آیا عملکرد جنسی زنان مبتلا به چاقی متفاوت است؟ یک مطالعه مروری نقلی

نوع مقاله : مروری

نویسندگان

1 دانشجوی دکتری تخصصی بهداشت باروری، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 دانشیار گروه مامایی، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

3 دانشیار گروه جراحی، متخصص جراحی و فلوشیپ جراحی گوارش (کولورکتال)، دانشکده پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران.

4 استادیار گروه آمار زیستی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

چکیده

مقدمه: با توجه به شیوع روزافزون چاقی و اهمیت بررسی ارتباط بین اختلال عملکرد جنسی و چاقی در زنان و نیاز به مطالعات مروری که به جمع‌بندی نتایج مطالعات مشابه می ­پردازد، مطالعه حاضر به‌صورت نظام‌مند و با هدف تعیین عملکرد جنسی در زنان مبتلا به چاقی با استفاده از پرسشنامه شاخص عملکرد جنسی زنان انجام شد.
روشکار: در این مطالعه مرور سیستماتیک، بر اساس چک‌لیست پریزما، مروری بر متون با رویکرد نظام‌مند در زمینه بررسی عملکرد جنسی در زنان چاق با استفاده از پرسشنامه FSFI انجام شد. در این راستا یک مرور نظامند در پایگاه­ های Web of Science، PubMed، MEDLINE و ... انجام شد. کلیدواژه‌های مورد استفاده شامل: عملکرد جنسی، چاقی و زنان بود. در این مرور سیستماتیک از تمام مقالات مشاهده‌ای انگلیسی و فارسی از ابتدا تا سال 2022 استفاده شد.
یافته ­ها: در این مطالعه، ابتدا 761 مقاله از پایگاه­ ها و منابع مورد بررسی استخراج شد که در نهایت 5 مقاله چاپ شده دارای معیارهای ورود به این مرور سیستماتیک بودند. از میان مقالات، 4 مقاله به زبان انگلیسی و 1 مقاله به زبان فارسی بود. در این مطالعات نمرات عملکرد جنسی حاصل از گروه چاق به‌صورت نمره کل، میل جنسی، تحریک یا برانگیختگی جنسی، رطوبت مهبلی، ارگاسم، رضایت جنسی و درد مورد بررسی قرار گرفت. از آنجایی که این مرور با هدف تعیین کارکرد جنسی در زنان مبتلا به چاقی با استفاده از پرسشنامه FSFI انجام شد، در اکثر مطالعات، کاهش نمرات در پرسشنامه و حیطه‌های مختلف کارکرد جنسی مشاهده شد.
نتیجه­ گیری: با توجه به نتایج حاصل از بیشتر مطالعات مورد بررسی در این مرور سیستماتیک، اختلال عملکرد جنسی در زنان مبتلا به چاقی بیشتر است، لذا توصیه به ارزیابی عملکرد جنسی به‌طور معمول در افراد چاق کمک می ­کند تا افرادی که نیاز به مداخله دارند، شناسایی شده و تحت درمان قرار گیرند.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Is the sexual performance of obese women different? A narrative review study

نویسندگان [English]

  • Maryam Amighi 1
  • zohreh keshavarz 2
  • Mahdi Alam-Rajabi 3
  • Maliheh Nasiri 4
1 Ph.D. candidate of Reproductive Medicine, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Associate Professor, Department of Midwifery, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3 Associate Professor, Department of Surgery, Surgery Specialist and Gastrointestinal (colorectal) Surgery Fellowship, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
4 Assistant Professor, Department of Biostatistics, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Considering the increasing prevalence of obesity and the importance of examining the relationship between sexual dysfunction and obesity in women and the need for systematic reviews that summarize the results of similar studies, the present study was systematically conducted with aim to determine sexual performance in women with obesity using the questionnaire of the female sexual function index (FSFI). 
Methods: In this systematic review, based on the PRISMA checklist, a literature review was conducted with a systematic approach in the field of examining sexual function in obese women using the FSFI questionnaire. In this regard, a systematic review was conducted in Web of Science, PubMed, MEDLINE, etc. databases. The keywords that were selected included sexual function, obesity, and women. In this systematic review, all English and Persian observational articles from the inception to 2022 were used.
Results: In this study, 761 articles were initially extracted from the investigated databases and sources, and finally, five published articles met the criteria for entering this systematic review. Among the articles, four articles were in English and 1 article was in Persian. In these studies, the sexual performance scores obtained from the obese group were evaluated as a total score, sexual desire, sexual arousal, vaginal moisture, orgasm, sexual satisfaction, and pain. As this review was conducted with the aim of determining sexual function in obese women using the FSFI questionnaire, in most studies, a decrease in scores of the questionnaire and in different areas of sexual function was observed.
Conclusion: According to the results of most studies examined in this systematic review, sexual dysfunctional in obese women is high. Therefore, it is recommended to evaluate the sexual function in obese people in order to identify and treat people who need intervention. 

کلیدواژه‌ها [English]

  • Obesity
  • Sexual disorder
  • Sexual function
  • Women
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