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Sleep Med. 2018 Dec;52:158-162. doi: 10.1016/j.sleep.2018.07.016. Epub 2018 Sep 20.

Sleep and libido in men with obstructive sleep apnea syndrome.

Author information

1
Department of Neurology, Neuroscience Center, Samsung Biomedical Research Institute, Samsung Medical Center, Seoul, Republic of Korea.
2
Department of Neurology, Neuroscience Center, Samsung Biomedical Research Institute, Samsung Medical Center, Seoul, Republic of Korea; Department of Nursing, Samsung Medical Center, Department of Clinical Nursing Science, Graduate School of Clinical Nursing Science, Sungkyunkwan University, Seoul, Republic of Korea.
3
Department of Neurology, Busan Paik Hospital, Inje University College of Medicine, Busan, Republic of Korea.
4
Department of Neurology, Neuroscience Center, Samsung Biomedical Research Institute, Samsung Medical Center, Seoul, Republic of Korea; Department of Health Sciences and Technology, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea. Electronic address: eunyeon.joo@gmail.com.

Abstract

OBJECTIVES:

The objectives of this study were to investigate the relationship between a low libido and objective sleep parameters as well as mood disturbances in patients with obstructive sleep apnea syndrome (OSA).

METHODS:

We enrolled 436 untreated patients who were newly diagnosed with OSA (all male, mean age 42.8 years). Patients completed the Symptom checklist-90-Revised (SCL-90-R), Epworth Sleepiness Scale (ESS), Beck Depression Inventory-II (BDI), and Beck Anxiety Inventory (BAI). Patients were divided into low-libido and normal-libido groups according to their response to the statement "Loss of sexual interest or pleasure" on the SCL-90-R.

RESULTS:

Approximately 23% of patients reported a low libido. Patients with a low libido were older (47.5 ± 9.0 vs. 41.4 ± 11.1 years; p < 0.001), had more nocturia (33.3% vs. 16.6%; p < 0.001), higher BDI (9.0 (5.0-14.0) vs. 5.0 (2.0-9.0); p < 0.001) and BAI score (11.0 (6.3-16.8) vs. 5.0 (2.0-10.0); p < 0.001). These patients had a lower non-REM sleep stage 3 (N3) % (0.1 (0-4.0) vs. 2.3 (0.1-7.9); p < 0.001). Multivariate analysis revealed that older age and higher BDI score were independent factors associated with a low libido.

CONCLUSIONS:

Men with untreated OSA suffered from a low libido. Older age and depressed mood were the most important factors of low libido in middle-aged men with OSA.

KEYWORDS:

Libido; Obstructive sleep apnea; Polysomnography; Sleep quality

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