Evidence map›Paper›PMID 20678969›Full record

ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

Significant resolution of female sexual dysfunction after bariatric surgery.

Dale S Bond, Rena R Wing, Sivamainthan Vithiananthan, Harry C Sax, G Dean Roye, Beth A Ryder, Dieter Pohl, Jeannine Giovanni

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03188640 (Health-related Quality of Life, Sexuality and Hormone Status After Bariatric Surgery), which is not on this map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03188640 nacompletednot on this map

Health-related Quality of Life, Sexuality and Hormone Status After Bariatric Surgery

TypeinterventionalSponsorLinkoeping UniversityRan2014 to 2016Enrolled68ConditionsObesity, Hormone Disturbance, Quality of Life, HyperandrogenismArmsLaparoscopic gastric-bypass surgery
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Effects of gastric bypass surgery on female reproductive function.The Journal of clinical endocrinology and metabolism · 2012
    Trial
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  7. Observational
  8. Article
  9. Observational
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  11. Article
  12. Article
  13. Article
  14. Barocrinology: The Endocrinology of Obesity from Bench to Bedside.Medical sciences (Basel, Switzerland) · 2020
    Review
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  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Dale S BondDepartment of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, The Miriam Hospital Weight Control and Diabetes Research Center, Providence, Rhode Island 02903, USA. dbond@lifespan.org
Rena R Wing
Sivamainthan Vithiananthan
Harry C Sax
G Dean Roye
Beth A Ryder
Dieter Pohl
Jeannine Giovanni

Funding

Increasing Physical Activity Among Inactive Bariatric Surgery PatientsK01DK083438 · NIDDK · MIRIAM HOSPITAL · PI BOND, DALE S · 2009 to 2013
$654k
NIDDK NIH HHS DK083438NIDDK NIH HHS K01 DK083438
6 · The paper itself

Abstract

backgroundWe have previously reported that most women seeking bariatric surgery have had female sexual dysfunction (FSD) as defined by the validated Female Sexual Function Index (FSFI). The present study examined whether FSD resolves after bariatric surgery.

methodsA total of 54 reportedly sexually active women (43.3 ± 9.5 years) completed the FSFI preoperatively and 6 months postoperatively after a mean percentage of excess weight loss of 42.3% (laparoscopic adjustable gastric banding [n = 38], percentage of excess weight loss, 34.6% ± 15.7%; Roux-en-Y gastric bypass [n = 16], percentage of excess weight loss 60.0% ± 21.2%). The FSFI assesses sexual function across 6 domains, with higher scores indicating better sexual function. The summing of these scores yields a FSFI total score (range 2-36, with a score of ≤ 26.55 indicating FSD).

resultsBefore surgery, 34 women (63%) had scores indicative of FSD. By 6 months postoperatively, the FSD had resolved in 23 (68%) of these 34 women, and only 1 woman had developed FSD postoperatively. In the entire sample, significant (P < .05) improvements occurred from before to after surgery on all FSFI domains. The FSFI total scores improved after laparoscopic adjustable gastric banding (from 24.2 ± 5.9 to 29.1 ± 4.1, P < .001) and Roux-en-Y gastric bypass (from 23.7 ± 7.7 to 30.0 ± 4.7, P < .001). In regression analyses, being married, younger age, and worse preoperative sexual function were related to greater sexual function improvements. Postoperatively, the participants' FSFI total scores were indistinguishable from those of published normative controls (29.4 ± 4.3 versus 30.5 ± 5.3, P = .18).

conclusionFSD resolved in a large percentage of women after bariatric surgery. Sexual functioning in the entire sample improved to levels consistent with those of normative controls. This improvement in sexual function did not depend on surgery type or weight loss amount and appears to be an additional benefit for women undergoing bariatric surgery.

Indexed as

Bariatric SurgeryRecovery of FunctionAdultAgedBody Mass IndexFemaleFollow-Up StudiesHumansMiddle AgedObesitySexual BehaviorSexual Dysfunctions, PsychologicalSurveys and QuestionnairesYoung Adult

Identifiers

PMID20678969
PMCPMC2974005

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.