Impaired quality of life and sexual function in overweight and obese men

The European male ageing study

Thang S. Han, Abdelouahid Tajar, Terence W. O'Neill, Min Jiang, G. Bártfai, Steven Boonen, Felipe F. Casanueva, Joseph D. Finn, Gianni Forti, Aleksander Giwercman, Ilpo T. Huhtaniemi, Krzysztof Kula, Neil Pendleton, Margus Punab, Alan J. Silman, Dirk Vanderschueren, Michael E J Lean, Frederick C W Wu, Luisa Petrone, Giovanni Corona & 10 others Herman Borghs, Jolanta Slowikowska-Hilczer, Renata Walczak-Jedrzejowska, Philip Steer, David Lee, Stephen Pye, Mary Lage, I. Földesi, I. Fejes, Paul Korrovitz

Research output: Contribution to journalArticle

55 Citations (Scopus)

Abstract

Background: Few published data link overweight and obesity with measures of quality of life (QoL) including sexual health in men. Objective: To assess the association of overweight/obesity with impairment of physical and psychological QoL and sexual functions in men. Design and setting: Cross-sectional, multicentre survey of 3369 community-dwelling men aged 40-79 (mean ± S.D., 60 ± 11) years randomly selected from eight European centres. Outcomes: Adiposity was assessed by body mass index (BMI) and waist circumference (WC), QoL and functional impairments by physical andpsychological functiondomains of the Short Form-36 questionnaire, Beck's Depression Inventory and the European Male Ageing Study sexual function questionnaire. Results: Complete data on sexual activities and erectile function were available in 2734 (92%) and 3193 (95%) of the participants respectively. From the population studied, 814 men were obese (BMI ≥ 30 kg/m2) 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) of the participants. Among obese men with both BMI ≥ 30 kg/m2 and WC ≥ 102 cm, at least one symptom of impaired physical, psychological and sexual function was reported by 41, 43 and 73% of the participants respectively. Compared with the reference group of non-obese men (BMI <30 kg/m2 and WC <102 cm), men with BMI ≥ 30 kg/m2 and WC ≥ 102 cm more frequently reported at least one symptom of impaired physical function (odds ratio (OR)=2.67; confidence interval (CI): 2.07-3.45, P <0.001), impaired psychological function (OR=1.48; CI: 1.14-1.90, P <0.01) and 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 ≥ 102 cm even with BMI <30 kg/m 2, but those with BMI ≥ 30 kg/m2 and WC <102 cm generally did not suffer from 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 with those with normal BMI and WC. Conclusions: Men with high WC, including those who are 'non-obese' with BMI <30 kg/m2, 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.

Original languageEnglish
Pages (from-to)1003-1011
Number of pages9
JournalEuropean Journal of Endocrinology
Volume164
Issue number6
DOIs
Publication statusPublished - Jun 2011

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Waist Circumference
Quality of Life
Body Mass Index
Psychology
Odds Ratio
Reproductive Health
Confidence Intervals
Obesity
Depression
Independent Living
Abdominal Obesity
Adiposity
Health Promotion
Sexual Behavior
Cross-Sectional Studies
Fats
Equipment and Supplies

ASJC Scopus subject areas

  • Endocrinology
  • Endocrinology, Diabetes and Metabolism

Cite this

Impaired quality of life and sexual function in overweight and obese men : The European male ageing study. / Han, Thang S.; Tajar, Abdelouahid; O'Neill, Terence W.; Jiang, Min; Bártfai, G.; Boonen, Steven; Casanueva, Felipe F.; Finn, Joseph D.; Forti, Gianni; Giwercman, Aleksander; Huhtaniemi, Ilpo T.; Kula, Krzysztof; Pendleton, Neil; Punab, Margus; Silman, Alan J.; Vanderschueren, Dirk; Lean, Michael E J; Wu, Frederick C W; Petrone, Luisa; Corona, Giovanni; Borghs, Herman; Slowikowska-Hilczer, Jolanta; Walczak-Jedrzejowska, Renata; Steer, Philip; Lee, David; Pye, Stephen; Lage, Mary; Földesi, I.; Fejes, I.; Korrovitz, Paul.

In: European Journal of Endocrinology, Vol. 164, No. 6, 06.2011, p. 1003-1011.

