Metabolic syndrome, psychological status and quality of life in obesity: the QUOVADIS Study

Abstract

Objective: We aimed to investigate the association of the clinical variables of the metabolic syndrome (MS) and psychological parameters on health-related quality of life (HRQL) in obesity. In particular, our aim was to investigate the relative impact of physical symptoms, somatic diseases and psychological distress on both the physical and the mental domains of HRQL. Design: Cross-sectional study. Subjects: A cohort of 1822 obese outpatients seeking treatment in medical centers. Measurements: HRQL was measured by the standardized summary scores for physical (PCS) and mental (MCS) components of the Short Form 36 Health Survey (SF-36). Patients were grouped according to tertiles of PCS and MCS. Metabolic and psychological profiles of PCS and MCS tertiles were compared by discriminant analysis. Results: The profile of metabolic and psychological variables was tertile-specific in 62.4 and 68.3% of patients in the lowest and highest tertiles of PCS, respectively, while concordance was low in the mid-tertile (32.8%). Concordance was very high in the lowest (74.4%) and in the highest (75.5%) tertiles of MCS, and was fair in the mid-tertile (53.2%). The main correlates of PCS were obesity-specific and general psychological well-being, BMI, body uneasiness, binge eating, gender and psychiatric distress. Only hypertension and hyperglycemia qualified as correlates among the components of MS. The components of MS did not define MCS. Conclusions: Psychological well-being is the most important correlate of HRQL in obesity, both in the physical and in the mental domains, whereas the features of MS correlate only to some extent with the physical domain of HRQL.

Intervenção nutricional e o impacto na adesão ao tratamento em pacientes com síndrome Metabólica

“…Patients undergoing nutritional interventions, both in the short and long term, often have poor adherence to nutritional treatment [24][25][26] . The reasons that have led individuals to give up studies are often unknown, but may be presumed from the disappearance of some of the symptoms that led them to seek professional guidance leading to a feeling of no need to go to further visits, lack of time to participate in the program, dissatisfaction and disaffection with the research proposal, personal, family and health problems 25,27 to the type of strategy used 26 .…”

Secondary complications and subjective well-being in individuals with chronic spinal cord injury: associations with self-reported adiposity

“…In the ablebodied population, obesity is associated with poorer SWB. 13 However, the relationship between adiposity and SWB has not been examined in the SCI population. It was hypothesized that similar to the findings from the able-bodied population, individuals with SCI who reported being overweight, would report poorer SWB (that is, poorer life satisfaction and depressive symptoms) than individuals with SCI who did not report being overweight.…”

Percepções de pacientes sobre alimentação no seu processo de adoecimento crônico por síndrome metabólica: um estudo qualitativo

“…No entanto, estudos envol-vendo questões psicoculturais com pacientes de SM relatam baixa adesão às mudanças de hábitos, sobretudo no que se refere às práticas alimentares e ao estilo de vida [8][9][10] .…”