How Does Obesity and Intentional Weight Loss Impact Health Related Quality of Life in Adults?

2.50
Hdl Handle:
http://hdl.handle.net/10755/621401
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
How Does Obesity and Intentional Weight Loss Impact Health Related Quality of Life in Adults?
Author(s):
Kirkland-Kyhn, Holly
Lead Author STTI Affiliation:
Zeta Eta-at-Large
Author Details:
Holly Kirkland-Kyhn, PhD, MSN, BSN, RN, FNP, Professional Experience: Dr. Kirkland-Kyhn has been an NP for over 20 years. She has worked as a midwife in England and Ireland. She has travelled to Haiti after the earthquake and to Africa and Belize to teach health care providers. She has multiple publications on Pressure ulcer risk and on obesity and intentional weight loss. Author Summary: Doctor Kirkland -Kyhn has been a member of STTI since 2007. She is an NP, trained midwife, and nurse leader. She has been clinical faculty for NP/PA students throughout Sacramento and in England, Ireland, Africa, and Haiti.
Abstract:

Purpose: Over the past 30 years, the percentage of older adults who are obese has doubled; the most recent CDC data indicates that adults age 60 and over were more likely to be obese than were younger adults. The number of chronic health conditions associated with obesity increases with increasing body mass index (BMI) and in association with aging. Obesity-related chronic health conditions and their associated physical function--mobility limitations are the leading cause of diminished personal independence and diminished health related quality of life (HRQOL) for older adults. The aim of this study was to identify associations of BMI, gender, age and HRQOL with mental component summary (MCS) scores and physical component summary (PCS) scores, among adults with obesity who are enrolled in an intensive weight loss program, and at Week 17, after the intensive weight loss.

Methods: Six hundred and forty five participants (age: 18-79 years) completed the demographic data and HRQOL surveys at their first visit (baseline) and at Week 17 of an intensive weight loss program. The short form (SF-36) was used to measure the HRQOL for physical component summary (PCS), mental component summary (MCS), BMI, weight loss, systolic blood pressure (SBP), and diastolic blood pressure (DBP) were measured for between-group and between-gender comparisons. Further analysis was performed to evaluate Week 1–Week 17 outcomes and differences.

Results: From Week 1 to Week 17, all of the study participants lost weight. Average weight loss was approximately 47 pounds (21.36 kg) per person, or an average weight loss of 17% from baseline weight. BMI and the week in the program were statistically significant contributors to the PCS score. Participation in the program for 17 weeks was associated with an increase in the PCS score by 0.34% (p = .000) [sr2 = .0724, p = .000] , and lowering the SBP increases the PCS score by 0.087% (p = .000) [sr 2 = .0166, p = .000], and as SBP increases, the PCS score decreases. In other words, the SBP and the PCS score during linear regression or were inversely related.

Conclusion: Obesity and in turn weight loss are associated with HRQOL. This study is one of the few to explore the gender and age differences (to include patients with multiple chronic health conditions) in the HRQOL of individuals with obesity. The SF-36 is a self-rated measure of health; the instrument's scores are influenced by the respondent's perceptions, expectations, and interpretations regarding their health. This study provides comprehensive data that elucidate how obesity and intentional weight loss affect self-rated physical and mental health in younger and older adults; this information is pertinent to people who may or may not have chronic health conditions. The study found that, as an individual became older, their MCS scores tended to improve. In this study, females with obesity tended to have a lower MCS score than did males with obesity, and that PCS scores increase as weight and BMI decrease.

Keywords:
quality of life; weight loss; adult obesity
Repository Posting Date:
5-Jun-2017
Date of Publication:
5-Jun-2017
Other Identifiers:
INRC17PST398
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleHow Does Obesity and Intentional Weight Loss Impact Health Related Quality of Life in Adults?en_US
dc.contributor.authorKirkland-Kyhn, Hollyen
dc.contributor.departmentZeta Eta-at-Largeen
dc.author.detailsHolly Kirkland-Kyhn, PhD, MSN, BSN, RN, FNP, Professional Experience: Dr. Kirkland-Kyhn has been an NP for over 20 years. She has worked as a midwife in England and Ireland. She has travelled to Haiti after the earthquake and to Africa and Belize to teach health care providers. She has multiple publications on Pressure ulcer risk and on obesity and intentional weight loss. Author Summary: Doctor Kirkland -Kyhn has been a member of STTI since 2007. She is an NP, trained midwife, and nurse leader. She has been clinical faculty for NP/PA students throughout Sacramento and in England, Ireland, Africa, and Haiti.en
dc.identifier.urihttp://hdl.handle.net/10755/621401-
dc.description.abstract<p>Purpose: Over the past 30 years, the percentage of older adults who are obese has doubled; the most recent CDC data indicates that adults age 60 and over were more likely to be obese than were younger adults. The number of chronic health conditions associated with obesity increases with increasing body mass index (BMI) and in association with aging. Obesity-related chronic health conditions and their associated physical function--mobility limitations are the leading cause of diminished personal independence and diminished health related quality of life (HRQOL) for older adults. The aim of this study was to identify associations of BMI, gender, age and HRQOL with mental component summary (MCS) scores and physical component summary (PCS) scores, among adults with obesity who are enrolled in an intensive weight loss program, and at Week 17, after the intensive weight loss.</p> <p>Methods: Six hundred and forty five participants (age: 18-79 years) completed the demographic data and HRQOL surveys at their first visit (baseline) and at Week 17 of an intensive weight loss program. The short form (SF-36) was used to measure the HRQOL for physical component summary (PCS), mental component summary (MCS), BMI, weight loss, systolic blood pressure (SBP), and diastolic blood pressure (DBP) were measured for between-group and between-gender comparisons. Further analysis was performed to evaluate Week 1–Week 17 outcomes and differences.</p> <p>Results: From Week 1 to Week 17, all of the study participants lost weight. Average weight loss was approximately 47 pounds (21.36 kg) per person, or an average weight loss of 17% from baseline weight. BMI and the week in the program were statistically significant contributors to the PCS score. Participation in the program for 17 weeks was associated with an increase in the PCS score by 0.34% (p = .000) [sr2 = .0724, p = .000] , and lowering the SBP increases the PCS score by 0.087% (p = .000) [sr 2 = .0166, p = .000], and as SBP increases, the PCS score decreases. In other words, the SBP and the PCS score during linear regression or were inversely related.</p> <p>Conclusion: Obesity and in turn weight loss are associated with HRQOL. This study is one of the few to explore the gender and age differences (to include patients with multiple chronic health conditions) in the HRQOL of individuals with obesity. The SF-36 is a self-rated measure of health; the instrument's scores are influenced by the respondent's perceptions, expectations, and interpretations regarding their health. This study provides comprehensive data that elucidate how obesity and intentional weight loss affect self-rated physical and mental health in younger and older adults; this information is pertinent to people who may or may not have chronic health conditions. The study found that, as an individual became older, their MCS scores tended to improve. In this study, females with obesity tended to have a lower MCS score than did males with obesity, and that PCS scores increase as weight and BMI decrease.</p>en
dc.subjectquality of lifeen
dc.subjectweight lossen
dc.subjectadult obesityen
dc.date.available2017-06-05T14:49:43Z-
dc.date.issued2017-06-05-
dc.date.accessioned2017-06-05T14:49:43Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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