engleski

Sexual dysfunction in patients with obesity

Introduction/Objectives: Patients with obesity may have symptoms of sexual dysfunction (SD) . Little is known about these symptoms in patients with obesity in Croatia. The aim of the study was to asses SD in patients with obesity in Croatia. Participants, Materials/Methods: This was a prospective study carried out in tertiary healthcare centre. 103 patients (72 female, 31 male, mean age 48, 7 ± 11.87 years) were included. SD symptoms were assessed using questionnaire - Arizona Sexual Experience Scale (ASEX) that is currently under validation for Croatian language, where higher score represents more pronounced symptoms of SD (2). Results: 20.42% (N=20, 6.45% (N=2) male and 25% (N=18) female) patients had higher score than average (3.8) on ASEX. 27.18% (N=28, 12.9% (N=4) male and 33.33% (N=24) female) patients answered at least one question with a score 5 or greater than 5. Significant correlation was found between having answered at least one question with a score 5 or greater than 5 and the depression r = 0.31 (p<0, 001). Women obtained statistically significant much higher mean results than men (3.46 vs. 2.81): t(91.098) = 3.53, p < 0.001. The percentage of women who obtained a score higher than average (3.8) is statistically significantly much higher than the percentage of men (25% vs.6.45%): χ2χ2(1) = 4.76, p = 0.03. The percentage of women who chose the answer 5 or greater than 5 is statistically significantly higher than the percentage of men (33.33% vs. 12.9%): χ2χ2(1) = 4.57, p = 0.03. Women had more pronounced symptoms of SD, which was found both in the group of patients that had, as well as in those that did not have sexual intercourse in the previous week (p<0.05). Significant correlations in the overall results on the ASEX are found with the following variables: depression r=0.22 (p=0.03) and anxiety/melancholy r=0.2 (p=0.04). Conclusions: This study brings valuable observations on the presence of SD symptoms in obese patients in Croatia, found to be more present in women, and regarding patient oriented management brings indispensable information.

sexual dysfunction ; ASEX ; obesity

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