RESULTS
Regardless of the grouping, the mean VAI was 4.45. The mean age, WC, BMI, VAI fasting serum glucose, HDL-cholesterol and TG levels levels were similar between the groups (p>0.05) (Table 1). Sensitivity and specificity for the cut-off values of WC 89 cm, BMI <25, 25.0-29.9 and ≥30.0 kg/m2 and VAI 4.45 were 53.3% and 54.4%; 18.9% and 88.2%; and 52.2% and 48.5%, respectively (Fig. 1). Groups were similar in terms of MeTS, hypertension, diabetes, smoking and alcohol abuse (p>0.05) (Table 2). The mean total FSFI score and all the subgroups were significantly higher in Group 1 group than Group 2 (p<0.05) (Table 3). Participants with MeTS had substantially lower total FSFI scores than those without MeTS (p=0.023). Considering the subdomains, arousal and lubrication scores significantly lower in patients with MeTS than without MeTS (p<0.05), whereas desire, orgasm, satisfaction and pain scores were similar (p>0.05) (Table 4). For different cut-off levels of WC (WC-1 and WC-2) and BMI (BMI-1, BMI-2 and BMI-3), all the subdomain scores were similar (p>0.05). Only desire, lubrication and orgasm scores were significantly lower in participants with VAI ≥ 4.45 than with VAI<4.45 (p<0.05) (Table 5). Logistic regression analysis showed that each integer increase of VAI weakly predicted decrease of desire (r=0.193, p=0.015), arousal (r=0.193, p=0.015), lubrication (r=0.222, p=0.005) and satisfaction (r=0.159, p=0.046), but did not predicted orgasm (r=0.156, p=0.050) and pain (r=0.017, p=0.830) (Table 6).