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Impaired quality of...
Impaired quality of life and sexual function in overweight and obese men: the European Male Ageing Study
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Han, Thang S. (author)
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Tajar, Abdelouahid (author)
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O'Neill, Terence W. (author)
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Jiang, Min (author)
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Bartfai, Gyoergy (author)
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Boonen, Steven (author)
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Casanueva, Felipe (author)
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Finn, Joseph D. (author)
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Forti, Gianni (author)
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- Giwercman, Aleksander (author)
- Lund University,Lunds universitet,Reproduktionsmedicin, Malmö,Forskargrupper vid Lunds universitet,Reproductive medicine, Malmö,Lund University Research Groups
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Huhtaniemi, Ilpo T. (author)
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Kula, Krzysztof (author)
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Pendleton, Neil (author)
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Punab, Margus (author)
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Silman, Alan J. (author)
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Vanderschueren, Dirk (author)
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Lean, Michael E. J. (author)
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Wu, Frederick C. W. (author)
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(creator_code:org_t)
- 2011
- 2011
- English.
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In: European Journal of Endocrinology. - 1479-683X. ; 164:6, s. 1003-1011
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http://dx.doi.org/10...
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https://doi.org/10.1...
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Abstract
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- Background: Few published data link overweight and obesity with measures of quality of life (QoL) including sexual health in men. Objective: To assess the association of overweight/obesity with impairment of physical and psychological QoL and sexual functions in men. Design and setting: Cross-sectional, multicentre survey of 3369 community-dwelling men aged 40-79 (mean +/- S.D., 60 +/- 11) years randomly selected from eight European centres. Outcomes: Adiposity was assessed by body mass index (BMI) and waist circumference (WC), QoL and functional impairments by physical and psychological function domains of the Short Form-36 questionnaire, Beck's Depression Inventory and the European Male Ageing Study sexual function questionnaire. Results: Complete data on sexual activities and erectile function were available in 2734 (92%) and 3193 (95%) of the participants respectively. From the population studied, 814 men were obese (BMI >= 30 kg/m(2)) and 1171 had WC >= 102 cm, 25% of all men were unable to do vigorous activity and 2-13% reported depressive symptoms. Symptoms of sexual dysfunction ranged between 22% (low sexual desire) and 40% (infrequent morning erections) of the participants. Among obese men with both BMI >= 30 kg/m(2) and WC >= 102 cm, at least one symptom of impaired physical, psychological and sexual function was reported by 41, 43 and 73% of the participants respectively. Compared with the reference group of non-obese men (BMI < 30 kg/m(2) and WC < 102cm), men with BMI >= 30 kg/m(2) and WC >= 102 cm more frequently reported at least one symptom of impaired physical function (odds ratio (OR)=2.67; confidence interval (CI): 2.07-3.45, P < 0.001), impaired psychological function (OR=1.48; CI: 1.14-1.90, P < 0.01) and impaired sexual function (OR=1.45; CI: 1.14-1.85, P < 0.01). These functional impairments were also more prevalent in men who had WC >= 102 cm even with BMI < 30 kg/m(2), but those with BMI >= 30 kg/m(2) and WC < 102 cm generally did not suffer from increased impaired physical or sexual health. Men with high BMI and WC were at even greater likelihood of having a composite of two or more or three or more symptoms compared with those with normal BMI and WC. Conclusions: Men with high WC, including those who are 'non-obese' with BMI < 30 kg/m(2), have poor QoL with symptoms of impaired physical, psychological and sexual functions. Health promotion to improve QoL should focus on prevention of obesity and central fat accumulation.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
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- By the author/editor
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Han, Thang S.
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Tajar, Abdelouah ...
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O'Neill, Terence ...
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Jiang, Min
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Bartfai, Gyoergy
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Boonen, Steven
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show more...
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Casanueva, Felip ...
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Finn, Joseph D.
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Forti, Gianni
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Giwercman, Aleks ...
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Huhtaniemi, Ilpo ...
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Kula, Krzysztof
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Pendleton, Neil
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Punab, Margus
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Silman, Alan J.
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Vanderschueren, ...
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Lean, Michael E. ...
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Wu, Frederick C. ...
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show less...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Endocrinology an ...
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European Journal ...
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Lund University