title: Association between obesity, sexual activity and sexual function in women with pelvic floor disorders.
abstract: OBJECTIVE
  : The objective of this study was to determine the association between obesity, sexual activity and sexual function in women with pelvic floor disorders (PFDs).
  
  
  METHODS
  : A retrospective study of women seeking care for PFDs was conducted between May 2008 and May 2009. Obesity was defined as body mass index ≥ 30 kg/m. Outcomes included sexual activity and sexual function measured using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 (PISQ-12). Multivariable regression was used to estimate the association between obesity and sexual inactivity and function.
  
  
  RESULTS
  : There were 161 (45.5%) non-obese and 193 (54.5%) obese women, with a subset of 214 sexually active women. Obesity was not associated with sexual inactivity, but was associated with worse PISQ-12 scores compared with non-obese women (mean score 36.9 ± 38 versus 74.8 ± 34, P < 0.001). On multivariable linear regression, obese women had a mean score of 30 points lower (95% confidence interval -40.6 to -20.2, P < 0.001) on the PISQ-12 compared with non-obese women.
  
  
  CONCLUSIONS
  : Obesity is associated with worse sexual function in women with PFDs.
authors.affiliation: From the *Alpert Medical School of Brown University, and †Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Providence, RI.
authors.forename: Katy K
authors.initials: KK
authors.lastname: Tsai
authors.forename: Felisha
authors.initials: F
authors.lastname: Marques
authors.forename: Deborah L
authors.initials: DL
authors.lastname: Myers
authors.forename: Vivian W
authors.initials: VW
authors.lastname: Sung