Morbid Obez Hastaların Cinsel İşlev Bozuklukları Açısından Değerlendirilmesi: Kesitsel Bir Çalışma

Yıl 2022, , 271 - 277, 31.12.2022

Bülent Yaprak , İbrahim Şahin , Bahri Evren , Lezzan Keskin , Lale Gönenir Erbay

https://doi.org/10.30565/medalanya.1170379

Öz

Amaç: Obezite cinsel işlev bozukluğu için bir risk faktörüdür. Bu çalışmanın amacı morbid obezite tanısı almış hastalarda cinsel işlev bozukluğu sıklığını saptamak amaçlanmıştır.

Yöntemler: Çalışmaya dahil edilen hasta grubu için BKI≥40 kg/m2 olan 78 morbid obez hasta birey ve normal BKI değerine sahip 68 sağlıklı birey oluşturmuştur. Veriler, katılımcılar tarafından doldurulan sosyodemografik bilgi formu, Beck kaygı ölçeği, Beck depresyon ölçeği ve Golombok Rust Cinsel Doyum Envanteri kullanılarak elde edilmiştir.

Bulgular: Obez bireylerin normal vücut BKI’sına sahip bireylere göre cinsel işlev bozukluğu yaşadığı saptanmıştır (p<0.05). Obez erkeklerin Golombok Rust alt ölçek puanları normal kilolu bireylerinkilerle karşılaştırıldığında, frekans, iletişim, memnuniyet, kaçınma, dokunma, iktidarsızlık ve erken boşalma gibi tüm alt ölçek puanlarında anlamlı bir bozulma bulundu. Ayrıca obez bireylerin anksiyete ve depresyon puanlarının normal kilolu bireylere göre daha yüksek olduğu gösterilmiştir (p<0.05).

Sonuç: Morbid obez bireyler cinsel işlevler açısından değerlendirilmelidir. Olası cinsel işlev bozukluğu tedavisi de dahil olmak üzere obezite tedavisinin düzenlenmesinin hastaların başarı oranını artıracağına ve hastaların yaşam kalitesini artıracağına inanıyoruz.

Anahtar Kelimeler

Cinsel işlev bozukluğu, Depresyon, Morbid obezite, Anksiyete, Stres

Evaluation Of Morbid Obese Patients In Terms Of Sexual Dysfunctions: A Cross-Sectional Study

Öz

Aim: Obesity is a risk factor for sexual dysfunction. The aim of this study was to determine the frequency of sexual dysfunction in patients diagnosed with morbid obesity.

Methods: The patient group included in the study consisted of 78 morbidly obese patients with BMI≥40 kg/m2 and 68 healthy individuals with normal BMI. The data were obtained by using the sociodemographic information form filled by the participants, Beck anxiety scale, Beck depression scale and Golombok Rust Sexual Satisfaction Inventory.

Results: Obese individuals were found to have sexual dysfunction compared to individuals with normal body BMI (p<0.05). When the Golombok Rust subscale scores of obese men were compared to those of normal-weight individuals, a significant deterioration was found in all subscale scores, including frequency, communication, satisfaction, avoidance, touch, impotence and premature ejaculation. In addition, the anxiety and depression scores of obese individuals were shown to be higher than those of normal-weight individuals (p<0.05).

Conclusion: Morbidly obese individuals should be evaluated in terms of sexual functions. We believe that regulating obesity treatment, including possible treatment for sexual dysfunction, will increase the success rate and enhance the quality of life for patients.

