Associations among Co-morbid Conditions, Health-Related Quality of Life and Self-Efficacy in Adults Seeking Weight Loss Treatment

2.50
Hdl Handle:
http://hdl.handle.net/10755/308074
Category:
Abstract
Type:
Presentation
Title:
Associations among Co-morbid Conditions, Health-Related Quality of Life and Self-Efficacy in Adults Seeking Weight Loss Treatment
Author(s):
Zheng, Yaguang; Burke, Lora E.; Sereika, Susan M.; Ye, Lei; Mattos, Meghan; Styn, Mindi A.
Lead Author STTI Affiliation:
Non-member
Author Details:
Yaguang Zheng, BSN, yaz40@pitt.edu; Lora E. Burke, PhD, MPH, RN, FAAN; Susan M. Sereika, PhD; Lei Ye, BMed; Meghan Mattos, BSN; Mindi A. Styn, PhD
Abstract:

Session presented on: Monday, November 18, 2013

Overweight/obesity, a chronic condition affecting nearly 70% of U.S. adults, is associated with co-morbid conditions (e.g. osteoarthritis, hypertension) and may affect health-related quality of life (HR-QOL). We examined the effect of co-morbid conditions on self-efficacy for weight loss among treatment-seeking adults and the possible mediating effects of HR-QOL, depression and prescribed medications using baseline data from a clinical trial (SELF Trial) of standard behavioral treatment for weight loss. Measures included sociodemographic and medical history questionnaires, SF-36, Beck Depression Inventory (BDI) and Weight Efficacy Lifestyle (WEL), a measure of self-efficacy for weight loss.

The sample (N=130) was predominantly White (71.5%), female (83.1%), middle-aged (53.0±9.6 years) with a BMI of 33.5±3.9 kg/m2. The average number of self-reported co-morbid conditions was 2.88±2.17, range 0-10. The self-reported conditions were: hypercholesterolemia (52.3%), hypertension (33.1%), hypertriglyceridemia and digestive disorders (29.2%), and anxiety 21.6%, while over 10% reported heart problems, osteoarthritis and sleep-disordered breathing. On average, participants had 0.92 ±1.36 prescribed medications, range 0-7. Mean±SD scores were:  BDI 7.25±7.26, WEL 99.52± 33.50; SF-36 Physical Component Score (PCS) 51.23±7.19 and Mental Component Score (MCS) 49.23±10.39. The number of co-morbid conditions was significantly negatively related to the PCS, r= -0.52, p<.01; however, there was no association with the MCS.  The number of prescribed medications was negatively associated with the PCS (r= -0.39, p<.01) and weakly related to the MCS (r= 0.18, p=.04).  The BDI was associated with PCS (r= -0 .23) and MCS (r= -0.69), ps≤.01. Self-efficacy (WEL) was associated with the BDI, r= -.24, p<.01. Co-morbid conditions did not affect self-efficacy for weight loss and there were no mediating effects of HR-QOL, depressive symptomatology and the number of prescribed medications.

Our findings confirm that overweight/obese individuals suffer from co-morbidities that affect their physical HR-QOL; however, these do not have a significant impact on their mental HR-QOL.

Keywords:
overweight/obesity; health related quality of life; self-efficacy
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleAssociations among Co-morbid Conditions, Health-Related Quality of Life and Self-Efficacy in Adults Seeking Weight Loss Treatmenten_GB
dc.contributor.authorZheng, Yaguangen_GB
dc.contributor.authorBurke, Lora E.en_GB
dc.contributor.authorSereika, Susan M.en_GB
dc.contributor.authorYe, Leien_GB
dc.contributor.authorMattos, Meghanen_GB
dc.contributor.authorStyn, Mindi A.en_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsYaguang Zheng, BSN, yaz40@pitt.edu; Lora E. Burke, PhD, MPH, RN, FAAN; Susan M. Sereika, PhD; Lei Ye, BMed; Meghan Mattos, BSN; Mindi A. Styn, PhDen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308074-
dc.description.abstract<p>Session presented on: Monday, November 18, 2013</p>Overweight/obesity, a chronic condition affecting nearly 70% of U.S. adults, is associated with co-morbid conditions (e.g. osteoarthritis, hypertension) and may affect health-related quality of life (HR-QOL). We examined the effect of co-morbid conditions on self-efficacy for weight loss among treatment-seeking adults and the possible mediating effects of HR-QOL, depression and prescribed medications using baseline data from a clinical trial (SELF Trial) of standard behavioral treatment for weight loss. Measures included sociodemographic and medical history questionnaires, SF-36, Beck Depression Inventory (BDI) and Weight Efficacy Lifestyle (WEL), a measure of self-efficacy for weight loss. <p>The sample (N=130) was predominantly White (71.5%), female (83.1%), middle-aged (53.0±9.6 years) with a BMI of 33.5±3.9 kg/m<sup>2</sup>. The average number of self-reported co-morbid conditions was 2.88±2.17, range 0-10. The self-reported conditions were: hypercholesterolemia (52.3%), hypertension (33.1%), hypertriglyceridemia and digestive disorders (29.2%), and anxiety 21.6%, while over 10% reported heart problems, osteoarthritis and sleep-disordered breathing. On average, participants had 0.92 ±1.36 prescribed medications, range 0-7. Mean±SD scores were:  BDI 7.25±7.26, WEL 99.52± 33.50; SF-36 Physical Component Score (PCS) 51.23±7.19 and Mental Component Score (MCS) 49.23±10.39. The number of co-morbid conditions was significantly negatively related to the PCS, r= -0.52, p<.01; however, there was no association with the MCS.  The number of prescribed medications was negatively associated with the PCS (r= -0.39, p<.01) and weakly related to the MCS (r= 0.18, p=.04).  The BDI was associated with PCS (r= -0 .23) and MCS (r= -0.69), ps≤.01. Self-efficacy (WEL) was associated with the BDI, r= -.24, p<.01. Co-morbid conditions did not affect self-efficacy for weight loss and there were no mediating effects of HR-QOL, depressive symptomatology and the number of prescribed medications. <p>Our findings confirm that overweight/obese individuals suffer from co-morbidities that affect their physical HR-QOL; however, these do not have a significant impact on their mental HR-QOL.en_GB
dc.subjectoverweight/obesityen_GB
dc.subjecthealth related quality of lifeen_GB
dc.subjectself-efficacyen_GB
dc.date.available2013-12-19T17:26:33Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:26:33Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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