Skip to main content
Top
Gepubliceerd in:

01-09-2010

Changes in Health-Related Quality of Life among African-Americans in a lifestyle weight loss program

Auteurs: Aluko A. Hope, Shiriki K. Kumanyika, Justine Shults, William C. Holmes

Gepubliceerd in: Quality of Life Research | Uitgave 7/2010

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

Changes in health-related quality of life (HRQoL) were assessed in clinically obese, African-American adults after completion of a weight loss program that resulted in modest average weight loss.

Methods

Data were analyzed for 87 men and women who provided weight measurements after an initial 10-week weight loss program (Phase 1) and a subsequent clinical trial to evaluate three weight maintenance approaches (Phase 2) over an additional 8 to 18 months. HRQoL was assessed using the Short Form SF-36 questionnaire. Intra-person changes in HRQoL were assessed and analyzed for associations with weight change within each phase. Non-parametric bivariable analyses and multivariable linear regression were used in statistical analyses.

Results

Changes in HRQoL were modest; clinically significant intra-subject improvements in SF-36 domains of general health and vitality and in the mental component summary score were observed after Phase 1 but were attenuated during Phase 2. Improvements in vitality were significantly associated with greater weight loss in Phase 1, but no HRQoL change scores during Phase 2 were associated with weight change.

