Alexis Conason1, Kimberly J McClure Brenchley2, Andrea Pratt3, Allan Geliebter4. 1. Mt Sinai St. Luke's Hospital, Department of Medicine, Division of Endocrinology, Diabetes, and Nutrition, New York, New York. Electronic address: drconason@gmail.com. 2. St. John Fisher College, Department of Psychology, Rochester, New York. 3. Fordham University, Graduate School of Education, New York, New York. 4. Mt. Sinai St. Luke's Hospital and Department of Psychiatry, Icahn School of Medicine at Mt. Sinai, New York, New York; Department of Psychology, Touro College and University System, New York, New York.
Abstract
BACKGROUND: Previous research revealed a relationship between higher body mass index (BMI) and lower sexual functioning. However, the role of psychosocial variables, such as body image, in this relationship has been understudied. OBJECTIVE: To assess sexual life before and after weight loss surgery (WLS) and examine the role of body image and BMI in these changes. SETTING: WLS center at a major urban community hospital. METHODS: 327 participants (275 women and 52 men) who underwent either laparoscopic Roux-en-Y gastric bypass surgery (n = 225) or laparoscopic adjustable gastric band (n = 102) were assessed on measures of sexual life preoperatively and at 1, 3, 6, 12, and 24 months after surgery. The number of completers were n = 126 at 1-month follow-up, n = 84 at 3 months, n = 86 at 6 months, n = 84 at 12 months, and n = 55 at 24 months. RESULTS: There was a significant increase in quality of sexual life over time, F(5,479.5) = 24.3, P<.001. Greater body image dissatisfaction predicted lower quality of sexual life when controlling for BMI, F(1,580.3) = 36.9, P<.001, but BMI did not predict quality of sexual life when controlling for body dissatisfaction, F(1,566.6)<.01, P = .94. A mediation analysis revealed that the relationship BMI had with sexual life was through its influence on body dissatisfaction. CONCLUSION: Participants experienced improvements in quality of sexual life over time after WLS, and decrease in body image dissatisfaction was the strongest predictor of these improvements. These results underscore the importance of body image, independent of weight loss, in postsurgical sexual life.
BACKGROUND: Previous research revealed a relationship between higher body mass index (BMI) and lower sexual functioning. However, the role of psychosocial variables, such as body image, in this relationship has been understudied. OBJECTIVE: To assess sexual life before and after weight loss surgery (WLS) and examine the role of body image and BMI in these changes. SETTING: WLS center at a major urban community hospital. METHODS: 327 participants (275 women and 52 men) who underwent either laparoscopic Roux-en-Y gastric bypass surgery (n = 225) or laparoscopic adjustable gastric band (n = 102) were assessed on measures of sexual life preoperatively and at 1, 3, 6, 12, and 24 months after surgery. The number of completers were n = 126 at 1-month follow-up, n = 84 at 3 months, n = 86 at 6 months, n = 84 at 12 months, and n = 55 at 24 months. RESULTS: There was a significant increase in quality of sexual life over time, F(5,479.5) = 24.3, P<.001. Greater body image dissatisfaction predicted lower quality of sexual life when controlling for BMI, F(1,580.3) = 36.9, P<.001, but BMI did not predict quality of sexual life when controlling for body dissatisfaction, F(1,566.6)<.01, P = .94. A mediation analysis revealed that the relationship BMI had with sexual life was through its influence on body dissatisfaction. CONCLUSION:Participants experienced improvements in quality of sexual life over time after WLS, and decrease in body image dissatisfaction was the strongest predictor of these improvements. These results underscore the importance of body image, independent of weight loss, in postsurgical sexual life.
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: Jürgen Harreiter; Karin Schindler; Dagmar Bancher-Todesca; Christian Göbl; Felix Langer; Gerhard Prager; Alois Gessl; Michael Leutner; Bernhard Ludvik; Anton Luger; Alexandra Kautzky-Willer; Michael Krebs Journal: J Obes Date: 2018-06-03
Authors: Anna Różańska-Walędziak; Paweł Bartnik; Joanna Kacperczyk-Bartnik; Maciej Walędziak; Andrzej Kwiatkowski; Krzysztof Czajkowski Journal: Sci Rep Date: 2020-07-22 Impact factor: 4.379