Abstract
Background: Within the framework of the Progetto Faenza, the aim of this study was to evaluate the effect of cardiovascular risk factors (CVRF) on the health-related Quality of Life (H-rQoL) of a cohort of patients in the province of Ravenna, on the basis of body mass index (BMI). Methods: The following data were collected for each subject: age, sex, weight, height, glycemia, cholesterol (total, HDL and LDL), creatinine, uricemia, systolic arterial pressure (SAP) and diastolic arterial pressure (DAP), presence/absence of previous CV disorders, arterial hypertension, diabetes, antihypertensive therapy, smoking habits and physical exercise. To evaluate the H-rQoL the SF-36 general health survey questionnaire was used, filled in by the patient at the first examination. To test the significance of the differences between the groups (divided by classes of Body Mass Index) as regards the metabolic indicators, a univariate analysis of variance was performed; on the other hand, to assess which factors affect H-rQoL a multivariate analysis was carried out, considering p≤0.05 as significant. The results are expressed as ± 1SD. Results: Of the 1108 subjects enrolled in the study, 343 subjects (31.2%), including 154 males with a mean age of 44.9 ± 14.9 years, filled in the SF-36 questionnaire. A BMI within the normal range corresponds to a more satisfactory metabolic (p<0.05) and QoL (p=0.001) picture. Age (p<0.001), presence of previous CV disorders (p=0.005), the use of antihypertensive drugs (p=0.041) and physical exercise (p=0.002) correlated significantly with H-rQoL values. Conclusions: Health condition and perception are significantly affected by a clinical situation characterized by excess weight.
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References
Mancini M., Jossa F.: Relazioni pericolose. Il paziente Obeso, Ricerca Roche, Vol 27, Marzo 2000.
Harris T., Cook E.F., Garrison R., Higgins M., Kannel W., Goldman L.: “Body Mass Index and mortality among non smoking older persons. The Framingham Heart Study”. JAMA, 259, 1520–1524, 1988.
Fagan T.C., Deedwania P.C.: The cardiovascular dysmetabolic syndrome. Am. J. Med., 105, 77s–82s, 1998.
Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Org. Tech. Rep. Ser., 894, 1–253, 2000.
Fontaine K.R., Barofsky I., Andersen R.E., Bartlett S.J., Wieresma L., Cheskin L.J., Franchowiak S.C.: Impact of weight loss on health-related quality of life. Qual. Life Res., 8, 275–277, 1999.
Melchionda N., Marchesini G., Baraldi L. et al.: Obesità e qualità di vita correlata alla salute in una popolazione italiana. OdV 26, 4, 2000.
Puglia M.G., Baraccani C., Biolchini L., et al.: Progetto Faenza: integrazione tra ospedale e territorio per la prevenzione cardiovascolare. OdV 29, 4, 2002.
Le nuove note cuf. Bollettino d’informazione sui farmaci 5–6, 7–9, 2000.
Classificazione degli stati ponderali secondo WHO. Obesity Report, 1997.
Ware J.E., Snow K.K., Kosinski M.: SF-36® Health Survey: Manual and Interpretation Guide. Lincoln, RI, Quality Metric Incorporated, 1993, 2000.
Apolone G., Mosconi P., Ware J.E.: Questionario sullo stato di salute SF-36. Manuale d’uso e guida all’interpretazione dei risultati”. Guerini e Associati, 1997.
Ware J.E., Kosinski M., Keller S.D.: SF-36 physical and mental health summary scales: A User’s manual. Boston, MA, Health Assessment Lab, 1994.
SPSS Incorporated. SPSS for Windows, version 11.0. Chicago, IL, SPSS, 2001
4° Rapporto sull’obesità. Istituto Auxologico Italiano, Franco Angeli, 2002.
Brunani A., Palli D., Salvini S., Masala G., Vallone L., Barantani E., Liuzzi A.: Short- and long-term mortality in a prevalent cohort of morbidly obese patients in Italy. Eur. J. Nutr., 41, 183–185, 2002.
Bender R., Jockel K.H., Richter B., Sprual M., Berger M.: Body weight, blood pressure, and mortality in a cohort of obese patient. Am. J. Epidemiol., 156, 239–245, 2002.
Wang G., Zheng Z.J., Heath G., Macera C., Pratt M., Buchner D.: Economic burden of cardiovascular disease associated with excess body weight in U.S. adults. Am. J. Prev. Med., 23, 1–6, 2002.
Kuriyama S., Tsuji I., Ohkubo T., Anzai Y., Takahashi K., Watanabe Y., Nishino Y., Hisamichi S.: Medical care expenditure associated with body mass index in Japan: the Ohsaki Study. Int. J. Obes. Relat. Metab. Disord., 26, 1069–1074, 2002.
Doll H.A., Petersen S.E.K., Stewart-Brown S.L.: Obesity and physical and emotional well-being: Associations between body mass index, chronic illness and the physical and mental components of the SF-36 questionnaire. Obes. Res., 8: 160–170, 2000.
Finkelstein M.M.: Body mass index and quality of life in a survey of primary care patients. J Fam Pract 49, 734–737, 2000.
Ford E.S., Moriarty D.G., Zack M.M., Mokdad A.H., Chapman D.P.: Self-reported body mass index and health-related quality of life: findings from the Behavioral Risk Factor Surveillance System. Obes. Res., 9, 21–31, 2001.
Zammuner V.L.: Il successo nell’ottenere la cooper-azione degli intervistati. Tecniche dell’intervista e del questionario. Bologna, Il Mulino, 1998, pp. 237–242
Cuzzolaro M.: Trattamento integrato dei disturbi del comportamento alimentare: il punto di vista dello psichiatra. Aggiornamenti in Nutrizione Clinica, 37, 33–47, 2000.
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This work was carried out by Ravenna Local Health Unit, UVEC Viale Randi 5.
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Baiardi, F., Puglia, M.G., Valpiani, G. et al. Relationship between body weight, quality of life and cardiovascular risk factors: A general population based Italian experience. Eat Weight Disord 10, 19–24 (2005). https://doi.org/10.1007/BF03353415
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DOI: https://doi.org/10.1007/BF03353415