Volume 17, Issue 7 (July 2019 2019)                   IJRM 2019, 17(7): 503-512 | Back to browse issues page


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Senobari M, Azmoude E, Mousavi M. The relationship between body mass index, body image, and sexual function: A survey on Iranian pregnant women. IJRM 2019; 17 (7) :503-512
URL: http://ijrm.ir/article-1-1583-en.html
1- Student Research Committee, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
2- Department of Midwifery, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
Abstract:   (2595 Views)
Background: The prevalence of sexual problems is high during pregnancy. Despite this, there are limited data about the impact of physical and psychological factors such as body weight and body image on sexual function in pregnant women.
Objective: To investigate the relationship between body mass index, body image, and sexual function among pregnant women.
Materials and Methods: In this cross-sectional study, a total of 206 Iranian pregnant women (106 with normal weight and 100 overweight women) in their 2nd and 3rd trimesters of pregnancy were surveyed. Survey instruments included the Female Sexual Function Index and Multidimensional Body-Self Relations Questionnaire.
Results: The prevalence of female sexual disorder was 72.3% in this survey. Diminished sexual desire/appetite was the most common problem reported by the participants (37.9%). The mean score of sexual problem and body image were not significantly different among overweight and normal weight women in the 2nd (p = 0.945 and  p = 0.800, respectively) and 3rd trimesters of pregnancy (p = 0.310 and p = 0.507, respectively). Further, there were no relationships between the body mass index plus body image and the total female sexual function score (p = 0.44 and p = 0.837, respectively). However, the relationship between the appearance evaluation with lubrication (p = 0.043) and subjective weight with two subscales of sexual satisfaction (p = 0.005) and orgasm (p = 0.019) were significant.
Conclusion: The findings from this study revealed that there were no relationships between body mass index plus body image score and the sexual function in pregnancy.
Therefore, a further research is recommended to study other potential factors affecting sexual function during pregnancy.
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Type of Study: Original Article |

References
1. Ribeiro MC, Nakamura MU, Torloni MR, Scanavino Mde T, Scomparini FB, Mattar R. Female sexual function of overweight women with gestational diabetes mellitus - a cross-sectional study. PloS One 2014; 9: e95094. [DOI:10.1371/journal.pone.0095094] [PMID] [PMCID]
2. Trutnovsky G, Haas J, Lang U, Petru E. Women's perception of sexuality during pregnancy and after birth. Aust N Z J Obstet Gynaecol 2006; 46: 282-287. [DOI:10.1111/j.1479-828X.2006.00592.x] [PMID]
3. Seven M, Akyuz A, Gungor S. Predictors of sexual function during pregnancy. J Obstet Gynaecol 2015; 35: 691-695. [DOI:10.3109/01443615.2015.1006596] [PMID]
4. Jamali S, Mosalanejad L. Sexual dysfnction in Iranian pregnant women. Iran J Reprod Med 2013; 11: 479-486.
5. Yeniel AO, Petri E. Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J 2014; 25: 5-14. [DOI:10.1007/s00192-013-2118-7] [PMID]
6. Williamson M, McVeigh C, Baafi M. An australian perspective of fatherhood and sexuality. Midwifery 2008; 24: 99-107. [DOI:10.1016/j.midw.2006.07.010] [PMID]
7. Bartellas E, Crane JM, Daley M, Bennett KA, Hutchens D. Sexuality and sexual activity in pregnancy. BJOG 2000; 107: 964-968. [DOI:10.1111/j.1471-0528.2000.tb10397.x] [PMID]
8. Mozafari M, Khajavikhan J, Jaafarpour M, Khani A, Direkvand-Moghadam A, Najafi F. Association of body weight and female sexual dysfunction: a case control study. Iran Red Crescent Med J 2015; 17: e24685. [DOI:10.5812/ircmj.11420]
9. Ramezani Tehrani F, Farahmand M, Simbar M, Malek Afzali H. Factors associated with sexual dysfunction; a population based study in Iranian reproductive age women. Arch Iran Med 2014; 17: 679-684.
