title: Body mass index, sexual difficulties and sexual satisfaction among people in regular heterosexual relationships: a population-based study.
abstract: OBJECTIVE
  The aims of this study were to clarify the relationship between body mass index (BMI) and sexual difficulties and to investigate if BMI influenced sexual satisfaction, over and above the effects of sexual difficulties.
  
  
  METHODS
  Cross-sectional analyses of a nationally representative computer-assisted telephone interview. Eight thousand, six hundred and fifty-six respondents were recruited by random digit dialling in 2004-2005. Only those in a sexually active, heterosexual relationship were included in the current analyses.
  
  
  RESULTS
  After adjustments for demographic factors, both overweight and obese male and female participants were more likely to report worrying during sex about whether their body was unattractive. Among women, associations were also found between higher BMI and lack of interest in sex. No other significant associations between BMI and sexual difficulties were evident. There was an association between BMI and extreme physical pleasure for women but not men over and above the effects of sexual difficulties, with obese women being more likely than normal weight women to report extreme physical pleasure. No associations were found for either men or women between BMI and whether or not they reported extreme emotional or sexual satisfaction with their relationship.
  
  
  CONCLUSIONS
  With the exception of body image difficulties, there is little association between BMI and self-reported sexual difficulties. Furthermore, extreme sexual and emotional satisfaction appeared to be associated with the presence or absence of sexual difficulties and not overly influenced by BMI. Overall, clinicians and patients should be aware that being overweight is not necessarily detrimental to sexual functioning.
authors: Australian Research Centre in Sex, Health & Society (ARCSHS), La Trobe University, Melbourne, Victoria, Australia. anthony.smith@latrobe.edu.au
authors: A M A
authors: AM
authors: Smith
authors: K
authors: K
authors: Patrick
authors: W
authors: W
authors: Heywood
authors: M K
authors: MK
authors: Pitts
authors: J
authors: J
authors: Richters
authors: J M
authors: JM
authors: Shelley
authors: J M
authors: JM
authors: Simpson
authors: R
authors: R
authors: Ryall
mesh_terms: D000293:Adolescent; D000328:Adult; D001828:Body Image; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D004644:Emotions; D005260:Female; D020010:Heterosexuality; D006801:Humans; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D050177:Overweight / Q000453:epidemiology; D010549:Personal Satisfaction; D012307:Risk Factors; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology; D055815:Young Adult