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• W2078898360 endingPage "1181" @default.
• W2078898360 startingPage "1175" @default.
• W2078898360 abstract "Objective: This study aims to examine baseline and longitudinal associations between body mass index (BMI) and sexual functioning in midlife women. Methods: Midlife women (N = 2,528) from the Study of Women's Health Across the Nation reported on sexual functioning and underwent measurements of BMI annually beginning in 1995-1997, with follow-up spanning 13.8 years. Associations between baseline levels and longitudinal changes in BMI and sexual desire, arousal, intercourse frequency, and ability to climax were assessed with generalized linear mixed-effects models. Models were adjusted for demographic variables, depressive symptoms, hormone therapy use, alcohol intake, menopause status, smoking status, and health status. Results: Mean BMI increased from 27.7 to 29.1 kg/m2, whereas all sexual functioning variables declined across time (P values ≤ 0.001). Higher baseline BMI was associated with less frequent intercourse (P = 0.003; 95% CI, −0.059 to −0.012). Although overall change in BMI was not associated with changes in sexual functioning, years of greater-than-expected BMI increases relative to women's overall BMI change trajectory were characterized by less frequent intercourse (P < 0.001; 95% CI, −0.106 to −0.029) and reduced sexual desire (P = 0.020; 95% CI, −0.078 to −0.007). Conclusions: Although women's overall BMI change across 13.8 years of follow-up was not associated with overall changes in sexual functioning, sexual desire and intercourse frequency diminished with years of greater-than-expected weight gain. Results suggest that adiposity and sexual functioning change concurrently from year to year. Further research should explore the impact of weight management interventions as a strategy for preserving sexual functioning in midlife women." @default.
• W2078898360 created "2016-06-24" @default.
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• W2078898360 date "2015-11-01" @default.
• W2078898360 modified "2023-10-01" @default.
• W2078898360 title "Associations between body mass index and sexual functioning in midlife women" @default.
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• W2078898360 doi "https://doi.org/10.1097/gme.0000000000000452" @default.
• W2078898360 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4580485" @default.
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