Top

Gepubliceerd in:

01-04-2009

Effects of two weight-loss diets on health-related quality of life

Auteurs: William S. Yancy Jr., Daniel Almirall, Matthew L. Maciejewski, Ronette L. Kolotkin, Jennifer R. McDuffie, Eric C. Westman

Gepubliceerd in: Quality of Life Research | Uitgave 3/2009

Abstract

Purpose

To compare the effects of two diets on health-related quality of life (HRQOL).

Methods

Overweight volunteers (n = 119) were randomized to follow a low-carbohydrate, ketogenic diet (LCKD) or a low-fat diet (LFD) for 24 weeks. HRQOL was measured every 4 weeks using the Short Form-36 and analyzed using linear mixed-effects models.

Results

The mean age was 45 years and mean baseline body mass index was 34 kg/m²; 76% were women. At 24 weeks, five subscales (Physical Functioning, Role-Physical, General Health, Vitality, Social Functioning) and the Physical Component Summary score improved similarly in both diet groups. Bodily Pain improved in the LFD group only, whereas the Role-Emotional and Mental Health subscales and the Mental Component Summary (MCS) score improved in the LCKD group only. In comparison with the LFD group, the LCKD group had a statistically significant greater improvement in MCS score (3.1; 95%CI 0.2–6.0; effect size = 0.44) and a borderline significant greater improvement in the Mental Health subscale (5.0; 95%CI −0.3–10.4; effect size = 0.37).

Conclusions

Mental aspects of HRQOL improved more in participants following an LCKD than an LFD, possibly resulting from the LCKD’s composition, lack of explicit energy restriction, higher levels of satiety or metabolic effects.

vorige artikel Qualify of life and palliation predict survival in patients with chronic alveolar hypoventilation and nocturnal ventilatory support

volgende artikel Discrimination experience and quality of life among rural-to-urban migrants in China: the mediation effect of expectation–reality discrepancy

Arterburn, D. E., Maciejewski, M. L., & Tsevat, J. (2005). Impact of morbid obesity on medical expenditures in adults. International Journal of Obesity (London), 29, 334–339. doi:10.1038/sj.ijo.0802896.CrossRef

Calle, E. E., Rodriguez, C., Walker-Thurmond, K., & Thun, M. J. (2003). Overweight, obesity and mortality from cancer in a prospectively studied cohort of U.S. adults. The New England Journal of Medicine, 348, 1625–1638. doi:10.1056/NEJMoa021423.PubMedCrossRef

Field, A. E., Coakley, E. H., Must, A., et al. (2001). Impact of overweight on the risk of developing common chronic diseases during a 10-year period. Archives of Internal Medicine, 161, 1581–1586. doi:10.1001/archinte.161.13.1581.PubMedCrossRef

Finkelstein, E. A., Fiebelkorn, I. C., & Wang, G. (2003). National medical spending attributable to overweight and obesity: How much, and who’s paying? Health Affairs (Project Hope), (Suppl Web Exclusives), W3-219–226.

Katz, D. A., Mchorney, C. A., & Atkinson, R. L. (2000). Impact of obesity on health-related quality of life in patients with chronic illness. Journal of General Internal Medicine, 15, 789–796. doi:10.1046/j.1525-1497.2000.90906.x.PubMedCrossRef

Doll, H. A., Petersen, S. E., & Stewart-Brown, S. L. (2000). 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. Obesity Research, 8, 160–170. doi:10.1038/oby.2000.17.PubMedCrossRef

Yancy, W. S., Jr., Olsen, M. K., Westman, E. C., et al. (2002). Relationship between obesity and health-related quality of life in men. Obesity Research, 10, 1057–1064. doi:10.1038/oby.2002.143.PubMedCrossRef

Kolotkin, R. L., Meter, K., & Williams, G. R. (2001). Quality of life and obesity. Obesity Reviews, 2, 219–229. doi:10.1046/j.1467-789X.2001.00040.x.PubMedCrossRef

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, 568–578. doi:10.1016/j.jclinepi.2004.10.015.PubMedCrossRef

10.

Brehm, B. J., Seeley, R. J., Daniels, S. R., & D’alessio, D. A. (2003). A randomized trial comparing a very low carbohydrate diet and a calorie-restricted low fat diet on body weight and cardiovascular risk factors in healthy women. The Journal of Clinical Endocrinology and Metabolism, 88, 1617–1623. doi:10.1210/jc.2002-021480.PubMedCrossRef

11.

