Obesity and female sexual dysfunctionsA systematic review of prevalence with meta-analysis (Pag.-e 102022)

  1. A. Ferrández Infante 1
  2. B. Novella Arribas 2
  3. K.S. Khan 3
  4. J. Zamora 4
  5. A.R. Jurado López 5
  6. M. Fragoso Pasero 2
  7. C. Suárez Fernández 2
  1. 1 Sexology Working Group, Guadarrama Continuity Care Center, 28440 Madrid, Spain
  2. 2 Hospital Universitario de la Princesa
    info

    Hospital Universitario de la Princesa

    Madrid, España

    ROR https://ror.org/03cg5md32

  3. 3 University of Granada, Granada, Spain
  4. 4 Hospital Ramón y Cajal, IRYCIS, Madrid, Spain
  5. 5 Institute of Sexology, Marbella, Spain
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Revista:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Año de publicación: 2023

Número: 7

Páginas: 6-6

Tipo: Artículo

DOI: 10.1016/J.SEMERG.2023.102022 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Semergen: revista española de medicina de familia

Resumen

La obesidad representa un importante desafío para la salud mundial. Las disfunciones sexuales femeninas tienen un impacto negativo en la calidad de vida y en el estado general de la salud. Se ha sugerido una mayor tasa de disfunciones sexuales femeninas en mujeres obesas. Esta revisión sistemática resumió la literatura sobre la prevalencia de las disfunciones sexuales femeninas en las mujeres obesas. Se registró la revisión (Open Science Framework OSF.IO/7CG95) y se realizó una búsqueda bibliográfica sin restricciones de idioma en PubMed, Embase y Web of Science, desde enero de 1990 hasta diciembre de 2021. Se incluyeron estudios transversales y de intervención, estos últimos solo si proporcionaron datos de tasa de disfunción sexual femenina en mujeres obesas antes de la intervención. Para la inclusión, los estudios debieron haber utilizado el índice de función sexual femenina o su versión simplificada. Se evaluó la calidad del estudio para determinar si el índice de función sexual femenina se aplicó correctamente utilizando seis ítems. Se resumieron las tasas de disfunciones sexuales femeninas examinando las diferencias entre obesas frente a obesas clase III y subgrupos de alta frente a baja calidad. Se realizó un metaanálisis de efectos aleatorios, se calcularon los intervalos de confianza (IC) del 95% y se examinó la heterogeneidad con la estadística I2. El sesgo de publicación se evaluó con un gráfico en embudo (funnel plot). Hubo 15 estudios relevantes (1.720 mujeres participantes en total, con 153 obesas, y 1.567 mujeres con obesidad clase III). De estos, 8 (53,3%) estudios cumplieron con > 4 ítems de calidad. La prevalencia general de disfunciones sexuales femeninas fue del 62% (IC 95%: 55–68%; I2: 85,5%). En las mujeres obesas, la prevalencia fue del 69% (IC 95%: 55–80%; I2: 73,8%) frente al 59% (IC 95%: 52–66%; I2: 87,5%) en las obesas clase III (diferencia de subgrupos p = 0,15). En los estudios de alta calidad, la prevalencia fue del 54% (IC 95%: 50–60%; I2: 46,8%) frente al 72% (IC 95%: 61–81%; I2: 88,0%) en los estudios de baja calidad (diferencia de subgrupos p = 0,002). No hubo asimetría de embudo. Se interpretó que la tasa de disfunciones sexuales es alta en mujeres obesas y obesas clase III. La obesidad debe ser considerada como un factor de riesgo para las disfunciones sexuales femeninas.

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