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Erschienen in: Current Sexual Health Reports 4/2019

29.10.2019 | Female Sexual Dysfunction and Disorders (T Lorenz and R Nappi, Section Editors)

From Table to Bedroom: Nutritional Status, Dietary Interventions, and Women’s Sexual Function

verfasst von: Sean M. McNabney, Gretchen N. Wiese, David L. Rowland

Erschienen in: Current Sexual Health Reports | Ausgabe 4/2019

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Abstract

Purpose of Review

In this review, we summarize recent empirical evidence assessing the relationship between nutrition and female sexual dysfunction and give a broad interpretation of the effects.

Recent Findings

Dietary patterns that ensure adequate intake of shortfall nutrients may help to ameliorate reproductive problems associated with eating disorders, while supplementation in women with low vitamin D status improves sexual functioning. Combination treatments addressing body image concerns and maladaptive eating habits appear to be more effective for some eating disorder subtypes that result in malnutrition. For overweight and obese women, weight loss resulting from dietary changes and/or bariatric surgery tends to improve sexual interest, arousal, and activity. The metabolic perturbations that characterize diabetes mellitus and polycystic ovarian syndrome warrant nutritional interventions, and these lifestyle modifications often improve sexual functioning. Evidence for the use of specific dietary supplements to improve sexual responsivity in women has generally not been supported.

Summary

Nutritional status can elicit, exacerbate, or ameliorate sexual problems. Treatment of female sexual dysfunction may be enhanced by a multidisciplinary approach incorporating cutting-edge developments in nutrition science.
Fußnoten
1
This value includes both type 1 and type 2 diabetes mellitus, but the American Diabetes Association and Centers for Disease Control and Prevention indicate that the majority of these cases (~ 90% or higher) constitute type 2 diabetes. Importantly, lifestyle modifications—including diet—can be integral to treatment and/or management of both types, as discussed in this review.
 
