Abstract

Quality of life (QOL) and sexual function are important variables in the general health of women of reproductive age. The purpose of this study was to determine the relationship between body mass index (BMI) and sexual function and QOL. This cross-sectional study was conducted on 482 women of reproductive age referring to women health centers in 2017. The WHO QOL questionnaire and the female sexual function index used as tools. The data were analyzed using one-way analysis of variance, post-hoc tests and Pearson correlation coefficient and p ≤ 0.05 was considered significant. The mean age of the samples was 31.8 ± 7.64. The results showed that 162 (33.6%) of women had normal BMI, 200 (41.5%) of them were overweight and 120 (24.9%) were obese. Sexual desire (p < 0.001), sexual arousal (p = 0.001), lubrication (p = 0.001), orgasm (p < 0.001) and satisfaction (p = 0.008) decreased with increasing BMI and this reduction was statistically significant. On the other hand, there was a significant negative relationship between all aspects of QOL with BMI (p = 0.001). The present study showed that obesity and weight gain are negative factors for sexual function and women’s QOL, as well as sexual desire, orgasm and marital satisfaction decrease with increasing BMI.

摘要

生活质量（QOL）和性功能是育龄妇女总体健康的重要变量。本研究的目的是确定体重指数（BMI）与性功能和生活质量之间的关系。这项横断面研究是在 2017 年对 482 名参考妇女保健中心的育龄妇女进行的。使用世卫组织 QOL 问卷和女性性功能指数作为工具。使用单因素方差分析、事后检验和皮尔逊相关系数分析数据，p≤0.05 被认为是显着的。样本的平均年龄为 31.8 ± 7.64。结果显示，162名（33.6%）女性BMI正常，其中200名（41.5%）超重，120名（24.9%）肥胖。性欲 ( p < 0.001)、性唤起 ( p  = 0.001)、润滑 ( p  = 0.001)、性高潮 ( p  < 0.001) 和满意度 ( p  = 0.008) 随着 BMI 的增加而降低，这种降低具有统计学意义。另一方面，生活质量各方面与体重指数之间存在显着负相关（p  = 0.001）。本研究表明，肥胖和体重增加是性功能和女性生活质量的负面因素，性欲、性高潮和婚姻满意度随着体重指数的增加而下降。