Factors associated with health-related quality of life among overweight or obese adults
Factors associated with health-related quality of life among overweight or obese adults
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DOI：
10.1111/jocn.12280
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发表时间：
2013-08-01
影响因子：
4.2
通讯作者：
Burke, Lora E.
中科院分区：
文献类型：
--
作者：
Wang, Jing;Sereika, Susan M.;Burke, Lora E.
目的和目标为了确定超重或肥胖的adult.Background与健康相关的生活质量的相关因素，肥胖症的流行提出了一个全球性的挑战。肥胖是与较低的健康相关的生活质量，但是，没有研究全面检查相关的健康相关的生活质量在这个population.Design横断面design.Methods的身体成分评分，心理成分评分和8个领域的分数简表-36 V2被用来评估健康相关的生活质量。我们确定了23种可能与健康相关的生活质量相关的因素，包括年龄、体重指数、健康和体重史、感知压力、降低胆固醇饮食自我效能、解决问题、暴饮暴食、饮食摄入和身体活动。相关分析被用来检查相关因素和健康相关的生活质量变量之间的双变量关联。结果210例健康相关生活质量调查对象主要为白色（84.8%）、女性（78.1%）和中年人（平均年龄46.80岁）。年龄、身体质量指数、教育程度、家中有孩子和高血压被确定为身体成分评分的最佳预测因子，解释了约9%的方差。年龄，婚姻状况，有糖尿病，感知压力，解决问题，自我效能，暴饮暴食和健康饮食的障碍预测心理成分得分，解释约48%的方差。健康相关生活质量的身体功能和角色身体领域具有相似的预测因子，分别解释了15%和13%的方差，而身体疼痛（6%），一般健康（26%），活力（40%），社会功能（32%），结论心理社会因素与心理相关生活质量有关。与身体相关的生活质量的因素的进一步探索是在这个population.Relevance临床practiceWhen超重/肥胖的成年人谁是试图减肥，护士需要考虑社会人口和心理社会因素的发展，将提高健康相关的生活质量在这个人群的治疗计划。
Aims and objectives To identify factors associated with health-related quality of life among overweight or obese adults.Background The obesity epidemic presents a global challenge. Obesity is associated with lower health-related quality of life; however, no study has comprehensively examined correlates of health-related quality of life in this population.Design A cross-sectional design.Methods The physical component score, mental component score and eight domain scores of the Short Form-36 v2 were used to assess health-related quality of life. We identified 23 possible correlates of health-related quality of life, including age, body mass index, health and weight histories, perceived stress, cholesterol-lowering diet self-efficacy, problem-solving, binge eating, dietary intake and physical activity. Correlational analyses were used to examine the bivariate associations between correlates and health-related quality of life variables. All possible subsets regression was used to develop predictive models of health-related quality of life.Results The sample (n=210) was predominantly White (848%), female (781%) and middle-aged (average age=4680years). Age, body mass index, education, having children at home, and being hypertensive were identified as the best predictors of physical component score, explaining about 9% of the variance. Age, marital status, having hyperlipidaemia, perceived stress, problem-solving, self-efficacy, binge eating and barriers to healthy eating predicted mental component score, explaining approximately 48% of the variance. Physical functioning and role physical domains of health-related quality of life had similar sets of predictors, with 15% and 13% of the variance explained, respectively, while similar predictors were identified for bodily pain (6%), general health (26%), vitality (40%), social functioning (32%), role emotional (42%) and mental health (46%) domains.Conclusions Psychosocial factors were associated with the mental-related quality of life. Further exploration of factors related to physical-related quality of life is warranted in this population.Relevance to clinical practiceWhen working with overweight/obese adults who are trying to lose weight, nurses need to consider socio-demographic and psychosocial factors in the development of a treatment plan that will improve health-related quality of life in this population.