Conclusions

Short-term improvements in general health and vitality were observed. The vitality domain of the SF-36 appeared to be the domain of HRQoL most responsive to modest weight change.
Literatuur
1.
go back to reference McGee, D. L. (2005). Body mass index and mortality: a meta-analysis based on person-level data from twenty-six observational studies. Annals of Epidemiology, 15(2), 87–97.CrossRefPubMed McGee, D. L. (2005). Body mass index and mortality: a meta-analysis based on person-level data from twenty-six observational studies. Annals of Epidemiology, 15(2), 87–97.CrossRefPubMed
2.
go back to reference Whitlock, G., Lewington, S., Sherliker, P., Clarke, R., Emberson, J., Halsey, J., et al. (2009). Body-mass index and cause-specific mortality in 900 000 adults: Collaborative analyses of 57 prospective studies. Lancet, 373(9669), 1083–1096.CrossRefPubMed Whitlock, G., Lewington, S., Sherliker, P., Clarke, R., Emberson, J., Halsey, J., et al. (2009). Body-mass index and cause-specific mortality in 900 000 adults: Collaborative analyses of 57 prospective studies. Lancet, 373(9669), 1083–1096.CrossRefPubMed
3.
go back to reference Flegal, K. M., Carroll, M. D., Ogden, C. L., & Johnson, C. L. (2002). Prevalence and trends in obesity among US adults, 1999–2000. JAMA, 288(14), 1723–1727.CrossRefPubMed Flegal, K. M., Carroll, M. D., Ogden, C. L., & Johnson, C. L. (2002). Prevalence and trends in obesity among US adults, 1999–2000. JAMA, 288(14), 1723–1727.CrossRefPubMed
4.
go back to reference Flegal, K. M., & Graubard, B. I. (2009). Estimates of excess deaths associated with body mass index and other anthropometric variables. American Journal of Clinical Nutrition, 89(4), 1213–1219.CrossRefPubMed Flegal, K. M., & Graubard, B. I. (2009). Estimates of excess deaths associated with body mass index and other anthropometric variables. American Journal of Clinical Nutrition, 89(4), 1213–1219.CrossRefPubMed
5.
go back to reference Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999–2004. JAMA, 295(13), 1549–1555.CrossRefPubMed Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999–2004. JAMA, 295(13), 1549–1555.CrossRefPubMed
6.
go back to reference Fontaine, K. R., & Barofsky, I. (2001). Obesity and health-related quality of life. Obesity Reviews, 2(3), 173–182.CrossRefPubMed Fontaine, K. R., & Barofsky, I. (2001). Obesity and health-related quality of life. Obesity Reviews, 2(3), 173–182.CrossRefPubMed
7.
go back to reference Kolotkin, R. L., Meter, K., & Williams, G. R. (2001). Quality of life and obesity. Obesity Reviews, 2(4), 219–229.CrossRefPubMed Kolotkin, R. L., Meter, K., & Williams, G. R. (2001). Quality of life and obesity. Obesity Reviews, 2(4), 219–229.CrossRefPubMed
8.
go back to reference Karlsson, J., Taft, C., Ryden, A., Sjostrom, L., & Sullivan, M. (2007). Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: The SOS intervention study. Int J Obes (Lond), 31(8), 1248–1261.CrossRef Karlsson, J., Taft, C., Ryden, A., Sjostrom, L., & Sullivan, M. (2007). Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: The SOS intervention study. Int J Obes (Lond), 31(8), 1248–1261.CrossRef
9.
go back to reference Coakley, E. H., Kawachi, I., Manson, J. E., Speizer, F. E., Willet, W. C., & Colditz, G. A. (1998). Lower levels of physical functioning are associated with higher body weight among middle-aged and older women. International Journal of Obesity and Related Metabolic Disorders, 22(10), 958–965.CrossRefPubMed Coakley, E. H., Kawachi, I., Manson, J. E., Speizer, F. E., Willet, W. C., & Colditz, G. A. (1998). Lower levels of physical functioning are associated with higher body weight among middle-aged and older women. International Journal of Obesity and Related Metabolic Disorders, 22(10), 958–965.CrossRefPubMed
10.
go back to reference Fine, J. T., Colditz, G. A., Coakley, E. H., Moseley, G., Manson, J. E., Willett, W. C., et al. (1999). A prospective study of weight change and health-related quality of life in women. JAMA, 282(22), 2136–2142.CrossRefPubMed Fine, J. T., Colditz, G. A., Coakley, E. H., Moseley, G., Manson, J. E., Willett, W. C., et al. (1999). A prospective study of weight change and health-related quality of life in women. JAMA, 282(22), 2136–2142.CrossRefPubMed
11.
go back to reference Rippe, J. M., Price, J. M., Hess, S. A., Kline, G., DeMers, K. A., Damitz, S., et al. (1998). Improved psychological well-being, quality of life, and health practices in moderately overweight women participating in a 12-week structured weight loss program. Obesity Research, 6(3), 208–218.PubMed Rippe, J. M., Price, J. M., Hess, S. A., Kline, G., DeMers, K. A., Damitz, S., et al. (1998). Improved psychological well-being, quality of life, and health practices in moderately overweight women participating in a 12-week structured weight loss program. Obesity Research, 6(3), 208–218.PubMed
12.
