Obesity Surgery

, Volume 22, Issue 4, pp 668–676 | Cite as

A Review of the Relationships Between Extreme Obesity, Quality of Life, and Sexual Function

  • David B. SarwerEmail author
  • Megan Lavery
  • Jacqueline C. Spitzer


Extreme obesity is associated with significant health issues as well as substantial psychosocial burden for many individuals. Numerous studies have documented the impairments in quality of life associated with extreme obesity. Sexual behavior and functioning is an important aspect of quality of life but is frequently overlooked in research studies as well as clinical care. This paper focuses on the quality of life and sexual functioning of obese individuals with specific focus on the changes in these domains following the substantial weight losses seen after bariatric surgery.


Obesity Quality of life Sexual functioning Weight loss Body image 


Conflicts of Interest

Dr. Sarwer discloses that he currently receives grant support from the American Society of Metabolic and Bariatric Surgery (“Improvements in Reproductive Status Following Bariatric Surgery”), National Institutes of Health (RC1-DK086132 “Lifestyle Modification Versus Bariatric Surgery for Type 2 Diabetes”, R01-DK072452-01 “Changes in Sexual Function Following Bariatric Surgery”, and R01-DK080738 “Dietary Intake and Eating Behavior in Adolescents Who Undergo Bariatric Surgery”), and Ethicon Endo-Surgery (“Relationship of Realize Mysuccess usage to outcomes of bariatrics surgery”). He discloses that he is a consultant with Allergan, BaroNova, Enteromedics, and Ethicon Endo-Surgery. He also serves on the Board of Directors for the Surgical Review Corporation. These relationships have had no influence on the material in this paper. Ms. Lavery and Ms. Spitzer declare that they have no conflicts of interest.


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Copyright information

© Springer Science + Business Media, LLC 2012

Authors and Affiliations

  • David B. Sarwer
    • 1
    • 2
    Email author
  • Megan Lavery
    • 3
  • Jacqueline C. Spitzer
    • 1
  1. 1.Department of Psychiatry, Center for Weight and Eating DisordersPerelman School of Medicine at the University of PennsylvaniaPhiladelphiaUSA
  2. 2.Division of Plastic Surgery, Department of Surgery, The Edwin and Fannie Gray Hall Center for Human AppearancePerelman School of Medicine at the University of PennsylvaniaPhiladelphiaUSA
  3. 3.Cleveland Clinic Bariatric and Metabolic InstituteClevelandUSA

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