Anahtar Kelimeler

Sexual dysfunction, Depression, Morbid obesity, Anxiety, Stress

Kaynakça

• 1. Müller R. Psychological consequences of obesity. Ther. Umsch., Rev. ther. 2013;70(2):87-91. doi.org/10.1186/s12887-021-02728-7
• 2. Deger VB, Arslan N, Dag I, CifCi S. Relationship Between School Performance and Breakfast Quality in Refugee Children: Case Study of Mardin Region. Iran. J. Pediatr.. 2021;31(3). DOI: 10.5812/ijp.109584
• 3. Jumbe S, Hamlet C, Meyrick J. Psychological aspects of bariatric surgery as a treatment for obesity. Curr. Obes. Rep.. 6 (1), 71–78. 2017. DOI 10.1007/s13679-017-0242-2
• 4. Kolotkin RL, Zunker C, Østbye T. Sexual functioning and obesity: a review. Obesity. 2012;20(12):2325-33. doi.org/10.1038/oby.2012.104
• 5. Esfahani SB, Pal S. Obesity, mental health, and sexual dysfunction: A critical review. Health Psychol. Open. 2018;5(2):2055102918786867. doi.org/10.1177/205510291878686
• 6. Sarwer DB, Hanson AJ, Voeller J, Steffen K. Obesity and sexual functioning. Curr. Obes. Rep. 2018;7(4):301-7. doi.org/10.1007/s13679-018-0319-6
• 7. Tuğrul C, Öztan N, Kabakçı E. Standardization study of the Golombok-Rust sexual satisfaction scale. Turk J of Psyc. 1993;4(2):83-8.
• 8. HNBD of Inventory. validity and reliability for university students. Journal of Psychology.1989;7(23):3-13.
• 9. Durak A, Palabiyikoğlu R. Beck Hopelessness Scale Validation Study. Crisis magazine. 1994;2(2):311-9.
• 10. Arslan N, Ceylan JA, Hatipoğlu A. The relationship of fast food consumption with sociodemographic factors, body mass index and dietary habits among university students. Nutr. Food Sci. 2022(ahead-of-print). doi/10.1108/NFS-01-2022-0003
• 11. Arslan N, Akbulut G, Süleymanoğlu M, Alataş H, Yaprak B. The relationship between body mass index, anthropometric measurements and GRACE risk score in acute coronary syndrome. Nutr. Food Sci.. 2022;ahead-of-print(ahead-of-print). http://dx.doi.org/10.1108/NFS-06-2022-0177
• 12. Tomiyama AJ, Carr D, Granberg EM, Major B, Robinson E, Sutin AR, et al. How and why weight stigma drives the obesity ‘epidemic’and harms health. BMC medicine. 2018;16(1):1-6. https://doi.org/10.1186/s12916-018-1116-5
• 13. Rowland DL, McNabney SM, Mann AR. Sexual function, obesity, and weight loss in men and women. Sex. Med. Rev. 2017;5(3):323-38. https://doi.org/10.1016/j.sxmr.2017.03.006
• 14. Steffen KJ, King WC, White GE, Subak LL, Mitchell JE, Courcoulas AP, et al. Sexual functioning of men and women with severe obesity before bariatric surgery. Surg Obes Relat Dis. 2017;13(2):334-43. https://doi.org/10.1016/j.sxmr.2017.03.006
• 15. Wu H, Ballantyne CM. Metabolic inflammation and insulin resistance in obesity. Circ. Res. 2020;126(11):1549-64. https://doi.org/10.1161/CIRCRESAHA.119.315896
• 16. Kouidrat Y, Pizzol D, Cosco T, Thompson T, Carnaghi M, Bertoldo A, et al. High prevalence of erectile dysfunction in diabetes: a systematic review and meta‐analysis of 145 studies. Diabetic Medicine. 2017;34(9):1185-92. https://doi.org/10.1111/dme.13403
• 17. Cho JW, Duffy JF. Sleep, sleep disorders, and sexual dysfunction. World J. Men's Health. 2019;37(3):261-75. https://doi.org/10.5534/wjmh.180045
• 18. Mozafari M, Khajavikhan J, Jaafarpour M, Khani A, Direkvand-Moghadam A, Najafi F. Association of body weight and female sexual dysfunction: a case control study. Ira Red Cres Medi J. 2015;17(1). https://doi.org/10.5812%2Fircmj.24685
• 19. Nimbi FM, Virginia C, Cinzia DM, Michela DT, Gianfranco S, Emanuela P. The relation between sexuality and obesity: the role of psychological factors in a sample of obese men undergoing bariatric surgery. Int J of Imp Res. 2022;34(2):203-14. https://doi.org/10.1038/s41443-020-00388-2
• 20. Khajehei M, Doherty M, Tilley PJAowsmh. An update on sexual function and dysfunction in women. Arch Womens Ment Health . 2015;18(3):423-33. DOI 10.1007/s00737-015-0535-y
• 21. Hisasue S-i, Kumamoto Y, Sato Y, Masumori N, Horita H, Kato R, et al. Prevalence of female sexual dysfunction symptoms and its relationship to quality of life: a Japanese female cohort study. Urol. 2005;65(1):143-8. https://doi.org/10.1016/j.urology.2004.08.003
• 22. Wolpe RE, Zomkowski K, Silva FP, Queiroz APA, Sperandio FFJEJoO, Gynecology, et al. Prevalence of female sexual dysfunction in Brazil: A systematic review. Eur. J. Obstet. Gynecol. Reprod. Biol. 2017;211:26-32. https://doi.org/10.1016/j.ejogrb.2017.01.018
• 23. Botlani Esfahani S, Pal S. Does metabolic syndrome impair sexual functioning in adults with overweight and obesity? Int J of Sex Health. 2019;31(2):170-85. https://doi.org/10.1080/19317611.2019.1611688
• 24. Escobar-Morreale HF, Santacruz E, Luque-Ramirez M, Botella Carretero JI. Prevalence of ‘obesity-associated gonadal dysfunction’in severely obese men and women and its resolution after bariatric surgery: a systematic review and meta-analysis. Hum. Reprod. Update. 2017;23(4):390-408. https://doi.org/10.1093/humupd/dmx012
• 25. David Goitein M, Alex Zendel M, Lior Segev M, Anya Feigin M, Douglas Zippel M. Bariatric surgery improves sexual Function in Obese Patients. Isr. Med. Assoc. J. Sat.5:21. PMID: 26665315