go back to reference Fontaine, K. R., Barofsky, I., Bartlett, S. J., Franckowiak, S. C., & Andersen, R. E. (2004). Weight loss and health-related quality of life: Results at 1-year follow-up. Eating Behaviors, 5(1), 85–88.CrossRefPubMed Fontaine, K. R., Barofsky, I., Bartlett, S. J., Franckowiak, S. C., & Andersen, R. E. (2004). Weight loss and health-related quality of life: Results at 1-year follow-up. Eating Behaviors, 5(1), 85–88.CrossRefPubMed
13.
go back to reference Maciejewski, M. L., Patrick, D. L., & Williamson, D. F. (2005). A structured review of randomized controlled trials of weight loss showed little improvement in health-related quality of life. Journal of Clinical Epidemiology, 58(6), 568–578.CrossRefPubMed Maciejewski, M. L., Patrick, D. L., & Williamson, D. F. (2005). A structured review of randomized controlled trials of weight loss showed little improvement in health-related quality of life. Journal of Clinical Epidemiology, 58(6), 568–578.CrossRefPubMed
14.
go back to reference Fontaine, K. R., Barofsky, I., Andersen, R. E., Bartlett, S. J., Wiersema, L., Cheskin, L. J., et al. (1999). Impact of weight loss on health-related quality of life. Quality of Life Research, 8(3), 275–277.CrossRefPubMed Fontaine, K. R., Barofsky, I., Andersen, R. E., Bartlett, S. J., Wiersema, L., Cheskin, L. J., et al. (1999). Impact of weight loss on health-related quality of life. Quality of Life Research, 8(3), 275–277.CrossRefPubMed
15.
go back to reference Kumanyika, S. (2008). Ethnic minorities and weight control research priorities: Where are we now and where do we need to be? Preventive Medicine, 47(6), 583–586.CrossRefPubMed Kumanyika, S. (2008). Ethnic minorities and weight control research priorities: Where are we now and where do we need to be? Preventive Medicine, 47(6), 583–586.CrossRefPubMed
16.
go back to reference Hollis, J. F., Gullion, C. M., Stevens, V. J., Brantley, P. J., Appel, L. J., Ard, J. D., et al. (2008). Weight loss during the intensive intervention phase of the weight-loss maintenance trial. American Journal of Preventive Medicine, 35(2), 118–126.CrossRefPubMed Hollis, J. F., Gullion, C. M., Stevens, V. J., Brantley, P. J., Appel, L. J., Ard, J. D., et al. (2008). Weight loss during the intensive intervention phase of the weight-loss maintenance trial. American Journal of Preventive Medicine, 35(2), 118–126.CrossRefPubMed
17.
go back to reference Kumanyika, S. K., Espeland, M. A., Bahnson, J. L., Bottom, J. B., Charleston, J. B., Folmar, S., et al. (2002). Ethnic comparison of weight loss in the trial of nonpharmacologic interventions in the elderly. Obesity Research, 10(2), 96–106.CrossRefPubMed Kumanyika, S. K., Espeland, M. A., Bahnson, J. L., Bottom, J. B., Charleston, J. B., Folmar, S., et al. (2002). Ethnic comparison of weight loss in the trial of nonpharmacologic interventions in the elderly. Obesity Research, 10(2), 96–106.CrossRefPubMed
18.
go back to reference West, D. S., Elaine Prewitt, T., Bursac, Z., & Felix, H. C. (2008). Weight loss of black, white, and Hispanic men and women in the diabetes prevention program. Obesity (Silver Spring), 16(6), 1413–1420.CrossRef West, D. S., Elaine Prewitt, T., Bursac, Z., & Felix, H. C. (2008). Weight loss of black, white, and Hispanic men and women in the diabetes prevention program. Obesity (Silver Spring), 16(6), 1413–1420.CrossRef
19.
go back to reference Kumanyika, S. K., Shults, J., Fassbender, J., Whitt, M. C., Brake, V., Kallan, M. J., et al. (2005). Outpatient weight management in African-Americans: The Healthy Eating and Lifestyle Program (HELP) study. Preventive Medicine, 41(2), 488–502.CrossRefPubMed Kumanyika, S. K., Shults, J., Fassbender, J., Whitt, M. C., Brake, V., Kallan, M. J., et al. (2005). Outpatient weight management in African-Americans: The Healthy Eating and Lifestyle Program (HELP) study. Preventive Medicine, 41(2), 488–502.CrossRefPubMed
20.
go back to reference Kumanyika, S. K. (2002). Obesity treatment in minorities. In T. A. Wadden (Ed.), Handbook of Obesity Treatment (3rd ed., pp. 416–446). New York: Guilford Publications. Kumanyika, S. K. (2002). Obesity treatment in minorities. In T. A. Wadden (Ed.), Handbook of Obesity Treatment (3rd ed., pp. 416–446). New York: Guilford Publications.
21.
go back to reference Ware, J. E., Snow, K. K., & Kosinski, M. (1993). SF-36 health survey Manual and interpretation guide. Boston: New England Medical Center. Ware, J. E., Snow, K. K., & Kosinski, M. (1993). SF-36 health survey Manual and interpretation guide. Boston: New England Medical Center.
22.
go back to reference Ware, J. E., Jr., Kosinski, M., & Keller, S. D. (1994). SF-36 physical and mental health summary scales: A user’s manual. Massachussett’s Health Assessment Lab. Boston: New England Medical Center. Ware, J. E., Jr., Kosinski, M., & Keller, S. D. (1994). SF-36 physical and mental health summary scales: A user’s manual. Massachussett’s Health Assessment Lab. Boston: New England Medical Center.
23.
go back to reference Stata Corp. (2009). Stata statistical software: Release 11, college station. Texas: Stata Corp LP. Stata Corp. (2009). Stata statistical software: Release 11, college station. Texas: Stata Corp LP.