Research output: Contribution to journalArticle

Han, TS, Tajar, A, O'Neill, TW, Jiang, M, Bártfai, G, Boonen, S, Casanueva, FF, Finn, JD, Forti, G, Giwercman, A, Huhtaniemi, IT, Kula, K, Pendleton, N, Punab, M, Silman, AJ, Vanderschueren, D, Lean, MEJ, Wu, FCW, Petrone, L, Corona, G, Borghs, H, Slowikowska-Hilczer, J, Walczak-Jedrzejowska, R, Steer, P, Lee, D, Pye, S, Lage, M, Földesi, I, Fejes, I & Korrovitz, P 2011, 'Impaired quality of life and sexual function in overweight and obese men: The European male ageing study', European Journal of Endocrinology, vol. 164, no. 6, pp. 1003-1011. https://doi.org/10.1530/EJE-10-1129
Han, Thang S. ; Tajar, Abdelouahid ; O'Neill, Terence W. ; Jiang, Min ; Bártfai, G. ; Boonen, Steven ; Casanueva, Felipe F. ; Finn, Joseph D. ; Forti, Gianni ; Giwercman, Aleksander ; Huhtaniemi, Ilpo T. ; Kula, Krzysztof ; Pendleton, Neil ; Punab, Margus ; Silman, Alan J. ; Vanderschueren, Dirk ; Lean, Michael E J ; Wu, Frederick C W ; Petrone, Luisa ; Corona, Giovanni ; Borghs, Herman ; Slowikowska-Hilczer, Jolanta ; Walczak-Jedrzejowska, Renata ; Steer, Philip ; Lee, David ; Pye, Stephen ; Lage, Mary ; Földesi, I. ; Fejes, I. ; Korrovitz, Paul. / Impaired quality of life and sexual function in overweight and obese men : The European male ageing study. In: European Journal of Endocrinology. 2011 ; Vol. 164, No. 6. pp. 1003-1011.
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abstract = "Background: Few published data link overweight and obesity with measures of quality of life (QoL) including sexual health in men. Objective: To assess the association of overweight/obesity with impairment of physical and psychological QoL and sexual functions in men. Design and setting: Cross-sectional, multicentre survey of 3369 community-dwelling men aged 40-79 (mean ± S.D., 60 ± 11) years randomly selected from eight European centres. Outcomes: Adiposity was assessed by body mass index (BMI) and waist circumference (WC), QoL and functional impairments by physical andpsychological functiondomains of the Short Form-36 questionnaire, Beck's Depression Inventory and the European Male Ageing Study sexual function questionnaire. Results: Complete data on sexual activities and erectile function were available in 2734 (92{\%}) and 3193 (95{\%}) of the participants respectively. From the population studied, 814 men were obese (BMI ≥ 30 kg/m2) 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) of the participants. Among obese men with both BMI ≥ 30 kg/m2 and WC ≥ 102 cm, at least one symptom of impaired physical, psychological and sexual function was reported by 41, 43 and 73{\%} of the participants respectively. Compared with the reference group of non-obese men (BMI <30 kg/m2 and WC <102 cm), men with BMI ≥ 30 kg/m2 and WC ≥ 102 cm more frequently reported at least one symptom of impaired physical function (odds ratio (OR)=2.67; confidence interval (CI): 2.07-3.45, P <0.001), impaired psychological function (OR=1.48; CI: 1.14-1.90, P <0.01) and 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 ≥ 102 cm even with BMI <30 kg/m 2, but those with BMI ≥ 30 kg/m2 and WC <102 cm generally did not suffer from 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 with those with normal BMI and WC. Conclusions: Men with high WC, including those who are 'non-obese' with BMI <30 kg/m2, 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.",
author = "Han, {Thang S.} and Abdelouahid Tajar and O'Neill, {Terence W.} and Min Jiang and G. B{\'a}rtfai and Steven Boonen and Casanueva, {Felipe F.} and Finn, {Joseph D.} and Gianni Forti and Aleksander Giwercman and Huhtaniemi, {Ilpo T.} and Krzysztof Kula and Neil Pendleton and Margus Punab and Silman, {Alan J.} and Dirk Vanderschueren and Lean, {Michael E J} and Wu, {Frederick C W} and Luisa Petrone and Giovanni Corona and Herman Borghs and Jolanta Slowikowska-Hilczer and Renata Walczak-Jedrzejowska and Philip Steer and David Lee and Stephen Pye and Mary Lage and I. F{\"o}ldesi and I. Fejes and Paul Korrovitz",
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TY - JOUR

T1 - Impaired quality of life and sexual function in overweight and obese men

T2 - The European male ageing study

AU - Han, Thang S.

AU - Tajar, Abdelouahid

AU - O'Neill, Terence W.

