Health and Quality of Life Outcomes | |
Associations between physical activity and quality of life outcomes in adults with severe obesity: a cross-sectional study prior to the beginning of a lifestyle intervention | |
Gerd K Natvig3  John R Andersen2  Eivind Aadland1  Randi Jepsen3  | |
[1] Faculty of Health Studies, Sogn og Fjordane University College, N-6803 Førde, Norway;Førde Health Enterprise, N-6807 Førde, Norway;Department of Global Public Health and Primary Care, University of Bergen, N-5020 Bergen, Norway | |
关键词: Accelerometer; Physical activity; SF-36; Life satisfaction; Quality of life; BMI; Severe obesity; | |
Others : 822185 DOI : 10.1186/1477-7525-11-187 |
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received in 2013-06-26, accepted in 2013-10-31, 发布年份 2013 | |
【 摘 要 】
Background
Severely obese individuals who seek lifestyle interventions have impaired quality of life (QoL). Research suggests that physical activity (PA) plays a role in weight reduction and improved health in this group, but knowledge about the association of PA with QoL outcomes is sparse and inconsistent. The aim of this study was to investigate whether a higher level of PA was independently associated with higher QoL in severely obese individuals prior to the beginning of a lifestyle intervention.
Methods
During 2010, a total of 49 severely obese individuals who began a lifestyle intervention programme in Western Norway agreed to participate in the study. Data were collected prior to the beginning of the intervention. QoL was measured by a one-item scale on life satisfaction and the SF-36, PA was measured by an accelerometer, and clinical data were collected by health staff. Linear regression analyses were used to determine the associations between PA and QoL outcomes (life satisfaction, physical functioning, and mental health), adjusting for age, gender, and body mass index (BMI).
Results
In the adjusted analyses, we found positive relationships between PA and life satisfaction (Stand. coeff. 0.39, p = 0.024) and physical functioning (Stand. coeff. 0.34, p = 0.025). There was no association between PA and mental health (Stand. coeff. 0.15, p = 0.376).
Conclusion
This study detected associations between objectively measured PA and life satisfaction as well as physical functioning in a group of severely obese individuals before they began a lifestyle intervention programme.
【 授权许可】
2013 Jepsen et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20140712094521191.pdf | 192KB | download |
【 参考文献 】
- [1]Sturm R: Increases in morbid obesity in the USA: 2000–2005. Public Health 2007, 121:492-496.
- [2]Swinburn BA, Sacks G, Hall KD, McPherson K, Finegood DT, Moodie ML, Gortmaker SL: The global obesity pandemic: shaped by global drivers and local environments. Lancet 2011, 378:804-814.
- [3]Puhl RM, Heuer CA: The stigma of obesity: a review and update. Obesity (Silver Spring) 2009, 17:941-964.
- [4]van Nunen AM, Wouters EJ, Vingerhoets AJ, Hox JJ, Geenen R: The health-related quality of life of obese persons seeking or not seeking surgical or non-surgical treatment: a meta-analysis. Obes Surg 2007, 17:1357-1366.
- [5]Karlsson J, Taft C, Ryden A, Sjostrom L, Sullivan M: Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. Int J Obes (Lond) 2007, 31:1248-1261.
- [6]Ferrans CE, Zerwic JJ, Wilbur JE, Larson JL: Conceptual model of health-related quality of life. J Nurs Scholarsh 2005, 37:336-342.
- [7]McDowell I: Measures of self-perceived well-being. J Psychosom Res 2010, 69:69-79.
- [8]Ware JE, Kosinski M, Gandek B: SF-36 health survey: manual & interpretation guide. Lincoln, RI: QualityMetric Inc.; 2000.
- [9]Simpson SA, Shaw C, McNamara R: What is the most effective way to maintain weight loss in adults? BMJ 2011, 343:d8042.
- [10]Butryn ML, Webb V, Wadden TA: Behavioral treatment of obesity. Psychiatr Clin North Am 2011, 34:841-859.
- [11]Catenacci VA, Wyatt HR: The role of physical activity in producing and maintaining weight loss. Nat Clin Pract Endocrinol Metab 2007, 3:518-529.
