Avaliação da autoimagem corporal e disfunção sexual feminina

Abstract

Female obesity is emerging as one of the fastest pandemics in modern times. Sexual dysfunction is defined as the inability to participate in sexual intercourse with satisfaction, being more common in females than males, often associated with overweight. Objective: To investigate the association between obesity and female sexual dysfunction (FSD), considering clinical, demographic, nutritional and lifestyle data. Casuistry and Method: Seventy-one obese patients (BMI ≥ 30 kg/m²) were investigated prospectively with complaints of body weight and sexual dysfunction, regardless of race. Clinical data were analyzed (body weight, height, BMI, waist circumference, hip circumference, bioimpedance); demographic (age, origin, profession, marital status, children); nutritional (food survey) and life style (sedentary and smoking). For the FSD analysis, the Sexual Quotient Questionnaire for Females (SQQ-F) was used. The analysis of the association between obesity and FSD was performed using the Mann-Whitney or Chi-square (χ2) tests. The analyzes for risk assessment with Odds Ratio (OR) results were performed using multiple binary logistic regression. Results: Descriptive analysis of the patients' data showed a median age of 34 ± 7.2 years and a median FSD of 82 ± 11.7 points in the SQQ-F. Among the patients studied, 54.9% were married and have been practicing physical activities; 49.4% had children; 92.9% did not present obesity at the time of the study; 52.1% presented normal BMI and 50.7% bioimpedance and 50,7% sexual dysfunction. Non-parametric Mann-Whitney test showed that women aged ≥ 34 years may be at increased risk for developing FSD (p<0.0001). Analysis of the DSF association with the variables marital status, children, obesity, BMI and bioimpedance, separately, using the Chi-Square test (χ2) did not show statistical significance. By the analysis of multiple binary logistic regression, there was no statistical association between SSF and the studied variables of 61 patients. Conclusions: There was a predominance of married patients, with children, physical activity practitioners and normal body mass index and bioimpedance. Patients aged ≥ 34 years may increase the risk of developing female sexual dysfunction. There was no significant association between obesity and female sexual dysfunction considering clinical, demographic, nutritional and lifestyle variables.