Improved quality of life after conservative treatment of obesity - A retrospective observational study
Introduction: Obesity is a global and national health challenge. In Norway 23.0% of adults are obese. The clinical treatment for obesity is weight loss, either surgical or conservative. However, there is limited research on health-related quality of life (HRQoL) and conservative treatment of obesity. The primary aim of this study is to investigate changes in HRQoL from baseline to post-treatment for obesity. Secondary aims are what factors of HRQoL weight change potentially affects, and if a significant weight loss improves HRQoL in individuals with obesity. Material and method: 50 patients that had finished a three-year conservative treatment of obesity at Skibotn Health and Rehabilitation were included in this study. The participants were divided into a weight-loss group (WL group) and a weight-gain group (WG group). To measure HRQoL, 36-Item Short Form Health Survey (SF-36) was used. The SF-36 measures HRQoL across eight domains. Data at baseline and post-treatment was analyzed. Results: Post-treatment the whole group had a 12.5% improvement in bodily pain, and the WG group had a 6.0% improvement in mental health, and a 12.5% improvement in social functioning. The WL group had no significant changes post-treatment, but had several at year two, including improved physical functioning, physical role functioning, vitality, and bodily pain. The WG group had a significantly reduced mental health at year two, with a median change of -4.0%, but a significantly increased mental health at the end of the treatment, with a median change of 6.0% from baseline. Conclusion: There were some improvements in HRQoL from baseline to post-treatment. The aspects of HRQoL that changed post-treatment were bodily pain, emotional wellbeing, and social functioning. All participants had a 12.5% improvement in bodily pain, and the WG group had a 6.0% improvement in mental health and a 12.5% improvement in social functioning. One can therefore state that weight gain showed positive changes within the mental health aspect of HRQoL.
PublisherUiT Norges arktiske universitet
UiT The Arctic University of Norway
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