Evidence map›Paper›PMID 27986585›Full record

Observational studySurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2017

Sexual functioning of men and women with severe obesity before bariatric surgery.

Kristine J Steffen, Wendy C King, Gretchen E White, Leslee L Subak, James E Mitchell, Anita P Courcoulas, David R Flum, Gladys Strain, David B Sarwer, Ronette L Kolotkin and 2 more

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women.International journal of environmental research and public health · 2020
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Erectile Dysfunction in Relation to Metabolic Disorders and the Concentration of Sex Hormones in Aging Men.International journal of environmental research and public health · 2022
    Article
  8. Barocrinology: The Endocrinology of Obesity from Bench to Bedside.Medical sciences (Basel, Switzerland) · 2020
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Sexual behaviors, risks, and sexual health outcomes for adolescent females following bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2019
    Article
  14. Article
  15. Article
  16. A longitudinal examination of suicide-related thoughts and behaviors among bariatric surgery patients.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2019
    Observational
  17. Review
  18. Article
  19. Obesity and Sexual Functioning.Current obesity reports · 2018
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 1 country.

Kristine J SteffenNorth Dakota State University, Fargo ND; Neuropsychiatric Research Institute, Fargo, ND. Electronic address: kristine.steffen@ndsu.edu.
Wendy C KingGraduate School of Public Health, University of Pittsburgh, Pittsburgh, PA.
Gretchen E WhiteGraduate School of Public Health, University of Pittsburgh, Pittsburgh, PA.
Leslee L SubakUniversity of California, San Francisco, CA.
James E MitchellNeuropsychiatric Research Institute, Fargo, ND.
Anita P CourcoulasUniversity of Pittsburgh Medical Center, Pittsburgh, PA.
David R FlumUniversity of Washington, Seattle, WA.
Gladys StrainCornell University Medical Center, New York, NY.
David B SarwerTemple University, Philadelphia, PA.
Ronette L KolotkinDuke University Medical Center, Durham, NC.
Walter PoriesEast Carolina University, Greenville, NC.
Alison J HuangUniversity of California, San Francisco, CA.
Neuropsychiatric Research Institute · USUniversity of California, San Francisco · USUniversity of Pittsburgh · USCornell University · USDuke Medical Center · USEast Carolina University · USTemple University · USUniversity of Pittsburgh Medical Center · USUniversity of Washington · US

Funding

Patient Oriented Research and Mentoring in Obesity and Urinary IncontinenceK24DK080775 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SUBAK, LESLEE L · 2008 to 2019
$1.7M
NIDDK NIH HHS K24 DK080775
6 · The paper itself

Abstract

backgroundObesity may impair sexual function through multiple mechanisms, but little is known about sexual dysfunction among adults with severe obesity seeking bariatric procedures.

objectivesTo describe sexual function and associated factors before bariatric surgery.

settingTen U.S. clinical facilities.

methodsBefore bariatric surgery, 2225 of 2458 Longitudinal Assessment of Bariatric Surgery-2 study participants (79% female, median age 45 years and median body mass index 46 kg/m

resultsOne third of women (34%) and one quarter of men (25%) were not sexually active, alone or with a partner, in the past month. Twenty-six percent of women and 12% of men reported no sexual desire. Physical health limited sexual activity at least moderately in 38% of women and 44% of men. About one half of the women (49%) and the men (54%) were moderately or very dissatisfied with their sexual life. Among women, older age, being Caucasian, urinary incontinence, depressive symptoms, and antidepressant medication use were associated with poorer sexual function in multiple domains. In men, older age, not being married, depressive symptoms, and antidepressant medication use were associated with poorer sexual function in multiple domains.

conclusionBefore bariatric surgery, approximately one half of women and men with severe obesity are dissatisfied with their sexual life. Older age, severity of depressive symptoms, and antidepressant medication use are associated with poorer sexual function in both sexes.

Indexed as

AdolescentAdultAgedAge FactorsAntidepressive AgentsArousalBariatric SurgeryDepressionFatigueFemaleHumansLibidoLongitudinal StudiesMaleMarital StatusMiddle AgedAntidepressive AgentsBariatric surgeryGastric bypassSexual functioningSexual quality of life

Identifiers

PMID27986585
PMCPMC6067110
OpenAlexW2524255236

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.