title: Sexual dysfunction in obese women is more affected by psychological domains than that of non-obese.
abstract: OBJECTIVE
  To compare differences in the occurrence and changed domains of sexual dysfunction in obese and non-obese Brazilian women.
  
  
  METHODS
  Female Sexual Function Index, based on six domains, to investigate 31 sexual dysfunction incidence for obese compared to 32 non-obese women, was used. Statistical analysis using ANOVA and MANOVA were performed to compare total scores of Female Sexual Function Index among groups and to identify the differences among domains, Student t -test was used. Statistical significant level was established for all tests for p<0.05.
  
  
  RESULTS
  No difference in female sexual dysfunction frequency between obese (25.8%) and non-obese women (22.5%) was found. However, an important distinction in which aspects of sexual life were affected was found. While the obese group was impaired in three domains of sexual life (desire, orgasm, and arousal), in the control group five aspects were dysfunctional (desire, orgasm, arousal, pain and lubrication). Future research exploring psychological outcomes in obese females, such as body image and measures of positive and negative effect, might better characterize the female sexual dysfunction in this group.
  
  
  CONCLUSIONS
  Obesity does not appear to be an independent factor for allow quality of female sexual life. However, disturbance associated to obesity indicates a low frequency of disorder in physical domains, suggesting that psychological factors seem to be mainly involved in the sexual dysfunction in obese women.
authors.affiliation: Universidade Potiguar, Natal, RN, Brazil.
authors.forename: Paulo José Faria
authors.initials: PJ
authors.lastname: Carrilho
authors.affiliation: Statistics Department, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
authors.forename: Carla Almeida
authors.initials: CA
authors.lastname: Vivacqua
authors.affiliation: Ambulatory of Bariatric Surgery, Hospital Universitário Onofre Lopes, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
authors.forename: Eudes Paiva de
authors.initials: EP
authors.lastname: Godoy
authors.affiliation: Physiotherapy Department, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
authors.forename: Selma Sousa
authors.initials: SS
authors.lastname: Bruno
authors.affiliation: Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
authors.forename: Alexandra Régia Dantas
authors.initials: AR
authors.lastname: Brígido
authors.affiliation: Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
authors.forename: Felipe Chaves Duarte
authors.initials: FC
authors.lastname: Barros
authors.affiliation: Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
authors.forename: Maria Bernardete Cordeiro de
authors.initials: MB
authors.lastname: Sousa
mesh_terms: D000328:Adult; D001938:Brazil; D005260:Female; D006801:Humans; D009765:Obesity / Q000150:complications*; D009948:Orgasm; D012725:Sexual Behavior; D012735:Sexual Dysfunction, Physiological / Q000150:complications*; D020018:Sexual Dysfunctions, Psychological / Q000150:complications*; D011795:Surveys and Questionnaires