Adherence to Mediterranean Diet and Sexual Function in Women with Type 2 Diabetes
Adherence to Mediterranean Diet and Sexual Function in Women with Type 2 Diabetes
复制标题
坚持地中海饮食与 2 型糖尿病妇女的性功能
DOI：
10.1111/j.1743-6109.2010.01714.x
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发表时间：
2010-05-01
影响因子：
3.5
通讯作者：
Esposito, Katherine
中科院分区：
文献类型：
--
作者：
Giugliano, Francesco;Maiorino, Maria Ida;Esposito, Katherine
介绍。没有报道的研究评估饮食之间的关系和女性性功能diabetes.Aim.In目前的研究中,我们探讨了消费关系的地中海式饮食和性功能的人口与2型糖尿病2型糖尿病women.Methods.Patients注册如果他们诊断的2型糖尿病至少6个月但不到10年,年龄35 - 70岁,身体质量指数(BMI) 24或更高,糖化血红蛋白6.5%或更高,饮食或口服药物治疗。所有糖尿病患者都被邀请完成一份食物频率问卷和性功能自我报告测量。659名女性中，共有595名（90.2%）完成了这两份问卷，并在本研究中进行了分析。主要结果测量。对地中海饮食的坚持程度采用9分制进行评估，该量表纳入了该饮食的显著特征（得分范围为0-9，得分越高表明坚持程度越高）。结果：与得分< 3分的糖尿病女性相比，得分最高（6-9分）的糖尿病女性BMI、腰围和腰臀比较低，抑郁、肥胖和代谢综合征患病率较低，体力活动水平较高，血糖和血脂状况较好。性活跃女性的比例在坚持地中海饮食的各个阶段显著增加（从54.2%增加到65.1%,P = 0.01）。根据FSFI女性性功能障碍（FSD）的临界值为23分，依从性得分最高的女性性功能障碍患病率较低（分别为47.6%、53.9%和57.8%，高、中、低三类女性，P = 0.01）。结论：在2型糖尿病女性患者中，更坚持地中海饮食与FSD患病率较低相关。Giugliano F, Maiorino MI, Di Palo C, Autorino R, De Sio M, Giugliano D, Esposito K.坚持地中海饮食对2型糖尿病女性性功能的影响。性医学杂志2010；7:1883-1890。
Introduction.There are no reported studies assessing the relation between diet and sexual function in women with diabetes.Aim.In the present study, we explored the relation between consumption of a Mediterranean-type diet and sexual function in a population of type 2 diabetic women.Methods.Patients with type 2 diabetes were enrolled if they had a diagnosis of type 2 diabetes for at least six months but less than 10 years, age 35-70 years, body mass index (BMI) of 24 or higher, HbA1c of 6.5% or higher, treatment with diet or oral drugs. All diabetic patients were invited to complete a food-frequency questionnaire and self-report measures of sexual function. A total of 595 (90.2%) of the 659 women completed both questionnaires and were analyzed in the present study.Main Outcome Measures.Adherence to a Mediterranean diet was assessed by a 9-point scale that incorporated the salient characteristics of this diet (range of scores, 0-9, with higher scores indicating greater adherence). The Female Sexual Function Index (FSFI) was used for assessing the key dimensions of female sexual function.Results.Diabetic women with the highest scores (6-9) had lower BMI, waist circumference, and waist-to-hip ratio, a lower prevalence of depression, obesity and metabolic syndrome, a higher level of physical activity, and better glucose and lipid profiles than the diabetic women who scored < 3 points on the scale. The proportion of sexually active women showed a significant increase across tertiles of adherence to Mediterranean diet (from 54.2% to 65.1%, P = 0.01). Based on the FSFI cutoff score for female sexual dysfunction (FSD) of 23, women with the highest score of adherence had a lower prevalence of sexual dysfunction as compared with women of lower tertiles (47.6%, 53.9%, and 57.8%, higher, middle, and lower tertile, respectively, P = 0.01). These associations remained significant after adjustment for many potential confounders.Conclusions.In women with type 2 diabetes, greater adherence to Mediterranean diet is associated with a lower prevalence of FSD. Giugliano F, Maiorino MI, Di Palo C, Autorino R, De Sio M, Giugliano D, and Esposito K. Adherence to mediterranean diet and sexual function in women with type 2 diabetes. J Sex Med 2010;7:1883-1890.