaluated the sexual functions of women and men with different degrees of obesity and/or metabolic syndrome (MetSynd). Material and Methods: Participants were divided into subgroups according to their degree of obesity and presence of MetSend, and their sexual functions were evaluated using the Female Sexual Function Index (FSFI) for women and the International Index of Erectile Function (IIEF) for men. The results were compared with a healthy control group. Result: Two hundred and thirteen (213) patients (females/ males:119/94) were included. The mean age was 39.72[+ or -]6.64 and 37.84[+ or -]6.83 years, and the BMI was 38.34[+ or -]9.77 and 38.48[+ or -]10.58 kg/m2, respectively, for females and males. Metabolic syndrome was diagnosed in 61.7% of females and 67.9% of males. In women, the BMI of those with severe sexual dysfunction (SD) was higher than those with moderate SD (p>0.05), and their age was found to be older (p=0.033). Sexual satisfaction was found to be higher in those with high BMI (p0.05). While SD was detected in all women (severe-SD in 83.2%, moderate-SD in 16.8%), erectile dysfuntion was found in only 15% of men. In women, SD (moderate/severe) was associated with age (OR: 1.087, 95% CI: 1.008-1.172; p=0.030) and the presence of MetSend (OR: 4.257, 95% CI: 1.291-14.038; p=0.017), however no statistically significant relation was found in men. Conclusion: Metabolic syndrome and obesity are closely associated with sexual dysfunction in both men and women, and it worsens as the severity of obesity increases. Contrary to expectations, sexual satisfaction in women is inversely proportional to the severity of obesity. Expectations regarding sexual satisfaction in obese individuals can be expected to be lower than in individuals of normal weight because social stigma may cause obese individuals to impose restrictions on enjoying sexual interaction. The fact that all women have SD and only 15% of men have ED calls into question the reliability of participant statements. This can be explained by the fact that sexuality is a male-dominated taboo in our country and similar Eastern cultures. Therefore, new studies with similar designs and more participants are needed to eliminate uncertainties. Keywords: Obesity, metabolic syndrome, impotence, erectile dysfunction, female sexual dysfunction, sexual satisfaction Amac: Bu calismada farkli derecelerde obeziteli ve/veya metabolik sendrom (MetSend) tanili kadin ve erkeklerin cinsel islevlerinin degerlendirilmesi amaclanmistir. Gerec ve Yontem: Katilimcilar obezite derecelerine ve MetSend varligina gore alt gruplara ayrilmis, cinsel fonsiyonlari Kadin Cinsel Fonksiyonu Indeksi (FSFI) ve Uluslararasi Erektil Fonksiyon Endeksi (IIEF) kullanilarak degerlendirilmistir. Sonuclar saglikli kontrol grubuyla karsilastirilmistir. Bulgular: Calismaya 213 hasta (kadin/erkek:119/94) dahil edilmistir. Kadinveerkeklericinsirasiylayas 39,72[+ or -]6,64/37,84[+ or -]6,83 yil; beden kitle indeksi (BKI) 38,34[+ or -]9,77/38,48[+ or -]10,58 kg/[m.sup.2]] saptanmistir. Kadinlarin %61'ine, erkeklerin ise %67,9'una MetSend tanisi konmustur. Kadinlarda seksuel disfonksiyonu (SD) ciddi olanlarin ortalama BKI (p>0,05) ve yaslari (p=0,033) orta derecede SD bulunanlardan daha yuksek bulunmustur. Cinsel tatmin ise yuksek BKI'li bireylerde daha yuksek bulunmustur (p0,05). Tum kadinlarda SD tespit edilirken (%83,2'sinde kotu-SD, %16,8'inde orta-SD), erkeklerde ED %15 oraninda bulunmustur. Kadinlarda orta/kotu SD'nun yas (OR: 1,087, 95% CI: 1,008-1,172; p=0,030) ve MetSend varligi (OR: 4,257; %95 CI: 1,291-14,038; p=0,017) ile iliskili oldugu gozlenirken, erkeklerde bu parametreler arasinda anlamli iliski bulunamamistir. Sonuc: Metabolik sendrom ve obezite varligi hem kadin hem de erkeklerde SD ile iliskili olup, obezite siddeti arttikca SD daha da kotulesmektedir. Kadinlarda cinsel doyum beklenenin aksine obezite siddetiyle ters orantilidir. Obeziteli bireylerde cinsel doyum icin beklentilerin, normal kilolulardan daha dusuk olmasi beklenebilir. Cunku toplumsal stigmatizasyon obeziteli bireylerin cinsel iliskiden keyif almak konusunda bazi kisitlamalar uygulamasina neden olabilir. Kadinlarin tamaminda SD olup erkeklerin sadece %15'inde ED saptanmasi katilimci beyanlarinin guvenilirligini sorgulatmaktadir. Bu durum bizde ve benzer dogu kulturlerinde cinselligin erkek egemen bir tabu olmasi ile aciklanabilir. Bu nedenle belirsizlikleri ortadan kaldirmak icin benzer tasarimda ve daha fazla katilimciyla yapilacak yeni calismalara ihtiyac duyulmaktadir. Anahtar Kelimeler: Obezite, metabolik sendrom, impotans, erektil disfonksiyon, kadin cinsel disfonksiyonu, cinsel tatmin
INTRODUCTION Obesity negatively affects both physical and emotional well-being and psychosocial functions. According to Satman et al.'s 2010 prevalence study, obesity in the population aged >20 years in Turkiye was [...]