title: Sexual functioning of men and women with severe obesity before bariatric surgery.
abstract: BACKGROUND
  Obesity may impair sexual function through multiple mechanisms, but little is known about sexual dysfunction among adults with severe obesity seeking bariatric procedures.
  
  
  OBJECTIVE
  To describe sexual function and associated factors before bariatric surgery.
  
  
  METHODS
  Ten U.S. clinical facilities.
  
  
  METHODS
  Before bariatric surgery, 2225 of 2458 Longitudinal Assessment of Bariatric Surgery-2 study participants (79% female, median age 45 years and median body mass index 46 kg/m2) completed a survey about sexual function over the past month. Mixed effects ordinal logistic regression models were used to identify factors independently related to 4 domains of sexual function.
  
  
  RESULTS
  One third of women (34%) and one quarter of men (25%) were not sexually active, alone or with a partner, in the past month. Twenty-six percent of women and 12% of men reported no sexual desire. Physical health limited sexual activity at least moderately in 38% of women and 44% of men. About one half of the women (49%) and the men (54%) were moderately or very dissatisfied with their sexual life. Among women, older age, being Caucasian, urinary incontinence, depressive symptoms, and antidepressant medication use were associated with poorer sexual function in multiple domains. In men, older age, not being married, depressive symptoms, and antidepressant medication use were associated with poorer sexual function in multiple domains.
  
  
  CONCLUSIONS
  Before bariatric surgery, approximately one half of women and men with severe obesity are dissatisfied with their sexual life. Older age, severity of depressive symptoms, and antidepressant medication use are associated with poorer sexual function in both sexes.
authors.affiliation: North Dakota State University, Fargo ND; Neuropsychiatric Research Institute, Fargo, ND. Electronic address: kristine.steffen@ndsu.edu.
authors.forename: Kristine J
authors.initials: KJ
authors.lastname: Steffen
authors.affiliation: Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA.
authors.forename: Wendy C
authors.initials: WC
authors.lastname: King
authors.affiliation: Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA.
authors.forename: Gretchen E
authors.initials: GE
authors.lastname: White
authors.affiliation: University of California, San Francisco, CA.
authors.forename: Leslee L
authors.initials: LL
authors.lastname: Subak
authors.affiliation: Neuropsychiatric Research Institute, Fargo, ND.
authors.forename: James E
authors.initials: JE
authors.lastname: Mitchell
authors.affiliation: University of Pittsburgh Medical Center, Pittsburgh, PA.
authors.forename: Anita P
authors.initials: AP
authors.lastname: Courcoulas
authors.affiliation: University of Washington, Seattle, WA.
authors.forename: David R
authors.initials: DR
authors.lastname: Flum
authors.affiliation: Cornell University Medical Center, New York, NY.
authors.forename: Gladys
authors.initials: G
authors.lastname: Strain
authors.affiliation: Temple University, Philadelphia, PA.
authors.forename: David B
authors.initials: DB
authors.lastname: Sarwer
authors.affiliation: Duke University Medical Center, Durham, NC.
authors.forename: Ronette L
authors.initials: RL
authors.lastname: Kolotkin
authors.affiliation: East Carolina University, Greenville, NC.
authors.forename: Walter
authors.initials: W
authors.lastname: Pories
authors.affiliation: University of California, San Francisco, CA.
authors.forename: Alison J
authors.initials: AJ
authors.lastname: Huang
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000928:Antidepressive Agents / Q000009:adverse effects; D001143:Arousal / Q000502:physiology; D050110:Bariatric Surgery; D003863:Depression / Q000150:complications; D005221:Fatigue / Q000150:complications; D005260:Female; D006801:Humans; D007989:Libido / Q000502:physiology; D008137:Longitudinal Studies; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D009767:Obesity, Morbid / Q000523:psychology*; D010549:Personal Satisfaction; D057234:Preoperative Period; D011788:Quality of Life; D012725:Sexual Behavior / Q000523:psychology; D020018:Sexual Dysfunctions, Psychological / Q000209:etiology*; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000150:complications; D055815:Young Adult
chemical_list: D000928:Antidepressive Agents
keywords: Bariatric surgery; Gastric bypass; Sexual functioning; Sexual quality of life