Mustafa OZLU, İbrahim ŞAHİN, BAHRİ EVREN, Cüneyt KAYAALP, Rifat KARLIDAĞ, LALE GÖNENİR ERBAY

The Effect of Body Mass Index on the Sexual Functions of Morbidly Obese Female Patients

Morbid obez kadın hastalarda vücut kitle indeksinin cinsel işlevler üzerine etkisi Amaç: Bu çalışmanın amacı morbid obez kadın hastalarda cinsel işlev bozukluğu olup olmadığının araştırılması ve vücut kitle indeksinin (VKİ) cinsel işlevler üzerine etkisinin incelenmesidir.Yöntem: Bu çalışmaya İnönü Üniversitesi Tıp Fakültesi Endokrinoloji Bilim Dalı'na başvuran ve VKİ'si en az 40 olan 72 kadın morbid obezite hastası ve bu hastalarla yaş olarak eşleştirilmiş VKİ'si 30'un altında olan 28 sağlıklı kadın dâhil edilmiştir. Cinsel işlevleri etkileyebildiği bilindiğinden hasta ve kontrol grubu bir psikiyatri uzmanı tarafından değerlendirilerek DSM 5'e göre bir psikiyatrik hastalığı olanlar, cinsel işlevleri etkileyebilen ilaç kullananlar, kronik fiziksel hastalık ve/veya herhangi bir nörolojik hastalığı bulunanlar, gebelik ya da emzirme döneminde olanlar çalışma dışı bırakılmıştır. Hasta ve kontrol grubuna sosyodemografik veri formu ve Arizona Cinsel Yaşantılar Ölçeği (ACYÖ) uygulanmıştır.Bulgular: Yapılan istatistiksel analizlerde morbid obez kadın hastalarda kontrol grubundan daha fazla sıklıkta cinsel işlev bozukluğu olduğu belirlendi. ACYÖ ve doyum oranı dışındaki tüm alt ölçek puanları morbid obez kadın hastalarda kontrol grubundan anlamlı olarak yüksekti. Yapılan analizlerde VKİ ile cinsel işlev arasında korelasyon saptanmadı.Sonuç: Çalışmamızda morbid obez kadın hastalarda cinsel işlevlerin doyum oranı dışında kalan tüm alanlarında kontrol grubuna göre daha fazla bozulma olduğu saptanmıştır. Yapılmış çalışmalarda obezitenin erkeklerde cinsel işlev bozukluğuna neden olduğu ileri sürülmüş ancak kadınlarda aynı ilişki gösterilememiştir. Kadın hastalarda yapılan sınırlı çalışmada ise çelişkili sonuçlar değişkenlerin kontrol edilememesine bağlanmıştır. Çalışmamızda cinsel işlevleri etkileyebilecek depresyon, anksiyete ve kronik fiziksel hastalık gibi değişkenlerin kontrol edilmiş olması bulguların doğru yorumlanması acısından önemlidir. Çalışmamızın verileri morbid obez kadın hastalarda cinsel işlevlerin sorgulanmasının önemini ortaya koymaktadır

The effect of body mass index on the sexual functions of morbidly obese female patientsObjective: The aim of this study is to investigate whether morbidly obese female patients are suffering sexual dysfunction, in addition to analyzing the effect of body mass index (BMI) on sexual functions.Method: A total of 72 morbidly obese women admitted to the Endocrinology Department, whose BMI scores were 40 or over, and 28 healthy women age-matched with the morbidly obese group, whose BMI scores were under 30 were included in this study. Considering the effects on sexual functioning, the patients and the control group were evaluated by a psychiatric specialist. women with a psychiatric disorder according to DSM-5, taking medicines that could affect sexual functions, and those with a chronic physical or any neurological disease or being pregnant or breastfeeding were excluded from the study. A sociodemographic data form and the Arizona Sexual Experiences Scale (ASEX) were administered to both the treatment and control group.Results: Statistical analyses revealed that morbidly obese female patients more frequently suffered from sexual dysfunction compared to the control group. The Arizona Sexual Experiences Scale (ASEX) and all subscale scores except the sexual satisfaction rate were significantly higher in morbidly obese female patients than in the control group. There was no correlation found between the BMI and sexual function in the analyses conducted.Conclusion: In our study, morbidly obese female patients were found to show more impairments in all areas of sexual functions except sexual satisfaction rate when compared to the control group. Previous studies have suggested that obesity is the cause of sexual dysfunction in men; however, the same relationship could not be demonstrated in women. In a limited study of female patients, conflicting results were attributed to the inability to control variables. The fact that variables such as depression, anxiety, and chronic physical illness, which may affect sexual function, had been assessed in our study is important for accurately interpreting the findings. The data in our study reveals the importance of investigating sexual functions in morbidly obese female patients

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