Health-related quality of life in individuals with obesity in the south region of Espírito Santo
Abstract
Introduction: Obesity is considered one of the most relevant public health problems in society, as it constitutes a risk factor for the development of several diseases. The negative impact of obesity on individuals' quality of life has been the subject of several investigations. Objective: To evaluate the Health-Related Quality of Life (HRQoL) in individuals with obesity, as well as its associated factors in a municipality in the southern region of Espírito Santo. Materials and Methods: An epidemiological study with a cross-sectional design was conducted, through a household survey, in the municipality of Alegre, Espírito Santo, between the months of November and December 2021. In a representative and probabilistic sample of the urban population, a sociodemographic, clinical data and health-related habits. HRQOL was measured using the European Quality of Life 5 Dimensions 3 Levels (EQ-5D-3L) instrument and associated factors were obtained using Tobit regression. Results: 645 individuals participated in the study, of which 178 (27.6%) were obese. There was an average quality of life of 0.862 (Standard deviation = 0.150), in addition, 52.8% consider their health status to be very good or good. Factors associated with lower levels of HRQOL included worse self-perceived health, frequent medical appointments, problems adhering to pharmacotherapy and a diagnosis of anxiety. Conclusion: The prevalence of obesity reflects the growing trend in the Brazilian population, and reduced HRQOL in obese people is especially associated with comorbidities, difficulties in adhering to pharmacotherapy and negative self-perception of health.
References
-Andersen, J.R.; Aasprang, A.; Karlsen, T.I.; Natvig, G.K.; Våge, V.; Kolotkin, R.L. Health-related quality of life after bariatric surgery: a systematic review of prospective long-term studies. Surgery for Obesity and Related Diseases. Vol. 11. Num. 2. 2015. p. 466-473.
-Ambak, R.; Nor, N.S.M.; Puteh, N.; Tamil, A.M.; Omar, M.A.; Shahar, S.; Ahmad, N.A.; Aris, T. The effect of weight loss intervention programme on health-related quality of life among low income overweight and obese housewives in the MyBFF@home study. BMC Women’s Health. Vol. 18. Num. S1. 2018.
-Banegas, J.R.; López-García, E.; Graciani, A.; Guallar-Castillón, P.; Gutierrez-Fisac, J.L.; Alonso, J.; Rodríguez-Artalejo, F. Relationship between obesity, hypertension and diabetes, and health-related quality of life among the elderly. European Journal of Cardiovascular Prevention & Rehabilitation. Vol. 14. Num. 3. 2007. p. 456-462.
-Barros, L.M.; Moreira, R.A.N.; Frota, N.M.; Araújo, T.M.; Caetano, J.A. Qualidade de vida entre obesos mórbidos e pacientes submetidos à cirurgia bariátrica. Revista Eletrônica de Enfermagem. Vol. 17. Num. 2. 2015.
-Battisti, L.; Barbosa, A.M.B.; Silva, K.H.; Batista, G.C.P.; Farias, L.A.V.; Azevedo, G.S.; Carneiro, A.P.S. Percepção da qualidade de vida e funcionalidade em obesos candidatos a cirurgia bariátrica: um estudo transversal. Revista Brasileira de Qualidade de Vida. Vol. 9. Num. 2. 2017.
-Brasil. Ministério da Saúde. Portaria SCTIE/MS nº 53, de 11 de novembro de 2020. Aprova o Protocolo Clínico e Diretrizes Terapêuticas de Sobrepeso e Obesidade em Adultos. Secretaria de Ciência, Tecnologia, Inovação e Insumos Estratégicos. Brasília-DF. 2020.
-Brasil. Ministério da Saúde. Vigitel Brasil 2023: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Secretaria de Vigilância em Saúde, Departamento de Análise em Saúde e Vigilância de Doenças Não Transmissíveis. Brasília. 2023.
