Breathlessness and sexual activity in older adults: The Australian Longitudinal Study of Ageing

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title = "Breathlessness and sexual activity in older adults: The Australian Longitudinal Study of Ageing",
abstract = "Sexual activity is important to older adults (65 +). Breathlessness affects about 25{\%} of older adults but impact on sexual activity is unknown. We evaluated the relationships between breathlessness and sexual inactivity and self-reported health among older community-dwelling adults in the Australian Longitudinal Study of Ageing. Associations between self-reported breathlessness (hurrying on level ground or walking up a slight hill) at baseline, self-reported sexual activity, overall health and health compared to people of the same age were explored using logistic regression at baseline and 2 years, adjusted for potential confounders (age, sex, marital status, smoking status and co-morbidities). Of 798 participants (mean age 76.4 years [SD, 5.8] 65 to 103; 53{\%} men, 73{\%} married), 688 (86.2{\%}) had 2-year follow-up data. People with breathlessness had higher prevalence and duration of sexual inactivity (77.7{\%} vs. 65.6{\%}; p < 0.001; 12 [IQR, 5-17] vs. 9.5 [IQR, 5-16] years; p = 0.043). Breathlessness was associated with more sexual inactivity, (adjusted OR 1.75; [95{\%} CI] 1.24-2.45), worse health (adjusted OR 2.02; 1.53-2.67) and worse health compared to peers (adjusted OR 1.72; 1.25-2.38). Baseline breathlessness did not predict more sexual inactivity at 2 years. In conclusion, breathlessness contributes to sexual inactivity and worse perceived health in older adults, which calls for improved assessment and management.",
author = "Magnus Ekstr{\"o}m and Johnson, {Miriam J.} and Bridget Taylor and Mary Luszcz and Pia Wohland and Ferreira, {Diana H.} and Currow, {David C.}",
year = "2018",
month = "12",
day = "1",
doi = "10.1038/s41533-018-0090-x",
language = "English",
volume = "28",
journal = "npj Primary Care Respiratory Medicine",
issn = "2055-1010",
publisher = "Nature Publishing Group",
number = "1",