10. Weaver AD, Byers ES. The relationships among body image, body mass index, exercise, and sexual functioning in heterosexual women. Psychol Women Quarter 2006; 30: 333-339. [DOI:10.1111/j.1471-6402.2006.00308.x]
11. Afshari P, Houshyar Z, Javadifar N, Pourmotahari F, Jorfi M. The relationship between body image and sexual function in middle-aged women. Electron Physician 2016; 8: 3302-3308. [DOI:10.19082/3302] [PMID] [PMCID]
12. Widen EM, Gallagher D. Body composition changes in pregnancy: measurement, predictors and outcomes. Eur J Clin Nutr 2014; 68: 643-652. [DOI:10.1038/ejcn.2014.40] [PMID] [PMCID]
13. Fuller-Tyszkiewicz M, Skouteris H, Watson BE, Hill B. Body dissatisfaction during pregnancy: a systematic review of cross-sectional and prospective correlates. J Health Psychol 2013; 18: 1411-1421. [DOI:10.1177/1359105312462437] [PMID]
14. Manaf NA, Saravanan C, Zuhrah B. The prevalence and inter-relationship of negative body image perception, depression and susceptibility to eating disorders among female medical undergraduate students. J Clin Diagn Res 2016; 10: VC01-VC04. [DOI:10.7860/JCDR/2016/16678.7341] [PMID] [PMCID]
15. Rahmani A, Sayehmiri K, Asadollahi K, Sarokhani D, Islami F, Sarokhani M. Investigation of the prevalence of obesity in iran: a systematic review and meta-analysis study. Acta Med Iran 2015; 53: 596-607.
16. Felisbino-Mendes MS, Matozinhos FP, Miranda JJ, Villamor E, Velasquez-Melendez G. Maternal obesity and fetal deaths: results from the Brazilian cross-sectional Demographic Health Survey, 2006. BMC Pregnancy Childbirth 2014; 14: 5-15. [DOI:10.1186/1471-2393-14-5] [PMID] [PMCID]
17. Ribeiro MC, Nakamura MU, Torloni MR, Scanavino Mde T, Mancini PE, Forte BM, et al. Maternal overweight and sexual function in pregnancy. Acta Obstet Gynecol Scand 2016; 95: 45-51. [DOI:10.1111/aogs.12796] [PMID]
18. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The female sexual function index (fsfi): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marit Ther 2000; 26: 191-208. [DOI:10.1080/009262300278597] [PMID]
19. Mohammadi Kh, Heydari M, Faghihzadeh S. [The female sexual function index (FSFI): validation of the Iranian version]. Payesh 2008; 7: 269-278. (in Persian)
20. Cash TF. The body image work book (An 8-step program for learning to like your looks). Oakland: New Harbinger Publications; 1997.
21. Rahati A. Evolutionary study of body image and its relationship with self-esteem based on comparison between adolescent, middle age and old people. Tehran: Shahed University; 2004.
