Impaired quality of life and sexual function in overweight and obese men: the European Male Ageing Study

Han, T.S. et al. (2011) Impaired quality of life and sexual function in overweight and obese men: the European Male Ageing Study. European Journal of Endocrinology, 164(6), pp. 1003-1011. (doi: 10.1530/EJE-10-1129)

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<p><b>Background</b>: Few published data link overweight and obesity with measures of quality of life including sexual health in men.</p> <p><b>Objective:</b> To assess the association of overweight/obesity with impairment of physical and psychological quality of life (QoL) and sexual functions in men.</p> <p><b>Design and setting</b>: Cross-sectional, multi-centre survey of 3,369 community-dwelling men aged 40-79 (mean±SD, 60±11) years, randomly selected from eight European centres.</p> <p><b>Outcomes:</b> Adiposity was assessed by body mass index (BMI) and by 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 EMAS sexual function questionnaire.</p> <p><b>Results:</b> Complete data on sexual activities and erectile function were available in 2,734 (92%) and 3,193 (95%) of participants, respectively. From the population studied, 814 men were obese (BMI≥30kg/m<sup>2</sup>) 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). Among obese men with both BMI≥30kg/m<sup>2</sup> and WC≥102cm, at least one symptom of impaired physical, psychological and sexual function was reported by 41%, 43% and 73%, respectively. Compared to the reference group of non-obese men (BMI<30 kg/m<sup>2</sup> and WC<102cm), men with BMI<30 kg/m<sup>2</sup> and WC<102 cm more frequently reported at least one symptom of impaired physical function (OR=2.67; CI:2.07-3.45, P<0.001), of impaired psychological function (OR=1.48; CI:1.14-1.90, P<0.01) and of 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≥102cm even with BMI <30kg/m2, but those with BMI≥30kg/m2 and WC<102cm generally did not suffer 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 to those with normal BMI and WC.</p> <p><b>Conclusions:</b> Men with high WC, including those who are “non-obese” with BMI<30 kg/m<sup>2</sup>, 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.</p>

Item Type:Articles
Keywords:Aging, male health, obesity, quality of life, sexual dysfunction
Glasgow Author(s) Enlighten ID:Lean, Professor Michael
Authors: Han, T.S., Tajar, A., O'Neill, T.W., Jiang, M., Bartfai, G., Boonen, S., Casanueva, F., Finn, J.D., Forti, G., Giwercman, A., Huhtaniemi, I.T., Kula, K., Pendleton, N., Punab, M., Silman, A., Vanderschueren, D., Lean, M., Wu, F.C., and EMAS group,
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:European Journal of Endocrinology
ISSN (Online):1479-683X
Published Online:01 April 2011

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