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Title: Impaired quality of life and sexual function in overweight and obese men: The European Male Ageing Study
Authors: Tajar, Abdelouahid ×
O'Neill, Terence W
Jiang, Min
Bartfai, Gyorgy
Boonen, Steven
Casanueva, Felipe F
Finn, Joseph D
Forti, Gianni
Giwercman, Aleksander
Huhtaniemi, Ilpo
Kula, Krzysztof
Pendleton, Neil
Punab, Margus
Silman, Alan
Vanderschueren, Dirk
Lean, Michael
Wu, Fredrick #
Issue Date: Apr-2011
Publisher: BioScientifica Ltd.
Series Title: European Journal of Endocrinology vol:164 issue:6 pages:1003-1011
Abstract: Background:Few published data link overweight/obesity with measures of QoL including sexual health in men. Objective:To assess the association of obesity with impairment of physical and psychological QoL and sexual functions in men. Design:Multi-centre survey of 3,369 community-dwelling men 40-79(mean±SD,60±11)years, from eight European centres. Outcomes:Adiposity was assessed by BMI and waist circumference (WC), QoL and functional impairments by physical and psychological function domains of the SF-36, BDI and EMAS-SFQ. Results: 25% of all men were unable to do vigorous activity, 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/m2&WC≥102cm, at least one symptom of impaired physical, psychological and sexual function was reported by 41%, 43% and 73%. Compared to men with BMI<30kg/m2&WC<102cm, men with BMI≥30kg/m2&WC≥102cm 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. Conclusions:Men with high WC 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.
URI: 
ISSN: 0804-4643
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Gerontology and Geriatrics
Clinical and Experimental Endocrinology
× corresponding author
# (joint) last author

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