TY - JOUR
T1 - Sexual problems in elderly male and female patients with heart failure
AU - Hoekstra, Tialda
AU - Lesman-Leegte, Ivonne
AU - Luttik, Marie Louise
AU - Sanderman, Robbert
AU - van Veldhuisen, Dirk J
AU - Jaarsma, Tiny
PY - 2012/11
Y1 - 2012/11
N2 - OBJECTIVES: To investigate perceived sexual problems in a large group of younger and older patients with heart failure (HF), with and without a partner, focusing on a broad range of perceived sexual problems, and compare this with a sample of healthy community-dwelling elderly people.DESIGN: Cross-sectional study.SETTING: 17 HF clinics and general practices in The Netherlands.PARTICIPANTS: 438 patients with HF and 459 healthy community-dwelling elderly people.MAIN OUTCOME MEASURES: Differences in sexual functioning, related factors and perceived causes of sexual problems between patients with HF and healthy community controls.RESULTS: In total, 59% of HF patients reported sexual problems, mostly problems with erectile function. HF patients with a partner (67%) and younger patients (65%) reported significantly more sexual problems than healthy community controls (58%, p=0.011 and 53%, p=0.011, respectively). Multivariate analyses show that sexual problems in HF patients with a partner were more common in men (OR 2.73, 95% CI 1.572 to 4.753) and in those with a prescription of β-blockers (OR 2.00, 95% CI 1.10 to 3.586). In younger patients, sexual problems were independently associated with male gender (OR 3.21, 95% CI 2.099 to 4.908) and having a partner (OR 2.00, 95% CI 1.283 to 3.110). HF patients mainly attribute their sexual problems to symptoms of HF.CONCLUSION: Sexual problems are common in patients with HF, particularly in younger patients and those with a partner. As patients attribute their sexual problems mostly to HF symptoms, adequate treatment and education of HF patients is needed.
AB - OBJECTIVES: To investigate perceived sexual problems in a large group of younger and older patients with heart failure (HF), with and without a partner, focusing on a broad range of perceived sexual problems, and compare this with a sample of healthy community-dwelling elderly people.DESIGN: Cross-sectional study.SETTING: 17 HF clinics and general practices in The Netherlands.PARTICIPANTS: 438 patients with HF and 459 healthy community-dwelling elderly people.MAIN OUTCOME MEASURES: Differences in sexual functioning, related factors and perceived causes of sexual problems between patients with HF and healthy community controls.RESULTS: In total, 59% of HF patients reported sexual problems, mostly problems with erectile function. HF patients with a partner (67%) and younger patients (65%) reported significantly more sexual problems than healthy community controls (58%, p=0.011 and 53%, p=0.011, respectively). Multivariate analyses show that sexual problems in HF patients with a partner were more common in men (OR 2.73, 95% CI 1.572 to 4.753) and in those with a prescription of β-blockers (OR 2.00, 95% CI 1.10 to 3.586). In younger patients, sexual problems were independently associated with male gender (OR 3.21, 95% CI 2.099 to 4.908) and having a partner (OR 2.00, 95% CI 1.283 to 3.110). HF patients mainly attribute their sexual problems to symptoms of HF.CONCLUSION: Sexual problems are common in patients with HF, particularly in younger patients and those with a partner. As patients attribute their sexual problems mostly to HF symptoms, adequate treatment and education of HF patients is needed.
KW - age distribution
KW - age factors
KW - aged
KW - cross-sectional studies
KW - female
KW - follow-up studies
KW - heart failure
KW - humans
KW - incidence
KW - male
KW - middle aged
KW - netherlands
KW - prognosis
KW - risk factors
KW - sex distribution
KW - sexual dysfunction, physiological
KW - sexuality
KW - surveys and questionnaires
KW - comparative study
KW - journal article
KW - multicenter study
KW - research support, non-U.S. Gov't
KW - leeftijdsverdeling
KW - leeftijdsfactoren
KW - correlationeel onderzoek
KW - hartverlamming
KW - mensen
KW - middelbaar
KW - nederland
KW - prognoses
KW - risicofactoren
KW - sekseverschillen
KW - seksuele stoornis, fysiologisch
KW - seksualiteit
KW - onderzoeken en vragenlijsten
KW - vergelijkende studies
KW - multicenter onderzoek
KW - onderzoekshulp
UR - https://www.mendeley.com/catalogue/16c78ad2-9809-343e-8871-136fb5929c87/
U2 - 10.1136/heartjnl-2012-302305
DO - 10.1136/heartjnl-2012-302305
M3 - Article
C2 - 22875738
SN - 0147-9563
VL - 98
SP - 1647
EP - 1652
JO - Heart & Lung: The Journal of Cardiopulmonary and Acute Care
JF - Heart & Lung: The Journal of Cardiopulmonary and Acute Care
IS - 22
ER -