Literatur
5.
Zurück zum Zitat • Rowland DL, McNabney SM, Donarski AM. Plant-derived supplements for sexual health and problems: Part 1—trends over the past decade. Curr Sex Health Rep. 2019. https://doi.org/10.1007/s11930-019-00203-0. Detailed review describing the regulatory status of dietary supplements in the USA and methodologic challenges of research relating plant-derived supplements to sexual and reproductive function. Stresses the need for rigorous clinical testing to validate pro-sexual claims of these herbs, often initially popularized by folklore. CrossRef • Rowland DL, McNabney SM, Donarski AM. Plant-derived supplements for sexual health and problems: Part 1—trends over the past decade. Curr Sex Health Rep. 2019. https://​doi.​org/​10.​1007/​s11930-019-00203-0. Detailed review describing the regulatory status of dietary supplements in the USA and methodologic challenges of research relating plant-derived supplements to sexual and reproductive function. Stresses the need for rigorous clinical testing to validate pro-sexual claims of these herbs, often initially popularized by folklore. CrossRef
8.
Zurück zum Zitat Basson R. Testosterone supplementation to improve women’s sexual satisfaction: complexities and unknowns. Ann Intern Med. vol 8. United States2008. p. 620-621.CrossRef Basson R. Testosterone supplementation to improve women’s sexual satisfaction: complexities and unknowns. Ann Intern Med. vol 8. United States2008. p. 620-621.CrossRef
11.
Zurück zum Zitat Neumark-Sztainer D, Haines J. Psychosocial and behavioral consequences of obesity. In: Thompson JK, editor. Handbook of eating disorders and obesity. Hoboken, NJ: John Wiley & Sons Inc.; 2004. p. 349–71. Neumark-Sztainer D, Haines J. Psychosocial and behavioral consequences of obesity. In: Thompson JK, editor. Handbook of eating disorders and obesity. Hoboken, NJ: John Wiley & Sons Inc.; 2004. p. 349–71.
13.
Zurück zum Zitat •• Rowland DL, McNabney SM, Mann AR. Sexual function, obesity, and weight loss in men and women. Sexual medicine reviews. 2017;5(3):323-38. https://doi.org/10.1016/j.sxmr.2017.03.006. A comprehensive review relating obesity and its metabolic and psychological comorbidities to sexual dysfunction in both men and women. Proposes a biopsychosocial conceptual framework to better clarify interactions between these variables. CrossRef •• Rowland DL, McNabney SM, Mann AR. Sexual function, obesity, and weight loss in men and women. Sexual medicine reviews. 2017;5(3):323-38. https://​doi.​org/​10.​1016/​j.​sxmr.​2017.​03.​006. A comprehensive review relating obesity and its metabolic and psychological comorbidities to sexual dysfunction in both men and women. Proposes a biopsychosocial conceptual framework to better clarify interactions between these variables. CrossRef
17.
Zurück zum Zitat •• Castellini G, Lelli L, Ricca V, Maggi M. Sexuality in eating disorders patients: etiological factors, sexual dysfunction and identity issues. A systematic review. Horm Mol Biol Clin Investig. 2016;25(2):71-90. https://doi.org/10.1515/hmbci-2015-0055. An essential review including original, human studies which evaluated sexual dysfunction and the psychopathology of eating disorders. Provides a clear analysis of key literature in this field. •• Castellini G, Lelli L, Ricca V, Maggi M. Sexuality in eating disorders patients: etiological factors, sexual dysfunction and identity issues. A systematic review. Horm Mol Biol Clin Investig. 2016;25(2):71-90. https://​doi.​org/​10.​1515/​hmbci-2015-0055. An essential review including original, human studies which evaluated sexual dysfunction and the psychopathology of eating disorders. Provides a clear analysis of key literature in this field.
23.
Zurück zum Zitat Morgan JF, Lacey JH, Reid F. Anorexia nervosa: changes in sexuality during weight restoration. Psychosom Med. 1999;61(4):541–5.CrossRef Morgan JF, Lacey JH, Reid F. Anorexia nervosa: changes in sexuality during weight restoration. Psychosom Med. 1999;61(4):541–5.CrossRef
24.
Zurück zum Zitat Meguerditchian C, Samuelian-Massat C, Valéro R, Begu-Le Corroller A, Fromont I, Mancini J, et al. The impact of weight normalization on quality of recovery in anorexia nervosa. Journal of the American College of Nutrition. 2009;28(4):397–404.CrossRef Meguerditchian C, Samuelian-Massat C, Valéro R, Begu-Le Corroller A, Fromont I, Mancini J, et al. The impact of weight normalization on quality of recovery in anorexia nervosa. Journal of the American College of Nutrition. 2009;28(4):397–404.CrossRef
28.
Zurück zum Zitat Carrillo AE, Flynn MG, Pinkston C, Markofski MM, Jiang Y, Donkin SS et al. Impact of vitamin D supplementation during a resistance training intervention on body composition, muscle function, and glucose tolerance in overweight and obese adults. Clinical nutrition (Edinburgh, Scotland). 2013;32(3):375-81. https://doi.org/10.1016/j.clnu.2012.08.014.CrossRef Carrillo AE, Flynn MG, Pinkston C, Markofski MM, Jiang Y, Donkin SS et al. Impact of vitamin D supplementation during a resistance training intervention on body composition, muscle function, and glucose tolerance in overweight and obese adults. Clinical nutrition (Edinburgh, Scotland). 2013;32(3):375-81. https://​doi.​org/​10.​1016/​j.​clnu.​2012.​08.​014.CrossRef
36.
Zurück zum Zitat • Jalali-Chimeh F, Gholamrezaei A, Vafa M, Nasiri M, Abiri B, Darooneh T, et al. Effect of vitamin D therapy on sexual function in women with sexual dysfunction and vitamin D deficiency: a randomized, double-blind, placebo controlled clinical trial. J Urol. 2019;201(5):987-93. https://doi.org/10.1016/j.juro.2018.10.019. A well-controlled feeding study evaluating the effects of vitamin D supplementation on sexual function in women with low vitamin D status. CrossRef • Jalali-Chimeh F, Gholamrezaei A, Vafa M, Nasiri M, Abiri B, Darooneh T, et al. Effect of vitamin D therapy on sexual function in women with sexual dysfunction and vitamin D deficiency: a randomized, double-blind, placebo controlled clinical trial. J Urol. 2019;201(5):987-93. https://​doi.​org/​10.​1016/​j.​juro.​2018.​10.​019. A well-controlled feeding study evaluating the effects of vitamin D supplementation on sexual function in women with low vitamin D status. CrossRef
