obesity;
diabetes mellitus;
sexual health;
sexual arousal;
body image;
QUALITY-OF-LIFE;
GENOME-WIDE ASSOCIATION;
DUAL CONTROL MODEL;
INSULIN SENSITIVITY;
BARIATRIC SURGERY;
EVERY-SIZE;
DIABETES-MELLITUS;
PHYSICAL-ACTIVITY;
ADIPOSE-TISSUE;
WEIGHT STIGMA;
D O I:
10.3390/sexes3010002
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
With approximately two-thirds of the United States adult population classified as overweight or obese, obesity remains a critical public health concern. Obesity not only contributes to several health complications including type 2 diabetes mellitus and cardiovascular disease, but the condition is also associated with sexual dysfunction in both women and men. Despite evidence linking obesity and its concomitant pathophysiology to sexual problems, the potential roles of psychosocial factors such as body image are understudied. This narrative review evaluates the research linkages between obesity and sexual dysfunction, with particular attention to the potential effects of body image dissatisfaction. A literature search of biomedical and psychological databases was used to identify research pertaining to obesity, sexual function, and/or body image constructs. The pathophysiological effects of obesity on sexual function are well-documented in mechanistic studies and animal trials, often with corroboration in human clinical samples. However, very few studies examine obesity, body image, and sexual function in tandem. Body image dissatisfaction appears to independently impinge upon the sexual response cycle and mental health outcomes, irrespective of body weight. While obesity is often associated with negative body image appraisal, it is unclear whether these constructs exert additive, synergistic, or antagonistic effects on sexual responsivity. Additionally, overweight/obese individuals who exhibit higher levels of body image satisfaction or self-confidence appear to be protected from the deleterious effects of obesity on sexual satisfaction, at least to some extent. Greater reliance upon conceptual/theoretical models from the body image literature may better clarify the relationships between these constructs.
机构:
Univ Fed Minas Gerais, Fac Med, Programa Posgrad Infectol & Med Trop, Belo Horizonte, MG, BrazilUniv Fed Minas Gerais, Fac Med, Programa Posgrad Infectol & Med Trop, Belo Horizonte, MG, Brazil
Fabregas, Bruno Copio
Moura, Alexandre Sampaio
论文数: 0引用数: 0
h-index: 0
机构:
Univ Jose do Rosario Vellano, Fac Med, Belo Horizonte, MG, BrazilUniv Fed Minas Gerais, Fac Med, Programa Posgrad Infectol & Med Trop, Belo Horizonte, MG, Brazil
Moura, Alexandre Sampaio
de Avila, Renata Eliane
论文数: 0引用数: 0
h-index: 0
机构:
Secretaria Municipal Saude Belo Horizonte, Ctr Treinamento & Referencias Doencas Infecciosas, Belo Horizonte, MG, Brazil
Univ Fed Minas Gerais, Belo Horizonte, MG, BrazilUniv Fed Minas Gerais, Fac Med, Programa Posgrad Infectol & Med Trop, Belo Horizonte, MG, Brazil
de Avila, Renata Eliane
Faria, Marjore Novaes
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h-index: 0
机构:
Univ Fed Minas Gerais, Fac Med, Lab Interdisciplinar Invest Med, Belo Horizonte, MG, BrazilUniv Fed Minas Gerais, Fac Med, Programa Posgrad Infectol & Med Trop, Belo Horizonte, MG, Brazil
Faria, Marjore Novaes
Carmo, Ricardo Andrade
论文数: 0引用数: 0
h-index: 0
机构:
Secretaria Municipal Saude Belo Horizonte, Ctr Treinamento & Referencias Doencas Infecciosas, Belo Horizonte, MG, Brazil
Univ Fed Minas Gerais, Belo Horizonte, MG, BrazilUniv Fed Minas Gerais, Fac Med, Programa Posgrad Infectol & Med Trop, Belo Horizonte, MG, Brazil
Carmo, Ricardo Andrade
Teixeira, Antonio Lucio
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h-index: 0
机构:
Univ Fed Minas Gerais, Fac Med, Lab Interdisciplinar Invest Med, Belo Horizonte, MG, BrazilUniv Fed Minas Gerais, Fac Med, Programa Posgrad Infectol & Med Trop, Belo Horizonte, MG, Brazil
机构:
Univ Calif San Francisco, Div Adolescent & Young Adult Med, Dept Pediat, 3333 Calif St,Suite 245,Box 0503, San Francisco, CA 94143 USA
Kaiser Permanente Northern Calif, Pediat Residency Program, Oakland, CA USAUniv Calif San Francisco, Div Adolescent & Young Adult Med, Dept Pediat, 3333 Calif St,Suite 245,Box 0503, San Francisco, CA 94143 USA
Parmar, Deepika D.