24.
go back to reference Haukoos, J. S., & Lewis, R. J. (2005). Advanced statistics: Bootstrapping confidence intervals for statistics with “difficult” distributions. Academic Emergency Medicine, 12(4), 360–365.CrossRefPubMed Haukoos, J. S., & Lewis, R. J. (2005). Advanced statistics: Bootstrapping confidence intervals for statistics with “difficult” distributions. Academic Emergency Medicine, 12(4), 360–365.CrossRefPubMed
25.
go back to reference Anonymous. (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults–The evidence report. National Institutes of Health. Obesity Research, 6(Suppl 2): 51S–209S. Erratum in: Obes Res 1998 Nov;6(6):464. PubMed PMID: 9813653 Anonymous. (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults–The evidence report. National Institutes of Health. Obesity Research, 6(Suppl 2): 51S–209S. Erratum in: Obes Res 1998 Nov;6(6):464. PubMed PMID: 9813653
26.
go back to reference Stevens, J., Truesdale, K. P., McClain, J. E., & Cai, J. (2006). The definition of weight maintenance. International Journal of Obesity, 30(3), 391–399.CrossRefPubMed Stevens, J., Truesdale, K. P., McClain, J. E., & Cai, J. (2006). The definition of weight maintenance. International Journal of Obesity, 30(3), 391–399.CrossRefPubMed
27.
go back to reference Ware, J. E., Jr., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30(6), 473–483.CrossRefPubMed Ware, J. E., Jr., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30(6), 473–483.CrossRefPubMed
28.
go back to reference Bryant, M. J., Stevens, J., Truesdale, K. P., Mosley, T., Chambless, L., Bryant, M. J., et al. (2008). Obesity and vital exhaustion: Analysis of the Atherosclerosis Risk in the Communities study. Obesity, 16(7), 1545–1551.CrossRefPubMed Bryant, M. J., Stevens, J., Truesdale, K. P., Mosley, T., Chambless, L., Bryant, M. J., et al. (2008). Obesity and vital exhaustion: Analysis of the Atherosclerosis Risk in the Communities study. Obesity, 16(7), 1545–1551.CrossRefPubMed
29.
go back to reference Ard, J. D., Rosati, R., & Oddone, E. Z. (2000). Culturally-sensitive weight loss program produces significant reduction in weight, blood pressure, and cholesterol in eight weeks. Journal of the National Medical Association, 92(11), 515–523.PubMed Ard, J. D., Rosati, R., & Oddone, E. Z. (2000). Culturally-sensitive weight loss program produces significant reduction in weight, blood pressure, and cholesterol in eight weeks. Journal of the National Medical Association, 92(11), 515–523.PubMed
30.
go back to reference Kaukua, J., Pekkarinen, T., Sane, T., & Mustajoki, P. (2003). Health-related quality of life in obese outpatients losing weight with very-low-energy diet and behaviour modification–a 2-y follow-up study. International Journal of Obesity and Related Metabolic Disorders, 27(10), 1233–1241.CrossRefPubMed Kaukua, J., Pekkarinen, T., Sane, T., & Mustajoki, P. (2003). Health-related quality of life in obese outpatients losing weight with very-low-energy diet and behaviour modification–a 2-y follow-up study. International Journal of Obesity and Related Metabolic Disorders, 27(10), 1233–1241.CrossRefPubMed
31.
go back to reference Blissmer, B., Riebe, D., Dye, G., Ruggiero, L., Greene, G., & Caldwell, M. (2006). Health-related quality of life following a clinical weight loss intervention among overweight and obese adults intervention and 24 month follow-up effects. Health Qual Life Outcomes, 4(43), 43.CrossRefPubMed Blissmer, B., Riebe, D., Dye, G., Ruggiero, L., Greene, G., & Caldwell, M. (2006). Health-related quality of life following a clinical weight loss intervention among overweight and obese adults intervention and 24 month follow-up effects. Health Qual Life Outcomes, 4(43), 43.CrossRefPubMed
32.
go back to reference Anderson, C. A. M., Kumanyika, S. K., Shults, J., Kallan, M. J., Gans, K. M., & Risica, P. M. (2007). Assessing change in dietary-fat behaviors in a weight-loss program for African Americans: a potential short method. Journal of the American Dietetic Association, 107(5), 838–842.CrossRefPubMed Anderson, C. A. M., Kumanyika, S. K., Shults, J., Kallan, M. J., Gans, K. M., & Risica, P. M. (2007). Assessing change in dietary-fat behaviors in a weight-loss program for African Americans: a potential short method. Journal of the American Dietetic Association, 107(5), 838–842.CrossRefPubMed
33.
go back to reference Fontaine, K. R., & Cheskin, L. J. (1999). Optimism and obesity treatment outcomes. Journal of Clinical Psychology, 55(1), 141–143.CrossRefPubMed Fontaine, K. R., & Cheskin, L. J. (1999). Optimism and obesity treatment outcomes. Journal of Clinical Psychology, 55(1), 141–143.CrossRefPubMed
Metagegevens
Titel
Changes in Health-Related Quality of Life among African-Americans in a lifestyle weight loss program
Auteurs
Aluko A. Hope
Shiriki K. Kumanyika
Justine Shults
William C. Holmes
Publicatiedatum
01-09-2010
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 7/2010
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-010-9669-6