22. Shojaa M, Jouybari L, Sanagoo A. The sexual activity during pregnancy among a group of Iranian women. Arch Gynecol Obstet 2009; 279: 353-356. [DOI:10.1007/s00404-008-0735-z] [PMID]
23. Leite AP, Campos AA, Dias AR, Amed AM, De Souza E, Camano L. Prevalence of sexual dysfunction during pregnancy. Rev Assoc Med Bras 2009; 55: 563-568. [DOI:10.1590/S0104-42302009000500020] [PMID]
24. Bayrami R, Sattarzadeh N, Ranjbar Koochaksariie F, Zakaria Pezeshki M. [Sexual dysfunction in couples and its related factors during pregnancy.] J Reprod Infertil 2008; 9: 271-283. (in Persian)
25. Hayes RD, Dennerstein L, Bennett CM, Sidat M, Gurrin LC, Fairley CK. Risk factors for female sexual dysfunction in the general population: exploring factors associated with low sexual function and sexual distress. J Sex Med 2008; 5: 1681-1693. [DOI:10.1111/j.1743-6109.2008.00838.x] [PMID]
26. Tasdemir N, Celik C, Abali R, Ozer I, Gokhan Culha M, Serefoglu EC. Sexual function may be impaired during pregnancy in adolescent women. Sexual and Relationship Therapy 2017; 32: 173-180. [DOI:10.1080/14681994.2016.1276552]
27. Naldoni LM, Pazmino MA, Pezzan PA, Pereira SB, Duarte G, Ferreira CH. Evaluation of sexual function in Brazilian pregnant women. J Sex Marital Ther 2011; 37: 116-129. [DOI:10.1080/0092623X.2011.560537] [PMID]
28. Sossah L. Sexual behavior during pregnancy: A descriptive correlational study among pregnant women. Eur J Res Med Sci 2014; 2: 16-27.
29. Faridi H, Najar Sh, Javadnoori M. The relationship between body mass index and women sexual function. Iran J Obstet Gynaecol Infertil 2013; 16: 20-28.
30. Abidin A, Draman N, Ismail S, Mustaffa I, Ahmad I. Female sexual dysfunction among overweight and obese women in Kota Bharu, Malaysia. J Taibah Uni Med Sci 2016; 11: 159-167. [DOI:10.1016/j.jtumed.2016.01.009]
31. Esposito K, Ciotola M, Giugliano F, Bisogni C, Schisano B, Autorino R, et al. Association of body weight with sexual function in women. Int J Impot Res 2007; 19: 353-357. [DOI:10.1038/sj.ijir.3901548] [PMID]
32. Pauls RN, Occhino JA, Dryfhout VL. Effects of pregnancy on female sexual function and body image: a prospective study. J Sex Med 2008; 5: 1915-1922. [DOI:10.1111/j.1743-6109.2008.00884.x] [PMID]
33. Andersen BL, Legrand J. Body image for women: conceptualization, assessment, and a test of its importance to sexual dysfunction and medical illness. J Sex Res 1991; 28: 457-477. [DOI:10.1080/00224499109551619] [PMID] [PMCID]
34. van den Brink F, Smeets MA, Hessen DJ, Woertman L. Positive body image and sexual functioning in dutch female university students: the role of adult romantic attachment. Arch Sex Behav 2016; 45: 1217-1226. [DOI:10.1007/s10508-015-0511-7] [PMID] [PMCID]
35. Woertman L, van den Brink F. Body image and female sexual functioning and behavior: a review. J Sex Res 2012; 49: 184-211. [DOI:10.1080/00224499.2012.658586] [PMID]
36. Satinsky S, Reece M, Dennis B, Sanders S, Bardzell S. An assessment of body appreciation and its relationship to sexual function in women. Body Image 2012; 9: 137-144. [DOI:10.1016/j.bodyim.2011.09.007] [PMID]
37. Pujols Y, Seal BN, Meston CM. The association between sexual satisfaction and body image in women. J Sex Med 2010; 7: 905-916. [DOI:10.1111/j.1743-6109.2009.01604.x] [PMID] [PMCID]
38. Uwapusitanon W, Choobun T. Sexuality and sexual activity in pregnancy. J Med Assoc Thai 2004; 87 (Suppl.): 45-49.
39. Heidari M, Amin Shokravi F, Zayeri F, Azin SA, Merghati-Khoei E. Sexual life during pregnancy: effect of an educational intervention on the sexuality of iranian couples: a quasiexperimental study. J Sex Marital Ther 2018; 44: 45-55. [DOI:10.1080/0092623X.2017.1313799] [PMID]
40. Afshar M, Mohammad-Alizadeh-Charandabi S, Merghti-Khoei ES, Yavarikia P. The effect of sex education on the sexual function of women in the first half of pregnancy: a randomized controlled trial. J Caring Sci 2012; 1: 173-181.

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