Understanding the relationship between weight loss,emotional well-being and health-related quality of life in patients attending a specialist obesity weight management service
Restricted accessResearch articleFirst published online April, 2013
Understanding the relationship between weight loss,emotional well-being and health-related quality of life in patients attending a specialist obesity weight management service
This study explored predictors of clinically meaningful improvement in health-related quality of life (HRQOL) among obese patients completing a specialist weight management programme. One hundred and ninety-nine adults aged from 20–88 with a BMI >30 with comorbidities or BMI>35 with/without comorbidities were sampled. The results suggested that both weight loss and changes in depression were significant predictors of HRQOL improvement. However, predictors differed between weight loss groups. Clinically meaningful improvement in HRQOL was found to be due to weight loss when participants had lost 5 kg or more in weight. In contrast, among individuals who lost 0.1–4.9 kg, improvement in HRQOL was accounted for by positive changes in depression scores.
AtlantisEBakerM (2008) Obesity effects on depression: Systematic review of epidemiological studies. International Journal of Obesity32: 881–891.
2.
BjellandIDahlAAHaugTTNeckelmannD (2002) The validity of the Hospital Anxiety and Depression Scale: An updated literature review. Journal of Psychosomatic Research52: 69–77.
3.
BlaineBERodmanJNewmanJM (2007) Weight loss treatment and psychological well-being: A review and meta-analysis. Journal of Health Psychology12: 66–82.
4.
BlissmerBRiebeDDyeGRuggieroLGreeneGCaldwellM (2006) Health-related quality of life following a clinical weight loss intervention among overweight and obese adults: Intervention and 24 month follow-up effects. Health and Quality of Life Outcomes4: 43.
5.
BowdenRGLanningBADoyleEISlonakerBJohnstonHMScanesG (2008) The effects of weight loss attempts, exercise initiation, and dietary practices on health related quality of life. Applied Research in Quality of Life3: 149–160.
6.
BramleyPNEastonAMMorleySSnaithRP (1988) The differentiation of anxiety and depression by rating scales. Acta Psychiatrica Scandinavica77: 133–138.
7.
CallegariAMicheliniISguazzinCCatonaAKlersyC (2005) Efficacy of the SF-36 questionnaire in identifying obese patients with psychological discomfort. Obesity Surgery15: 254–260.
8.
CarpenterWHFonongTTothMJ. (1998) Total daily energy expenditure in free-living older African-Americans and Caucasians. American Journal of Physiology274: 96–101.
9.
Counterweight Project Team (2004) A new evidence-based model for weight management in primary care: The Counterweight Programme. Journal of Human Nutrition and Dietetics17: 191–208.
10.
CrosbyRDKolotkinRLWilliamsGR (2003) Defining clinically meaningful change in health-related quality of life. Journal of Clinical Epidemiology56: 395–407.
11.
Dalle GraveRCalugiSPetroniMLDi DomizioSMarchesiniGand the QUOVADIS Study Group (2010) Weight managementcollab, psychological distress and binge eating in obesity: A reappraisal of the problem. Appetite54: 269–273.
12.
DixonJBDixonMEO’BrienPE (2003) Depression in association with severe obesity: Changes with weight loss. Archives of Internal Medicine163: 2058–2065.
13.
FabricatoreANWaddenTASarwerDBFaithMS (2005) Health-related quality of life and symptoms of depression in extremely obese persons seeking bariatric surgery. Obesity Surgery15: 304–309.
14.
FontaineKRBarofskyI (2001) Obesity and quality of life. Obesity Reviews2: 173–182.
15.
GortmakerSLMustAPerrinJMSobolAMDietzWH (1993) Social and economic consequences of overweight in adolescence and young adulthood. New England Journal of Medicine329: 1008–1012.
16.
GrayCMAndersonAClarkeAM. (2009) Addressing male obesity: An evaluation of a group-based weight management intervention for Scottish men. Journal of Men’s Health6: 70–81.
17.
HaslerGPineDSGammaA. (2004) The associations between psychopathology and being overweight: A 20-year prospective study. Psychological Medicine34: 1047–1057.
18.
HerrmannC (1997) International experiences with the Hospital Anxiety and Depression Scale: A review of validation data and clinical results. Journal of Psychosomatic Research42: 17–41.
