Abstract:This paper is a preliminary report on the development of a new instrument., the Impact of Weight on Quality of Life (IWQOL) questionnaire, that assesses the effects of weight on various areas of life. We conducted two studies utilizing subjects in treatment for obesity at Duke University Diet and Fitness Center. The fwst study describes item development, assesses reliability, and compares pre-and post-treatment scores on the IWQOL. In the second study we examined the effects of body mass index (BML), gender, a… Show more
“…Comparison of the FBA with instruments available in the nutrition field has proved difficult as the latter are essentially devoted to specific digestive and metabolism diseases or disorders (1,14,15) , while others are for use with specific populations only (6)(7)(8) . The concept of a questionnaire allowing the impact of food on HRQoL to be evaluated in the global population is innovative.…”
Objective: To assess the perceived outcomes associated with diet/food intake in the general adult population. Design and subjects: The Food Benefits Assessment (FBA r ) questionnaire was developed from subjects' verbatim transcripts (n 18) and after comprehension tests (n 5). Normal-weight (n 130) and overweight (n 67) subjects then completed the final questionnaire twice, 7 d apart. Psychometric properties were assessed, including construct validity by principal components analysis (PCA), concurrent validity (Spearman coefficient) with the Short Form-36 scale (SF-36), knowngroup validity by comparing FBA dimension scores according to lifestyle and clinical variables, internal consistency reliability (Cronbach's a) and test-retest reproducibility in stable subjects over 1 week (intraclass correlation coefficient, ICC). Results: PCA and Multitrait analysis confirmed the final version of the FBA comprising forty-one items split into seven dimensions (vitality; digestive comfort; physical appearance; well-being; snacking; disease prevention; aesthetics). All dimensions displayed good item convergent validity (0?44 to 0?80), good concurrent validity (highest correlation between well-being dimension of FBA and mental health scale of SF-36, r 5 0?83) and good known-group validity and reproducibility (ICC $ 0?76); internal consistency reliability was good to excellent (Cronbach's a 5 0?79 to 0?91). Conclusion: The FBA is the first valid and reliable questionnaire that allows the assessment of diet effects and impact as perceived by subjects. It is a good candidate in the nutrition field for further use in specific population settings and with a particular food or daily diet. Linguistically validated English (UK and US) and German versions of the questionnaire are available.
“…Comparison of the FBA with instruments available in the nutrition field has proved difficult as the latter are essentially devoted to specific digestive and metabolism diseases or disorders (1,14,15) , while others are for use with specific populations only (6)(7)(8) . The concept of a questionnaire allowing the impact of food on HRQoL to be evaluated in the global population is innovative.…”
Objective: To assess the perceived outcomes associated with diet/food intake in the general adult population. Design and subjects: The Food Benefits Assessment (FBA r ) questionnaire was developed from subjects' verbatim transcripts (n 18) and after comprehension tests (n 5). Normal-weight (n 130) and overweight (n 67) subjects then completed the final questionnaire twice, 7 d apart. Psychometric properties were assessed, including construct validity by principal components analysis (PCA), concurrent validity (Spearman coefficient) with the Short Form-36 scale (SF-36), knowngroup validity by comparing FBA dimension scores according to lifestyle and clinical variables, internal consistency reliability (Cronbach's a) and test-retest reproducibility in stable subjects over 1 week (intraclass correlation coefficient, ICC). Results: PCA and Multitrait analysis confirmed the final version of the FBA comprising forty-one items split into seven dimensions (vitality; digestive comfort; physical appearance; well-being; snacking; disease prevention; aesthetics). All dimensions displayed good item convergent validity (0?44 to 0?80), good concurrent validity (highest correlation between well-being dimension of FBA and mental health scale of SF-36, r 5 0?83) and good known-group validity and reproducibility (ICC $ 0?76); internal consistency reliability was good to excellent (Cronbach's a 5 0?79 to 0?91). Conclusion: The FBA is the first valid and reliable questionnaire that allows the assessment of diet effects and impact as perceived by subjects. It is a good candidate in the nutrition field for further use in specific population settings and with a particular food or daily diet. Linguistically validated English (UK and US) and German versions of the questionnaire are available.
“…25 BDI scores were categorized for descriptive presentation, with the following cut points: normal, 0-9; mild depressive symptoms, 10-15; moderate depressive symptoms, 16-22; and severe depressive symptoms, 23-63. 26 …”
Objective: To investigate the relationship of metabolic disorders and psychological features with the night eating syndrome (NES) in individuals with moderate-to-severe obesity. Design: Cross-sectional observation. Subjects: A total of 266 consecutive participants with class II-III obesity, entering an inpatient weight loss program. Measurements: Participants who reported consuming either a large amount of their caloric intake after the evening meal (roughly self-assessed as X25% of daily calories) or the presence of nocturnal feeding at the Night Eating Questionnaire (NEQ) (N ¼ 49) were interviewed by the Night Eating Syndrome History and Inventory (NESHI). Assessment also included the clinical/ biochemical parameters of the metabolic syndrome and several questionnaires of psychopathology. NES was diagnosed by NESHI criteria (evening hyperphagia (X25% of daily food intake after the evening meal) and/or waking at night to eat at least three times a week) in the last 3 months. Results: Twenty-seven participants (10.1%) met NESHI criteria. Differences were not observed between participants with and without NES as to age, body mass index (BMI), prevalence of metabolic syndrome, Binge Eating Scale and Body Shape Questionnaire. NES participants had significantly higher scores of Beck Depression Inventory (BDI) and Impact of Weight on Quality of Life (IWQOL). Among NES cases, the BDI score was indicative of moderate depression in 18.5% of cases and of severe depression in 44.4%. Logistic regression analysis, adjusted for confounders, identified the BDI score as the only variable significantly associated with the diagnosis of NES. Conclusion: Diagnosing NES does not help identify obese individuals with specific medical complications, but indicates more severe psychological distress and depression.
“…The IWQOL-Lite is a 31-item version of its parent instrument, the Impact of Weight on Quality of Life (IWQOL) questionnaire [63,64]. Data collected from 996 obese patients and controls were used to develop the shorter measure [61].…”
Section: Impact Of Weight On Quality Of Life (Iwqol)-litementioning
Background: Measuring health-related quality of life (QoL) after surgery is essential for decision making by patients, surgeons, and payers. The aim of this consensus conference was twofold. First, it was to determine for which diseases endoscopic surgery results in better postoperative QoL than open surgery. Second, it was to recommend QoL instruments for clinical research. Methods: An expert panel selected 12 conditions in which QoL and endoscopic surgery are important. For each condition, studies comparing endoscopic and open surgery in terms of QoL were identified. The expert panel reached consensus on the relative benefits of endoscopic surgery and recommended generic and disease-specific QoL instruments for use in clinical research. Results: Randomized trials indicate that QoL improves earlier after endoscopic than open surgery for gastroesophageal reflux disease (GERD), cholecystolithiasis, colorectal cancer, inguinal hernia, obesity (gastric bypass), and uterine disorders that require hysterectomy. For spleen, prostate, malignant kidney, benign colorectal, and benign non-GERD esophageal diseases, evidence from nonrandomized trials supports the use of laparoscopic surgery. However, many studies failed to collect long-term results, used nonvalidated questionnaires, or measured QoL components only incompletely.
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