- [12]Fogelholm M: Physical activity, fitness and fatness: relations to mortality, morbidity and disease risk factors. A systematic review. Obes Rev 2010, 11:202-221.
- [13]Unick JL, Beavers D, Bond DS, Clark JM, Jakicic JM, Kitabchi AE, Knowler WC, Wadden TA, Wagenknecht LE, Wing RR: The long-term effectiveness of a lifestyle intervention in severely obese individuals. Am J Med 2013, 126:236-242.
- [14]Colley RC, Hills AP, O’Moore-Sullivan TM, Hickman IJ, Prins JB, Byrne NM: Variability in adherence to an unsupervised exercise prescription in obese women. Int J Obes (Lond) 2008, 32:837-844.
- [15]Foster GD, Wadden TA, Phelan S, Sarwer DB, Sanderson RS: Obese patients’ perceptions of treatment outcomes and the factors that influence them. Arch Intern Med 2001, 161:2133-2139.
- [16]Fabricatore AN, Wadden TA, Womble LG, Sarwer DB, Berkowitz RI, Foster GD, Brock JR: The role of patients’ expectations and goals in the behavioral and pharmacological treatment of obesity. Int J Obes (Lond) 2007, 31:1739-1745.
- [17]Bond DS, Evans RK, DeMaria E, Wolfe L, Meador J, Kellum J, Maher J, Warren BJ: Physical activity and quality of life improvements before obesity surgery. Am J Health Behav 2006, 30:422-434.
- [18]Lerdal A, Andenaes R, Bjornsborg E, Bonsaksen T, Borge L, Christiansen B, Eide H, Hvinden K, Fagermoen MS: Personal factors associated with health-related quality of life in persons with morbid obesity on treatment waiting lists in Norway. Qual Life Res 2011, 20:1187-1196.
- [19]Martin CK, Church TS, Thompson AM, Earnest CP, Blair SN: Exercise dose and quality of life: a randomized controlled trial. Arch Intern Med 2009, 169:269-278.
- [20]Wang J, Sereika SM, Styn MA, Burke LE: Factors associated with health-related quality of life among overweight or obese adults. J Clin Nurs 2013, 22:2172-2182.
- [21]Naess S, Eriksen J, Midthjell K, Tambs K, Nord-Trøndelag Health Study: Subjective well-being before and after the onset of diabetes mellitus: results of the Nord-Trøndelag Health Study. J Diabetes Complications 2005, 19:88-95.
- [22]Helvik A-S, Engedal K, Krokstad S, Selbæk G: A comparison of life satisfaction in elderly medical inpatients and the elderly in a population-based study: Nord-Trøndelag Health Study 3. Scand J Public Health 2011, 39:337-344.
- [23]Prince SA, Adamo KB, Hamel ME, Hardt J, Connor Gorber S, Tremblay M: A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. Int J Behav Nutr Phys Act 2008, 5:56. BioMed Central Full Text
- [24]Ellis PD: The essential guide to effect sizes: statistical power, meta-analysis and the interpretation of research results. Cambridge: Cambridge University Press; 2011.
- [25]Bize R, Johnson JA, Plotnikoff RC: Physical activity level and health-related quality of life in the general adult population: a systematic review. Prev Med 2007, 45:401-415.
- [26]Idler EL, Benyamini Y: Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav 1997, 38:21-37.
- [27]Kolotkin RL, Crosby RD, Williams GR: Health-related quality of life varies among obese subgroups. Obes Res 2002, 10:748-756.
- [28]Warren JM, Ekelund U, Besson H, Mezzani A, Geladas N, Vanhees L, Experts P: Assessment of physical activity - a review of methodologies with reference to epidemiological research: a report of the exercise physiology section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil 2010, 17:127-139.
- [29]Aadland E, Robertson L: Physical activity is associated with weight loss and increased cardiorespiratory fitness in severely obese men and women undergoing lifestyle treatment. J Obes 2012, 2012:810594.
- [30]Ware JE Jr: SF-36 health survey update. Spine (Phila Pa 1976) 2000, 25:3130-3139.