19.
JohnstonEJohnsonSMcLeodPJohnstonM (2004) The relation of body mass index to depressive symptoms. Canadian Journal of Public Health95: 179–183.
20.
KolotkinRLCrosbyRD (2002) Psychometric evaluation of the Impact of Weight on Quality of Life – Lite Questionnaire (IWQOL-Lite) in a community sample. Quality of Life Research11: 157–171.
21.
KolotkinRLCrosbyRDKosloskiKDWilliamsGR (2001a) Development of a brief measure to assess quality of life in obesity. Obesity Research9: 102–111.
22.
KolotkinRLMeterKWilliamsGR (2001b) Quality of life and obesity. Obesity Reviews2: 219–229.
23.
KolotkinRLNorquistJMCrosbyRD. (2009) One-year health-related quality of life outcomes in weight loss trial participants: Comparison of three measures. Health and Quality of Life Outcomes7: 53.
24.
LohCBLChanYH (2010) Psychological symptoms in people presenting for weight management. Annals of the Academy of Medicine Singapore39: 778–782.
25.
MaciejewskiMLPatrickDLWilliamsonDF (2005) A structured review of randomized controlled trials of weight loss showed little improvement in health-related quality of life. Journal of Clinical Epidemiology58: 568–578.
26.
MannucciEPetroniMLVillanovaN. (2010) Clinical and psychological correlates of health related quality of life in obese patients. Health and Quality of Life Outcomes8: 90.
27.
MorrisonDSBoyleSMorrisonCAllardiceGGreenlawNFordeL (2011) Evaluation of the first phase of a specialist weight management programme in the UK National Health Service: Prospective cohort study. Public Health Nutrition15: 28–38.
28.
National Institutes of Health (1998) Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report. Bethesda, MD: National Institutes of Health.
29.
Osei-AssibeyGKyrouIKumarSSaravananPMatykaKA (2010) Self-reported psychosocial health in obese patients before and after weight loss. Journal of Obesity. DOI: 10.1155/2010/372463.
30.
PalmeiraALMarklandDASilvaMN. (2009) Reciprocal effects among changes in weight, body image, and other psychological factors during behavioral obesity treatment: A mediation analysis. International Journal of Behavioral Nutrition and Physical Activity6: 9.
31.
RudmanLAFeinbergJFairchildK (2002) Minority members’ implicit attitudes: Automatic ingroup bias as a function of group status. Social Cognition20: 294–320.
32.
Scottish Executive National Statistics (2006) Scottish Index of Multiple Deprivation 2006. General Report. Edinburgh: Scottish Executive National Statistics.
StubbsRJPallisterCWhybrowSAveryALavinJ (2011) Weight outcomes audit for 34,271 adults referred to a primary care/commercial weight management partnership scheme. Obesity Facts4: 113–120.
35.
TajfelHTurnerJC (1986) Social identity theory of intergroup behavior. In: WorchelSAustinWG (eds) Psychology of Intergroup Relations. Chicago, IL: Nelson-Hall, pp. 7–24.
36.
TeixeiraPJGoingSBHoutkooperLB. (2002) Weight loss readiness in middle-aged women: Psychosocial predictors of success for behavioral weight reduction. Journal of Behavioral Medicine25: 499–523.
37.
TeixeiraPJGoingSBSardinhaLBLohmanTG (2005) A review of psychosocial pre-treatment predictors of weight control. Obesity Reviews6: 43–65.
38.
TuthillASlawikHO’RahillySFinerN (2006) Psychiatric co-morbidities in patients attending specialist obesity services in the UK. QJM99: 317–325.
39.
VerheijdenMWBakxJCVan WeelCKoelenMAVan StaverenWA (2005) Role of social support in lifestyle-focused weight management interventions. European Journal of Clinical Nutrition59: 179–186.
40.
WaddenTABrownellKDFosterGD (2002) Obesity: Responding to the global epidemic. Journal of Consulting and Clinical Psychology70: 510–525.
41.
WilliamsonDARejeskiJLangWVan DorstenBFabricatoreANToledoK (2009) Impact of weight management program on health-related quality of life in overweight adults with type-2 diabetes. Archives of Internal Medicine169: 163–171.
42.
ZigmondASSnaithRP (1983) The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica67: 361–370.
