David B Sarwer1, Jacqueline C Spitzer2, Thomas A Wadden2, James E Mitchell3, Kathryn Lancaster3, Anita Courcoulas4, William Gourash4, Raymond C Rosen5, Nicholas J Christian6. 1. Department of Psychiatry, Center for Weight and Eating Disorders, Perelman School of Medicine at the University of Pennsylvania, Philadelphia2Department of Surgery, Division of Plastic Surgery, Perelman School of Medicine at the University of Pennsylvania. 2. Department of Psychiatry, Center for Weight and Eating Disorders, Perelman School of Medicine at the University of Pennsylvania, Philadelphia. 3. Neuropsychiatric Research Institute and the University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota. 4. University of Pittsburgh Medical Center, Pennsylvania. 5. New England Research Institutes, Watertown, Massachusetts. 6. Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania.
Abstract
IMPORTANCE: Obesity has been associated with impairments in sexual function and untoward changes in reproductive hormones in women. Relatively few studies have investigated changes in these domains following bariatric surgery. OBJECTIVE: To investigate changes in sexual functioning, sex hormone levels, and relevant psychosocial constructs in women who underwent bariatric surgery. DESIGN, SETTING, AND PARTICIPANTS: A prospective cohort study of 106 women from phase 2 of the Longitudinal Assessment of Bariatric Surgery who underwent bariatric surgery (median [interquartile range] body mass index, 44.5 [41.4-49.7]). Assessments were completed between 2006 and 2012. INTERVENTIONS: Bariatric surgery was performed by a surgeon certified by the Longitudinal Assessment of Bariatric Surgery (85 women underwent a Roux-en-Y gastric bypass, and 21 women underwent laparoscopic adjustable gastric banding). MAIN OUTCOMES AND MEASURES: Sexual functioning was assessed by use of the Female Sexual Function Index. Hormones were assessed by use of a blood assay. Quality of life, body image, depressive symptoms, and marital adjustment were assessed by use of validated questionnaires. RESULTS: Women lost a mean 32.7% (95% CI, 30.7%-34.7%) of initial body weight at postoperative year 1 and a mean 33.5% (95% CI, 31.5%-35.6%) at postoperative year 2. Two years following surgery, women reported significant improvements in overall sexual functioning and specific domains of sexual functioning: arousal, lubrication, desires, and satisfaction. They also experienced significant changes at 2 years in all hormones of interest. Women reported significant improvements in most domains of quality of life, as well as body image and depressive symptoms, within the first year after surgery, with these improvements being maintained through the second postoperative year. CONCLUSIONS AND RELEVANCE: Women who underwent bariatric surgery had significant improvements in overall sexual functioning, in most reproductive hormones of interest, and in psychosocial status. Improvements in sexual health can be added to the list of health benefits associated with bariatric surgery. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00670098.
IMPORTANCE: Obesity has been associated with impairments in sexual function and untoward changes in reproductive hormones in women. Relatively few studies have investigated changes in these domains following bariatric surgery. OBJECTIVE: To investigate changes in sexual functioning, sex hormone levels, and relevant psychosocial constructs in women who underwent bariatric surgery. DESIGN, SETTING, AND PARTICIPANTS: A prospective cohort study of 106 women from phase 2 of the Longitudinal Assessment of Bariatric Surgery who underwent bariatric surgery (median [interquartile range] body mass index, 44.5 [41.4-49.7]). Assessments were completed between 2006 and 2012. INTERVENTIONS: Bariatric surgery was performed by a surgeon certified by the Longitudinal Assessment of Bariatric Surgery (85 women underwent a Roux-en-Y gastric bypass, and 21 women underwent laparoscopic adjustable gastric banding). MAIN OUTCOMES AND MEASURES: Sexual functioning was assessed by use of the Female Sexual Function Index. Hormones were assessed by use of a blood assay. Quality of life, body image, depressive symptoms, and marital adjustment were assessed by use of validated questionnaires. RESULTS:Women lost a mean 32.7% (95% CI, 30.7%-34.7%) of initial body weight at postoperative year 1 and a mean 33.5% (95% CI, 31.5%-35.6%) at postoperative year 2. Two years following surgery, women reported significant improvements in overall sexual functioning and specific domains of sexual functioning: arousal, lubrication, desires, and satisfaction. They also experienced significant changes at 2 years in all hormones of interest. Women reported significant improvements in most domains of quality of life, as well as body image and depressive symptoms, within the first year after surgery, with these improvements being maintained through the second postoperative year. CONCLUSIONS AND RELEVANCE: Women who underwent bariatric surgery had significant improvements in overall sexual functioning, in most reproductive hormones of interest, and in psychosocial status. Improvements in sexual health can be added to the list of health benefits associated with bariatric surgery. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00670098.
Authors: David B Sarwer; Rebecca J Dilks; Jacqueline C Spitzer; Robert I Berkowitz; Thomas A Wadden; Renee H Moore; Jesse L Chittams; Mary L Brandt; Mike K Chen; Anita P Courcoulas; Carroll M Harmon; Michael A Helmrath; Marc P Michalsky; Stavra A Xanthakos; Meg H Zeller; Todd M Jenkins; Thomas H Inge Journal: Obes Surg Date: 2017-12 Impact factor: 4.129
Authors: Meg H Zeller; Jennifer L Brown; Jennifer Reiter-Purtill; David B Sarwer; Lora Black; Todd M Jenkins; Katherine A McCracken; Anita P Courcoulas; Thomas H Inge; Jennie G Noll Journal: Surg Obes Relat Dis Date: 2019-03-20 Impact factor: 4.734
Authors: Redin A Spann; William J Lawson; Gene L Bidwell; C Austin Zamarripa; Rodrigo O Maranon; Sibali Bandyopadhyay; Erin R Taylor; Jane F Reckelhoff; Michael R Garrett; Bernadette E Grayson Journal: Clin Sci (Lond) Date: 2018-01-25 Impact factor: 6.124
Authors: Nadine Ibrahim; Mitchell Alameddine; Julia Brennan; Michael Sessine; Charles Holliday; Amir A Ghaferi Journal: Surg Endosc Date: 2018-10-22 Impact factor: 4.584
Authors: David B Sarwer; Thomas A Wadden; Jacqueline C Spitzer; James E Mitchell; Kathy Lancaster; Anita Courcoulas; William Gourash; Raymond C Rosen; Nicholas J Christian Journal: Obes Surg Date: 2018-04 Impact factor: 4.129