-Castanha, C.R.; Ferraz, A.A.B.; Castanha, A.R.; Belo, G.Q.M.B.; Lacerda, R.M.R.; Vilar, L. Avaliação da qualidade de vida, perda de peso e comorbidades de pacientes submetidos à cirurgia bariátrica. Revista do Colégio Brasileiro de Cirurgiões. Vol. 45. Num. 3. 2018.
-Centers for Disease Control and Prevention. The Micronutrient Survey Manual & Toolkit. Module 6 - Selecting clusters - Methods for selecting clusters. 2022. Disponível em: <https://mnsurvey.nutritionintl.org/categories/16> Acesso em 22/10/2023.
-Charan, J.; Biswas, T. How to calculate sample size for different study designs in medical research? Indian Journal of Psychological Medicine. Vol. 35. Num. 2. 2013. p. 121.
-Cheng, L.J.; Pan, T.; Chen, L.A.; Cheng, J.Y.; Mulhern, B.; Deylin, N.; Luo, N. The Ceiling Effects of EQ-5D-3L and 5L in General Population Health Surveys: A Systematic Review and Meta-analysis. Value in health. 2024.
-Costa, L.S.G.; Poncio, S.N.A.B.; Oliveira, E.C.; Sousa, D.C.S.; Praseres, R.A.; Lima, C.A.N.; Sousa, L.M.; Andrade, T.L.C; Borges, R.L.A; Caetano Filho, H.F. A prevalência das internações hospitalares por obesidade no Brasil, entre 2018 e 2022. Brazilian Journal of Implantology and Health Sciences. Vol. 5. Num. 4. p. 2023. 1395-1406.
-Ferreira, A.P.S.; Szwarcwald, C.L.; Damacena, G.N.; Souza Júnior, P.R.B. Increasing trends in obesity prevalence from 2013 to 2019 and associated factors in Brazil. Revista Brasileira de Epidemiologia. Vol. 24. Num. suppl 2. 2021.
-Fieira, C.; Silva, L.L. Obesidade: um estudo sobre a adesão ao tratamento medicamentoso e a percepção da qualidade de vida relacionada à saúde. Revista Brasileira de Obesidade, Nutrição e Emagrecimento. São Paulo. Vol. 12. Num. 75. 2018. p. 920-926.
-IBGE. Instituto Brasileiro de Geografia e Estatística. Censo Demográfico. 2010. Disponível em:<https://censo2010.ibge.gov. br/sinopse/index.php?dados=%E2%80%8B29&uf=32>. Acesso em: 01/02/2023.
-IBGE. Instituto Brasileiro de Geografia e Estatística. Panorama da cidade de Alegre. 2022. Disponível em: <https://cidades.ibge. gov.br/brasil/es/alegre/panorama> Acesso em: 15/03/2023.
-Kwak, S.G.; Kim, J.H. Central Limit theorem: the Cornerstone of Modern Statistics. Korean Journal of Anesthesiology. Vol. 70. Num. 2. 2017. p. 144-156.
-Kolotkin, R.L.; Andersen, J.R. A systematic review of reviews: exploring the relationship between obesity, weight loss and health-related quality of life. Clinical Obesity. Vol. 7. Num. 5. 2017. p. 273-289.
-Kovaleski, E.S.; Schroeder, H.; Krause, M.; Dani, K.; Bock, P.M. Perfil farmacoterapêutico de pacientes obesos no pós-operatório de cirurgia bariátrica. Jornal Vascular Brasileiro. Vol. 15. Num. 3. 2016. p. 182-188.
-Lin, X.; Li, H. Obesity: Epidemiology, Pathophysiology, and Therapeutics. Frontiers in Endocrinology. Vol. 12. Num. 1. 2021.
-Mannucci, E.; Petroni, M.L.; Villanova, N.; Rotella, C.M.; Apolone, G.; Marchesini, G. Clinical and psychological correlates of health-related quality of life in obese patients. Health and Quality of Life Outcomes. Vol. 8. Num. 1. 2010. p. 90.
