jueves, 15 de noviembre de 2012

Obesidad y función sexual

La asociación entre las transiciones maritales, el índice de masa corporal y el peso: Revisión de la literatura.


The Association between Marital Transitions, Body Mass Index, and Weight: A Review of the Literature.
Dinour L, Leung MM, Tripicchio G, Khan S, Yeh MC.
Department of Public Health, The Graduate Center, City University of New York, 365 Fifth Avenue, New York, NY 10016, USA.
J Obes. 2012;2012:294974. doi: 10.1155/2012/294974. Epub 2012 Sep 20.
Abstract
Objective. To examine the association between different marital transitions and changes in body mass index (BMI) and body weight. Methods. A systematic literature search was conducted for peer-reviewed articles published between January 1990 and December 2011. Longitudinal studies were included if they compared dependent variables, such as BMI or weight, before and after a change in marital status. Results. Twenty articles were included: 4 articles described only transitions into marriage and/or cohabitation, 2 articles described only transitions out of marriage and/or cohabitation, and 14 articles described both. Overall, transitions into marriage were associated with weight gain, whereas transitions out of marriage were associated with weight loss. No major differences were observed between genders or across specific marital transition states. Conclusions. Additional research is warranted to better understand this phenomenon and the impact of marital transitions on obesity and obesity-related behaviors. This paper highlights potential opportunities to incorporate programs, practices, and policies that aim to promote and support healthy weights and lifestyles upon entering or leaving a marriage or cohabiting relationship.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3461301/pdf/JOBES2012-294974.pdf


Las diferencias individuales en la actividad del núcleo accumbens a la comida y a las imágenes sexuales predicen la ganancia de peso y la conducta sexual


Individual differences in nucleus accumbens activity to food and sexual images predict weight gain and sexual behavior.
Demos KE, Heatherton TF, Kelley WM.
Department of Psychological and Brain Sciences, Center for Cognitive Neuroscience, Dartmouth College, Hanover, New Hampshire 03755, USA.Kathryn_demos@brown.edu
J Neurosci. 2012 Apr 18;32(16):5549-52. doi: 10.1523/JNEUROSCI.5958-11.2012.
Abstract
Failures of self-regulation are common, leading to many of the most vexing problems facing contemporary society, from overeating and obesity to impulsive sexual behavior and STDs. One reason that people may be prone to engaging in unwanted behaviors is heightened sensitivity to cues related to those behaviors; people may overeat because of hyperresponsiveness to food cues, addicts may relapse following exposure to their drug of choice, and some people might engage in impulsive sexual activity because they are easily aroused by erotic stimuli. An open question is the extent to which individual differences in neural cue reactivity relate to actual behavioral outcomes. Here we show that individual differences in human reward-related brain activity in the nucleus accumbens to food and sexual images predict subsequent weight gain and sexual activity 6 months later. These findings suggest that heightened reward responsivity in the brain to food and sexual cues is associated with indulgence in overeating and sexual activity, respectively, and provide evidence for a common neural mechanism associated with appetitive behaviors.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3377379/pdf/nihms370916.pdf



Función sexual de los obesos que participan en un estudio de pérdida de peso
Sexual functioning in obese adults enrolling in a weight loss study.
Ostbye T, Kolotkin RL, He H, Overcash F, Brouwer R, Binks M, Syrjala KL, Gadde KM.
Department of Community and Family Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA. truls.ostbye@duke.edu
J Sex Marital Ther. 2011;37(3):224-35.
Abstract
The authors assessed sexual functioning among treatment-seeking obese men (n = 91) and women (n = 134) using the comprehensive validated Sexual Functioning Questionnaire. Scores were lower for women than for men, indicating reduced sexual functioning. Men's scores fell between those of a group of cancer survivors and a general population group, whereas women generally had lower scores than both of these groups. Increasing body mass index was associated with decreasing sexual functioning only for arousal and behavior. Sexual functioning was also reduced on most subscales for individuals who reported sexual inactivity in the past month.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3201733/pdf/nihms330982.pdf




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Anestesiología y Medicina del Dolor
www.anestesia-dolor.org

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