AU - Jiang, Min

AU - Bártfai, G.

AU - Boonen, Steven

AU - Casanueva, Felipe F.

AU - Finn, Joseph D.

AU - Forti, Gianni

AU - Giwercman, Aleksander

AU - Huhtaniemi, Ilpo T.

AU - Kula, Krzysztof

AU - Pendleton, Neil

AU - Punab, Margus

AU - Silman, Alan J.

AU - Vanderschueren, Dirk

AU - Lean, Michael E J

AU - Wu, Frederick C W

AU - Petrone, Luisa

AU - Corona, Giovanni

AU - Borghs, Herman

AU - Slowikowska-Hilczer, Jolanta

AU - Walczak-Jedrzejowska, Renata

AU - Steer, Philip

AU - Lee, David

AU - Pye, Stephen

AU - Lage, Mary

AU - Földesi, I.

AU - Fejes, I.

AU - Korrovitz, Paul

PY - 2011/6

Y1 - 2011/6

N2 - Background: Few published data link overweight and obesity with measures of quality of life (QoL) including sexual health in men. Objective: To assess the association of overweight/obesity with impairment of physical and psychological QoL and sexual functions in men. Design and setting: Cross-sectional, multicentre survey of 3369 community-dwelling men aged 40-79 (mean ± S.D., 60 ± 11) years randomly selected from eight European centres. Outcomes: Adiposity was assessed by body mass index (BMI) and waist circumference (WC), QoL and functional impairments by physical andpsychological functiondomains of the Short Form-36 questionnaire, Beck's Depression Inventory and the European Male Ageing Study sexual function questionnaire. Results: Complete data on sexual activities and erectile function were available in 2734 (92%) and 3193 (95%) of the participants respectively. From the population studied, 814 men were obese (BMI ≥ 30 kg/m2) 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) of the participants. Among obese men with both BMI ≥ 30 kg/m2 and WC ≥ 102 cm, at least one symptom of impaired physical, psychological and sexual function was reported by 41, 43 and 73% of the participants respectively. Compared with the reference group of non-obese men (BMI <30 kg/m2 and WC <102 cm), men with BMI ≥ 30 kg/m2 and WC ≥ 102 cm more frequently reported at least one symptom of impaired physical function (odds ratio (OR)=2.67; confidence interval (CI): 2.07-3.45, P <0.001), impaired psychological function (OR=1.48; CI: 1.14-1.90, P <0.01) and 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 ≥ 102 cm even with BMI <30 kg/m 2, but those with BMI ≥ 30 kg/m2 and WC <102 cm generally did not suffer from 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 with those with normal BMI and WC. Conclusions: Men with high WC, including those who are 'non-obese' with BMI <30 kg/m2, 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.

AB - Background: Few published data link overweight and obesity with measures of quality of life (QoL) including sexual health in men. Objective: To assess the association of overweight/obesity with impairment of physical and psychological QoL and sexual functions in men. Design and setting: Cross-sectional, multicentre survey of 3369 community-dwelling men aged 40-79 (mean ± S.D., 60 ± 11) years randomly selected from eight European centres. Outcomes: Adiposity was assessed by body mass index (BMI) and waist circumference (WC), QoL and functional impairments by physical andpsychological functiondomains of the Short Form-36 questionnaire, Beck's Depression Inventory and the European Male Ageing Study sexual function questionnaire. Results: Complete data on sexual activities and erectile function were available in 2734 (92%) and 3193 (95%) of the participants respectively. From the population studied, 814 men were obese (BMI ≥ 30 kg/m2) 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) of the participants. Among obese men with both BMI ≥ 30 kg/m2 and WC ≥ 102 cm, at least one symptom of impaired physical, psychological and sexual function was reported by 41, 43 and 73% of the participants respectively. Compared with the reference group of non-obese men (BMI <30 kg/m2 and WC <102 cm), men with BMI ≥ 30 kg/m2 and WC ≥ 102 cm more frequently reported at least one symptom of impaired physical function (odds ratio (OR)=2.67; confidence interval (CI): 2.07-3.45, P <0.001), impaired psychological function (OR=1.48; CI: 1.14-1.90, P <0.01) and 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 ≥ 102 cm even with BMI <30 kg/m 2, but those with BMI ≥ 30 kg/m2 and WC <102 cm generally did not suffer from 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 with those with normal BMI and WC. Conclusions: Men with high WC, including those who are 'non-obese' with BMI <30 kg/m2, 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.

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