背景:纤维肌痛综合征(FMS)是一种风湿性疾病,已观察到影响性欲的自我感知。
目的:该研究旨在评估性功能障碍(SD),与SD水平建立可能的关联,并评估与健康对照女性相比,西班牙FMS女性的体力活动(PA)水平对SD的影响。
方法:本研究是横断面的。共有170名妇女自愿同意在2019年9月至2020年2月期间参加:FMS组88名,对照组82名。
结果:主要结局指标为SD,通过女性性功能指数(FSFI)评估,和PA水平,通过结构化面试进行评估。
结果:FMS组和对照组在每个领域和总SD评分方面存在显着差异(P<0.05)。此外,在探索FMS与SD风险之间的关联时,我们获得了中度显着的直接关联(χ2[1]=37.071,P<.05,phi=0.467)。结果表明,当PA水平未达到期望时,FMS组与对照组之间存在统计学差异。疼痛,和FSFI总分(P<0.05)。当达到PA水平时,在所有领域都发现了组间差异,以及FSFI的总分(P<0.05)。
结论:应评估FMS女性的性功能,而未来的治疗应该针对这一临床领域,目的是在这一人群中管理SD。
■主要限制是结果测量是自我报告的。
结论:我们发现西班牙女性FMS的SD患病率很高,对欲望等方面的影响,唤醒,润滑,性高潮,满意,性交时的疼痛。此外,FMS和SD之间存在中度直接关联。最终,结果表明,不管PA,FMS女性报告SD增加。
Fibromyalgia syndrome (FMS) is a rheumatic disorder that has been observed to affect self-perception of sexuality.
The
study aims to assess sexual dysfunction (SD), establish possible associations with SD levels, and evaluate the impact of physical activity (PA) levels on SD in Spanish women with FMS as compared with healthy control women.
The
study was cross-sectional. A total of 170 women voluntarily agreed to participate between September 2019 and February 2020: 88 in the FMS group and 82 in the control group.
The main outcome measures were SD, as assessed through the Female Sexual Function Index (FSFI), and PA levels, as assessed with a structured interview.
There were significant differences in every domain and total SD score between the FMS and control groups (P < .05). In addition, we obtained a moderate significant direct association (χ2[1] = 37.071, P < .05, phi = 0.467) when exploring the associations between FMS and risk of SD. Results showed statistically significant differences between the FMS group and the control group when PA levels were not reached in the desire, pain, and total scores of the FSFI (P < .05). When the PA levels were reached, between-group differences were found in all domains, as well as in the total score of the FSFI (P < .05).
Sexual function should be evaluated in women with FMS, while future treatments should address this clinical area with the aim of managing SD in this population.
The main limitation is that the outcome measures were self-reported.
We found a high prevalence of SD in Spanish women with FMS, with an impact on aspects such as desire, arousal,
lubrication, orgasm, satisfaction, and pain during sexual intercourse. In addition, there is a moderate direct association between FMS and SD. Ultimately, the results showed that, irrespective of PA, women with FMS reported increased SD.