Alabaster, Amy
论文数: 0引用数: 0
h-index: 0
机构:
Kaiser Permanente, Div Res, Oakland, CA USAUniv Calif San Francisco, Div Adolescent & Young Adult Med, Dept Pediat, 3333 Calif St,Suite 245,Box 0503, San Francisco, CA 94143 USA
Alabaster, Amy
Vance, Stanley, Jr.
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h-index: 0
机构:
Univ Calif San Francisco, Div Adolescent & Young Adult Med, Dept Pediat, 3333 Calif St,Suite 245,Box 0503, San Francisco, CA 94143 USAUniv Calif San Francisco, Div Adolescent & Young Adult Med, Dept Pediat, 3333 Calif St,Suite 245,Box 0503, San Francisco, CA 94143 USA
Vance, Stanley, Jr.
Weintraub, Miranda L. Ritterman
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h-index: 0
机构:
Kaiser Permanente, Dept Grad Med Educ, Oakland, CA USAUniv Calif San Francisco, Div Adolescent & Young Adult Med, Dept Pediat, 3333 Calif St,Suite 245,Box 0503, San Francisco, CA 94143 USA
Weintraub, Miranda L. Ritterman
Lau, Josephine S.
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h-index: 0
机构:
Kaiser Permanente Northern Calif, Div Adolescent Med, Permanente Med Grp, San Leandro, CA USAUniv Calif San Francisco, Div Adolescent & Young Adult Med, Dept Pediat, 3333 Calif St,Suite 245,Box 0503, San Francisco, CA 94143 USA
机构:
China Acad Chinese Med Sci, Dept Androl, Xiyuan Hosp, Beijing, Peoples R ChinaChina Acad Chinese Med Sci, Dept Androl, Xiyuan Hosp, Beijing, Peoples R China
Wang, Hao
Chang, Hongyuan
论文数: 0引用数: 0
h-index: 0
机构:
China Acad Chinese Med Sci, Dept Androl, Xiyuan Hosp, Beijing, Peoples R ChinaChina Acad Chinese Med Sci, Dept Androl, Xiyuan Hosp, Beijing, Peoples R China
Chang, Hongyuan
Wang, Anmin
论文数: 0引用数: 0
h-index: 0
机构:
China Acad Chinese Med Sci, Dept Androl, Xiyuan Hosp, Beijing, Peoples R ChinaChina Acad Chinese Med Sci, Dept Androl, Xiyuan Hosp, Beijing, Peoples R China
Wang, Anmin
Guo, Jun
论文数: 0引用数: 0
h-index: 0
机构:
China Acad Chinese Med Sci, Dept Androl, Xiyuan Hosp, Beijing, Peoples R ChinaChina Acad Chinese Med Sci, Dept Androl, Xiyuan Hosp, Beijing, Peoples R China
Guo, Jun
Wang, Fu
论文数: 0引用数: 0
h-index: 0
机构:
China Acad Chinese Med Sci, Dept Androl, Xiyuan Hosp, Beijing, Peoples R ChinaChina Acad Chinese Med Sci, Dept Androl, Xiyuan Hosp, Beijing, Peoples R China
机构:
Univ Hlth Network, Toronto, ON, Canada
Univ Toronto, Toronto, ON, Canada
Univ Kiel, Dept Psychosomat Med & Psychotherapy, Kiel, GermanyUniv Hlth Network, Toronto, ON, Canada
Paslakis, Georgios
Chiclana Actis, Carlos
论文数: 0引用数: 0
h-index: 0
机构:
Univ Int La Rioja, Ave Paz 137, Logrono 26006, La Rioja, Spain
Unidad Psiquiatria Adulto Consulta Dr Carlos Chic, Madrid, Spain
Univ CEU San Pablo, Madrid, SpainUniv Hlth Network, Toronto, ON, Canada
Chiclana Actis, Carlos
Mestre-Bach, Gemma
论文数: 0引用数: 0
h-index: 0
机构:
Univ Int La Rioja, Ave Paz 137, Logrono 26006, La Rioja, SpainUniv Hlth Network, Toronto, ON, Canada