Quality of life assessment of morbidly obese patients: effect of weight-reducing surgery

Gemert, Wim G. van; Adang, Eddy; Greve, Jan; Soeters, P.B.

doi:10.1093/ajcn/67.2.197

Cited by 112 publications

(66 citation statements)

References 11 publications

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“…In addition, Dixon et al (28) found that younger age was associated with lower mental health and older age with lower physical health. In morbidly obese subjects, there is evidence that HRQOL before surgery as measured with generic scales [SF-36, Nottingham Health Profile (NHP) parts I and II] is not only lower compared with normal population scores (30,31) but also comparable or even lower to that experienced by patients with serious medical conditions (28,32,33). Only one study did not show a significant difference in preoperative SF-36 scores between morbidly obese patients and standardized norm scores (34).…”

Section: Introductionmentioning

confidence: 99%

Two Measures of Health‐Related Quality of Life in Morbid Obesity

et al. 2002

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Objective: To compare health-related quality of life (HRQOL) measures in obese presurgery patients with and without binge-eating disorder (BED) and to investigate the relationship between a generic [short form-36 (SF-36)] and a disease-specific HRQOL measure [Impact of Weight on Quality of Life Questionnaire (IWQOL)] and measures of eating-related and general psychopathology. Research Methods and Procedures: One hundred ten patients ages 19 to 62 years with a mean body mass index of 48.4 Ϯ 8.3 kg/m 2 who were evaluated for gastric bypass surgery were asked to fill out questionnaires assessing eating-related and general psychopathology (depression, selfesteem), as well as the two HRQOL questionnaires. BED was assessed by self-report. Results: Nineteen (17.3%) patients met criteria for BED. Significant differences between patients with and without BED were found for four of the eight subscales of the SF-36 -with effect sizes ranging from 0.44 to 0.75-and for the total score and three of the five subscales of the IWQOL-Lite-with effect sizes from 0.57 to 0.74. The mental composite score of the SF-36 as well as the IWQOL total score correlated significantly with the measures of psychopathology.Discussion: This is the first study comparing the results of HRQOL measures in morbidly obese presurgery patients with and without BED. The results indicate that BED has a profound negative impact on HRQOL that exceeds the influence of obesity. Both HRQOL measures were able to reliably discriminate between patients with and without BED. Depression and self-esteem influenced HRQOL in a similar way as binge eating.

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Section: Introductionmentioning

confidence: 99%

Two Measures of Health‐Related Quality of Life in Morbid Obesity

et al. 2002

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“…1 -5 Massive weight loss in the obese population, usually induced by surgery, has been shown to improve both physical and mental aspects of QoL. 5,6 There is some information on QoL and lesser degrees of overweight using QoL measures. Most studies have concentrated on impairment of physical functioning with overweight.…”

Section: Introductionmentioning

confidence: 99%

The relationship between quality of life and perceived body weight and dieting history in Dutch men and women

2001

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OBJECTIVES: (1) To study the relationship between quality of life (QoL) and measured and perceived weight and dieting history in Dutch men and women; (2) to assess the effect of weight loss over a 5 y period on QoL. DESIGN: A cross-sectional study, in a sub-sample longitudinal over 5 y. SUBJECTS: A total of 2155 men and 2446 women, aged 20-59 and recruited from the general population from three towns in The Netherlands. MEASUREMENTS: Body weight, height, self-administered questionnaire including questions concerning demographic variables and weight loss practices as part of the Dutch Monitoring project on Risk Factors for Chronic Disease (MORGEN). The Rand-36 questionnaire was used as the QoL measure. RESULTS: In men, measured overweight (body mass index, BMI>25 kg=m 2 ) was not associated with any dimension of QoL after adjustment for age, educational level and perceived overweight. Perceived overweight was related to reduced scores for general health and vitality. This relationship was independent of measured obesity. A history of repeated weight loss was associated with reduced scores for role functioning due to both physical and emotional problems. In women, measured overweight was significantly associated with lower scores for five out of eight QoL dimensions and perceived overweight with three: general health, vitality and physical functioning. A history of frequent weight loss was related to significantly reduced scores in six dimensions. However, only with history of frequent weight loss, and uniquely in women, was there a significant reduction in scores on mental health and limited emotional role functioning. Measured and perceived overweight and frequent weight loss were all related to reduced scores for physical functioning. Longitudinal data indicate that in older women weight gain of 10% body weight or more was associated with a significant deterioration in QoL. CONCLUSIONS: When looking at measures of QoL in relation to overweight it is important to separate the effects of perception of weight status and history of weight loss. We observed that the latter two factors were associated with reduced scores on several dimensions of QoL, particularly in women. These associations were observed to be independent of body weight.

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“…A diminuição da percepção deste impacto em indivíduos submetidos à cirurgia bariátrica pode ser atribuída à melhora das condições de saúde geral destes pacientes, como a remissão de comorbidades, o que poderia minimizar o impacto de condições como a cárie e o desgaste dentário (MARSICANO et al, 2011) A associação da obesidade a comorbidades pode comprometer ainda mais a qualidade de vida dos obesos, uma vez que esta condição pode gerar distúrbios emocionais, psicológicos e discriminação ( VAN GERMET et al, 1998). A obesidade foi negativamente correlacionada à qualidade de vida em mulheres, evidenciando que a doença poderia ter um impacto independente na qualidade de vida naquela população avaliada (DINC et al, 2006).…”

Section: Instrumentos Específicos Para Acessar Aspectos De Qualidade unclassified

“…Quando a obesidade está associada a alguma comorbidade, a qualidade de vida dos indivíduos pode apresentar-se comprometida, bem como pode estar associada a distúrbios emocionais e psicológicos (OLSZANECKA-GLINIANOWICZ et al, 2014; VAN GERMET et al, 1998).…”

Section: Qualidade De Vida E Satisfação Com a Vidaunclassified

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Condições periodontais e de higiene bucal, qualidade de vida e satisfação com a vida em pacientes obesos diabéticos e não diabéticos submetidos à cirurgia bariátrica

Freitas¹

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Quality of life assessment of morbidly obese patients: effect of weight-reducing surgery

Cited by 112 publications

References 11 publications

Two Measures of Health‐Related Quality of Life in Morbid Obesity

Two Measures of Health‐Related Quality of Life in Morbid Obesity

The relationship between quality of life and perceived body weight and dieting history in Dutch men and women

Condições periodontais e de higiene bucal, qualidade de vida e satisfação com a vida em pacientes obesos diabéticos e não diabéticos submetidos à cirurgia bariátrica

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