45.
Zurück zum Zitat Castro AI, Gomez-Arbelaez D, Crujeiras AB, Granero R, Aguera Z, Jimenez-Murcia S et al. Effect of a very low-calorie ketogenic diet on food and alcohol cravings, physical and sexual activity, sleep disturbances, and quality of life in obese patients. Nutrients. 2018;10(10). https://doi.org/10.3390/nu10101348.CrossRef Castro AI, Gomez-Arbelaez D, Crujeiras AB, Granero R, Aguera Z, Jimenez-Murcia S et al. Effect of a very low-calorie ketogenic diet on food and alcohol cravings, physical and sexual activity, sleep disturbances, and quality of life in obese patients. Nutrients. 2018;10(10). https://​doi.​org/​10.​3390/​nu10101348.CrossRef
55.
Zurück zum Zitat Centers for Disease Control and Prevention. National Diabetes Statistics Report, 2017: estimates of diabetes and its burden in the United States. Atlanta, GA. Centers for Disease Control and Prevention. National Diabetes Statistics Report, 2017: estimates of diabetes and its burden in the United States. Atlanta, GA.
57.
Zurück zum Zitat American Diabetes Association. 3. Prevention or delay of type 2 diabetes: Standards of Medical Care in Diabetes-2019. Diabetes Care. 2019;42(Suppl 1):S29-s33. 10.2337/dc19-S003. American Diabetes Association. 3. Prevention or delay of type 2 diabetes: Standards of Medical Care in Diabetes-2019. Diabetes Care. 2019;42(Suppl 1):S29-s33. 10.2337/dc19-S003.
62.
Zurück zum Zitat van Zuuren EJ, Fedorowicz Z, Kuijpers T, Pijl H. Effects of low-carbohydrate- compared with low-fat-diet interventions on metabolic control in people with type 2 diabetes: a systematic review including GRADE assessments. The American journal of clinical nutrition. 2018;108(2):300–31. https://doi.org/10.1093/ajcn/nqy096.CrossRefPubMed van Zuuren EJ, Fedorowicz Z, Kuijpers T, Pijl H. Effects of low-carbohydrate- compared with low-fat-diet interventions on metabolic control in people with type 2 diabetes: a systematic review including GRADE assessments. The American journal of clinical nutrition. 2018;108(2):300–31. https://​doi.​org/​10.​1093/​ajcn/​nqy096.CrossRefPubMed
64.
Zurück zum Zitat Grundy SM, Benjamin IJ, Burke GL, Chait A, Eckel RH, Howard BV, et al. Diabetes and cardiovascular disease: a statement for healthcare professionals from the American Heart Association. Circulation. 1999;100(10):1134–46.CrossRef Grundy SM, Benjamin IJ, Burke GL, Chait A, Eckel RH, Howard BV, et al. Diabetes and cardiovascular disease: a statement for healthcare professionals from the American Heart Association. Circulation. 1999;100(10):1134–46.CrossRef
74.
Zurück zum Zitat Oh S, Kalyani RR, Dobs A. Nutritional management of diabetes mellitus. In: Ross AC, Caballero B, Cousins RJ, Tucker KL, Ziegler TR, editors. Modern nutrition in health and disease. 11th ed.: Lippincott Williams & Wilkins; 2014. p. 808-27. Oh S, Kalyani RR, Dobs A. Nutritional management of diabetes mellitus. In: Ross AC, Caballero B, Cousins RJ, Tucker KL, Ziegler TR, editors. Modern nutrition in health and disease. 11th ed.: Lippincott Williams & Wilkins; 2014. p. 808-27.
81.
Zurück zum Zitat •• Lee HS, Li Z, Kim SO, Ahn K, Kim NN, Park K. Effect of hyperglycemia on expression of aquaporins in the rat vagina. Urology. 2012;80(3):737.e7-12. https://doi.org/10.1016/j.urology.2012.03.026. A fascinating rodent study indicating that chronic hyperglycemia can decrease aquaporin expression in the vagina, potentially serving as the mechanism for decreased lubrication observed among premenopausal diabetic patients. While additional clinical studies are needed to independently validate these findings, restoring aquaporin expression may be one treatment strategy for diabetes-induced lubrication insufficiency. •• Lee HS, Li Z, Kim SO, Ahn K, Kim NN, Park K. Effect of hyperglycemia on expression of aquaporins in the rat vagina. Urology. 2012;80(3):737.e7-12. https://​doi.​org/​10.​1016/​j.​urology.​2012.​03.​026. A fascinating rodent study indicating that chronic hyperglycemia can decrease aquaporin expression in the vagina, potentially serving as the mechanism for decreased lubrication observed among premenopausal diabetic patients. While additional clinical studies are needed to independently validate these findings, restoring aquaporin expression may be one treatment strategy for diabetes-induced lubrication insufficiency.
92.
98.
100.
Zurück zum Zitat Rowland D. Culture and the practice of sexual medicine. In: Rowland DL, Jannini EA, editors. Cultural differences and the practice of sexual medicine. Switzerland: Springer Nature. In Press. Rowland D. Culture and the practice of sexual medicine. In: Rowland DL, Jannini EA, editors. Cultural differences and the practice of sexual medicine. Switzerland: Springer Nature. In Press.
107.
Zurück zum Zitat Rowland DL, Heiman JR, Gladue BA, Hatch JP, Doering CH, Weiler SJ. Endocrine, psychological and genital response to sexual arousal in men. Psychoneuroendocrinology. 1987;12(2):149–58.CrossRef Rowland DL, Heiman JR, Gladue BA, Hatch JP, Doering CH, Weiler SJ. Endocrine, psychological and genital response to sexual arousal in men. Psychoneuroendocrinology. 1987;12(2):149–58.CrossRef
Metadaten
Titel
From Table to Bedroom: Nutritional Status, Dietary Interventions, and Women’s Sexual Function
verfasst von
Sean M. McNabney
Gretchen N. Wiese
David L. Rowland
Publikationsdatum
29.10.2019
Verlag
Springer US
Erschienen in
Current Sexual Health Reports / Ausgabe 4/2019
Print ISSN: 1548-3584
Elektronische ISSN: 1548-3592
DOI
https://doi.org/10.1007/s11930-019-00224-9

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