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Obesity And Sexual Dysfunction

Obesity, now can be classified as disease rather than a mere sign or symptom. In other words it can be said that obesity is the MOTHER of many diseases of modern era. The worldwide epidemic of excess weight is due to imbalance between physical activity and dietary energy intake. Sedentary lifestyle, unhealthy diet, and consequent overweight and obesity markedly increase the risk of sexual disorders, cardiovascular diseases and many more.

Sexual problems in both male and female appear to be widespread in society, mainly due to health-related as well as psychosocial factors. This may lead to impaired quality of life. Obesity may be a risk factor for sexual dysfunction in both man and woman. Obesity indicates a higher prevalence of impotence in obese men. The high prevalence of erectile dysfunction (ED) in patients with cardiovascular risk factors suggests that abnormalities of the vasodilator system of penile arteries play an important role in the patho physiology of ED.

Various studies suggest that modifiable health behaviors, including physical activity and balanced diet are associated with a reduced risk for erectile dysfunction (ED). Almost one-third of obese men with ED can regain their sexual activity after 1 to 2 years of adopting health behaviors, regular exercise and reducing weight. The adoption of healthy lifestyles can reduce the prevalence of obesity and the metabolic syndrome, and the problem of sexual dysfunction. Regular physical activity for 45-60 min per day prevents unhealthy weight gain and obesity. Regular exercise can markedly reduce body weight and fat mass without dietary caloric restriction in overweight individuals. An increase in total energy expenditure appears to be the most important determinant of successful exercise-induced weight loss. The best long-term results may be achieved when physical activity produces an energy expenditure of at least 2200 kcal per week.

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The optimal approach in weight reduction programs appears to be a combination of regular physical activity and caloric restriction. Regular moderate intensity physical activity, a healthy diet, and avoiding unhealthy weight gain are effective and safe ways to prevent and treat cardiovascular diseases and other diseases. To overcome the epidemic of overweight and to improve health among population, strategies have to be developed to increase regular physical activity and to prevent overweight.

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