Research Summary
Analyzed using Evidence Intelligence™

Intensive lifestyle intervention improves sexual function in obese women with diabetes

Last updated August 22, 2026

Key finding

83% of women in the ILI group remained sexually active compared to 64% in the DSE group (P < 0.008).

This study examined the effects of an Intensive Lifestyle Intervention on sexual function in obese women with Type 2 Diabetes, finding significant improvements in sexual activity and function.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Risk of bias

Some Concerns

Save research, organize studies, and quickly find important evidence again.

Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study examined the effects of an Intensive Lifestyle Intervention on sexual function in obese women with Type 2 Diabetes, finding significant improvements in sexual activity and function.

Clinical relevance

Improving sexual function is crucial for the quality of life in obese women with Type 2 Diabetes. The findings suggest that lifestyle changes can have a positive impact on sexual health, which is often overlooked in diabetes management. This highlights the importance of integrating lifestyle interventions into diabetes care.

Keep in mind

The study did not assess long-term effects beyond the intervention period. Results may not be generalizable to all populations with Type 2 Diabetes. The sample size and demographic characteristics may limit broader applicability.

Published in

Journal Reference

Publication details and source links for this paper.

Rena RW, Dale SB, Isaias NG, et al. Effects of Intensive Lifestyle Intervention on Sexual Function in Obese Women with Type 2 Diabetes. Diabetes Care. 2013;36(10):2937-2944. doi:10.2337/dc13-0315

Main Effects

83% of women in the ILI group remained sexually active compared to 64% in the DSE group (P < 0.008).

Women in the ILI group reported greater improvement in total FSFI scores compared to DSE (P < 0.05).

28% of women in the ILI group experienced remission of FSD compared to 11% in the DSE group (P < 0.04).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to DSMES, Lifestyle intervention for prediabetes and Change in total FSFI scores from baseline to 1 year, Proportion of Women Experiencing Remission of Female Sexual Dysfunction at 1 Year, Proportion of women remaining sexually active at 1 year follow-up.

Primary intervention

DSMES

Primary outcomes

  • Change in total FSFI scores from baseline to 1 year
  • Proportion of Women Experiencing Remission of Female Sexual Dysfunction at 1 Year
  • Proportion of women remaining sexually active at 1 year follow-up

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

6
Evidence pairs
6
Relationships
1
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 59

1

Related topics

6

Evidence pairs

106

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

Save studies and evidence pages, organize your personal Evidence Tracker, and keep the research you care about in one place.

Primary evidence

Evidence topic

Diabetes Self-Management Education and Support

matched_intervention

Core evidence

Study findings

The primary outcomes reported in this study.

Change in total FSFI scores from baseline to 1 year

DSMES → Change in total FSFI scores from baseline to 1 year

DSMES → Change in total FSFI scores from baseline to 1 year

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Change in total FSFI scores from baseline to 1 year

Lifestyle intervention for prediabetes → Change in total FSFI scores from baseline to 1 year

Lifestyle intervention for prediabetes → Change in total FSFI scores from baseline to 1 year

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Proportion of Women Experiencing Remission of Female Sexual Dysfunction at 1 Year

Lifestyle intervention for prediabetes → Proportion of Women Experiencing Remission of Female Sexual Dysfunction at 1 Year

Lifestyle intervention for prediabetes → Proportion of Women Experiencing Remission of Female Sexual Dysfunction at 1 Year

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Proportion of women remaining sexually active at 1 year follow-up

Lifestyle intervention for prediabetes → Proportion of women remaining sexually active at 1 year follow-up

Lifestyle intervention for prediabetes → Proportion of women remaining sexually active at 1 year follow-up

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

evidence suggest

Evidence Suggest

  • 83% of ILI participants remained sexually active versus 64% in DSE.
  • 28% of ILI participants achieved remission of FSD compared to 11% in DSE.
  • Total FSFI scores improved significantly in the ILI group.
who this applies

Who this applies to

  • Obese women diagnosed with Type 2 Diabetes.
  • Women experiencing Female Sexual Dysfunction.
keep in mind

Keep in Mind

  • The study focused on a specific demographic, limiting generalizability.
  • Findings are based on self-reported measures, which may introduce bias.
  • No significant differences were found in women without FSD at baseline.
between the lines

Between the Lines

  • The study did not assess long-term effects beyond the intervention period.
  • Results may not be generalizable to all populations with Type 2 Diabetes.
  • The sample size and demographic characteristics may limit broader applicability.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Diabetes Self-Management Education and Support (DSMES) Programs and Proportion of women remaining sexually active at 1 year follow-up, Diabetes Self-Management Education and Support (DSMES) Programs and Proportion of Women Experiencing Remission of Female Sexual Dysfunction at 1 Year.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Included in these evidence collections

Curated evidence collections and hubs this study is part of.

Explore more in Evidence Explorer

Jump to pre-filtered views in Evidence Explorer.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Lifestyle intervention for prediabetes improve change in total fsfi scores from baseline to 1 year?

Emerging Evidence

Lifestyle intervention for prediabetes appears to improve change in total fsfi scores from baseline to 1 year.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Change in total FSFI scores from baseline to 1 year

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Lifestyle intervention for prediabetes improve proportion of women experiencing remission of female sexual dysfunction at 1 year?

Emerging Evidence

Lifestyle intervention for prediabetes appears to improve proportion of women experiencing remission of female sexual dysfunction at 1 year.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Proportion of Women Experiencing Remission of Female Sexual Dysfunction at 1 Year

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Lifestyle intervention for prediabetes improve proportion of women remaining sexually active at 1 year follow-up?

Emerging Evidence

Lifestyle intervention for prediabetes appears to improve proportion of women remaining sexually active at 1 year follow-up.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Proportion of women remaining sexually active at 1 year follow-up

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does DSMES improve change in total fsfi scores from baseline to 1 year?

Emerging Evidence

Current evidence does not show a clear benefit of DSMES for change in total fsfi scores from baseline to 1 year.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Change in total FSFI scores from baseline to 1 year

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
Learn how Evidence Intelligence™ works

Next steps

Continue your research

Choose a next path through related evidence topics, Evidence Explorer views, and research summaries.

No ads. No tracking.

Focused on evidence, not advertising.

Secure & private

Your data is always protected.

Always up to date

New studies added every day.