-Mata, A.R.; Álvares, J.; Diniz, L.M.; Silva, M.R.R.; Santos, B.R.A.; Guerra Júnior, A.A.; Cherchiglia, M.L.; Andrade, E.I.G.; Godman, B.; Acurcio, F.A. Quality of life of patients with Diabetes Mellitus Types 1 and 2 from a referal health centre in Minas Gerais, Brazil. Expert Review of Clinical Pharmacology. Vol. 9. Num. 5. 2016. p. 739-746.
-Milaneschi, Y.; Simmons, W.K.; Rossum, E.F.C.V.; Penninx, B.W. Depression and obesity: evidence of shared biological mechanisms. Molecular Psychiatry. Vol. 24. Num. 1. 2018. p. 18-33.
-Mohd-Sidik, S.; Lekhraj, R.; Foo, C.N. Prevalence, Associated Factors and Psychological Determinants of Obesity among Adults in Selangor, Malaysia. International Journal of Environmental Research and Public Health. Vol. 18. Num. 3. 2021. p. 868.
-Mond, J.M.; Baune, B.T. Overweight, Medical Comorbidity and Health-related Quality of Life in a Community Sample of Women and Men. Obesity. Vol. 17. Num. 8. 2009. p. 1627-1634.
-Oliveira Junior, H.A.; Veiga, T.P.; Acurcio, F.A.; Almeida, A.M.; Santos, J.B.R.; Silva, M.R.R.; Kakehasi, A.M.; Cherchiglia, M.L. Impact of biologic DMARDs on quality of life: 12-month results of a rheumatic diseases cohort using the Brazilian EQ-5D tariff. Hospital practice. Vol. 48. Num. 4. 2020. p. 213-222.
-Reenen, M.V.; Janssen, B.; Stolk, E.; Boye, K.S.; Herdman, M.; Kennedy-Martin, M.; Kennedy-Martin, T.; Slaap, B. EQ-5D-3L User Guide. Rotterdam. EuroQol Research Foundation, 2018. Disponível em: <https://euroqol.org/publications/user-guides> Acesso em: 12/06/2023.
-Santos, M.; Cintra, M.A.C.T.; Monteiro, A.L.; Santos, B.; Gusmão-Filho, F.; Andrade, M.V.; Noronha, K.; Cruz, L.N.; Camey, S.; Tura, B.; Kind, P. Brazilian Valuation of EQ-5D-3L Health States. Medical Decision Making. Vol. 36. Num. 2. 2015. p. 253-263.
-Stephenson, J.; Smith, C.M.; Kearns, B.; Haywood, A.; Bissell, P. The association between obesity and quality of life: a retrospective analysis of a large-scale population-based cohort study. BMC Public Health. Vol. 21. Num. 1. 2021.
-Tavares, T.B.; Nunes, S.M.; Santos, M.O. Obesidade e qualidade de vida: revisão da literatura. Revista Médica de Minas Gerais. 2010.
-Taylor, V.H.; Forhan, M.; Vigod, S.N.; Mclntyre, R.S.; Morrison, K.M. The impact of obesity on quality of life. Best Practice & Research Clinical Endocrinology & Metabolism. Vol. 27. Num. 2. 2013. p. 139-146.
-Thompson, A.J.; Turner, A.J. A Comparison of the EQ-5D-3L and EQ-5D-5L. Pharmaco Economics. Vol. 38. Num. 6. 2020. p. 575-591.
-Ul-Haq, Z.; Mackay, D.F.; Fenwick, E.; Pell, J.P. Meta-analysis of the association between body mass index and health-related quality of life among adults, assessed by the SF-36. Obesity. Vol. 21. Num. 3. 2013. p. E322-E327.
-Warkentin, L.M.; Das, D.; Majumdar, S.R.; Johnson, J.A; Padwal, R.S. The effect of weight loss on health-related quality of life: systematic review and meta-analysis of randomized trials. Obesity Reviews. Vol. 15. Num. 3. 2013. p. 169-182.
-WHO. World Health Organization. Obesity and Overweight. World Health Organization: Geneva. Switzerland. 2021.
-World Medical Association. Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA. Vol. 310. Num. 20. 2013. p. 2191.
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