Dansinger, M. L., Gleason, J. A., Griffith, J. L., et al. (2005). Comparison of the Atkins, Ornish, Weight Watchers, and Zone diets for weight loss and heart disease risk reduction: A randomized trial. Journal of the American Medical Association, 293, 43–53. doi:10.1001/jama.293.1.43.PubMedCrossRef

12.

Foster, G. D., Wyatt, H. R., Hill, J. O., et al. (2003). A randomized trial of a low-carbohydrate diet for obesity. The New England Journal of Medicine, 348, 2082–2090. doi:10.1056/NEJMoa022207.PubMedCrossRef

13.

Gardner, C. D., Kiazand, A., Alhassan, S., et al. (2007). Comparison of the Atkins, Zone, Ornish, and LEARN diets for change in weight and related risk factors among overweight premenopausal women: The A TO Z Weight Loss Study: A randomized trial. Journal of the American Medical Association, 297, 969–977. doi:10.1001/jama.297.9.969.PubMedCrossRef

14.

Samaha, F. F., Iqbal, N., Seshadri, P., et al. (2003). A low-carbohydrate as compared with a low-fat diet in severe obesity. The New England Journal of Medicine, 348, 2074–2081. doi:10.1056/NEJMoa022637.PubMedCrossRef

15.

Stern, L., Iqbal, N., Seshadri, P., et al. (2004). The effects of low-carbohydrate versus conventional weight loss diets in severely obese adults: One-year follow-up of a randomized trial. Annals of Internal Medicine, 140, 778–785.PubMed

16.

Yancy, W. S., Jr., Olsen, M. K., Guyton, J. R., et al. (2004). A low-carbohydrate, ketogenic diet versus a low-fat diet to treat obesity and hyperlipidemia: A randomized, controlled trial. Annals of Internal Medicine, 140, 769–777.PubMed

17.

Atkins, R. C. (1998). Dr. Atkins’ new diet revolution. New York: Simon & Schuster.

18.

Anonymous. (1994). Step by step. Eating to lower your high blood cholesterol. American Heart Association. U.S. Department of Health and Human Services. Public Health Service. National Institutes of Health. National Heart, Lung, and Blood Institute, NIH Publication No. 94-2920.

19.

Anonymous. (2000). The practical guide: Identification, evaluation and treatment of overweight and obesity in adults. U.S. Department of Health and Human Services, Public Health Service, NIH Publication No. 00-4084.

20.

Duyff, R. L. (1998). The American Dietetic Association’s complete food and nutrition guide. Minneapolis: Chronimed Publishing.

21.

Anonymous. (1994). How to score the SF-36 Health Survey. Boston: Medical Outcomes Trust.

22.

Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-Item Short-Form Health Survey (SF-36), I: Conceptual framework and item selection. Medical Care, 30, 473–483. doi:10.1097/00005650-199206000-00002.PubMedCrossRef

23.

Mchorney, C. A., Ware, J. E., & Rogers, W. (1992). The validity and relative precision of MOS Short- and Long-Form Health Status Scales of Dartmouth COOP charts. Medical Care, 30(Suppl 5), MS253–MS265. doi:10.1097/00005650-199205001-00025.PubMedCrossRef

24.

Brazier, J. E., Harper, R., & Jones, N. M. B. (1992). Validating the SF-36 Health Survey Questionnaire: New outcome measure for primary care. BMJ (Clinical Research Ed.), 305, 160–164.CrossRef

25.

Ware, J. E., Jr., Snow, K. K., Kosinski, M., & Gandek, B. (1993). SF-36 Health Survey: Manual and interpretation guide. Boston: The Health Institute, New England Medical Center.

26.

Samsa, G., Edelman, D., Rothman, M. L., et al. (1999). Determining clinically important differences in health status measures: A general approach with illustration to the Health Utilities Index Mark II. PharmacoEconomics, 15, 141–155. doi:10.2165/00019053-199915020-00003.PubMedCrossRef

27.

Cnaan, A., Laird, N. M., & Slasor, P. (1997). Tutorial in biostatistics: Using the general linear mixed model to analyse unbalanced repeated measures and longitudinal data. Statistics in Medicine, 16, 2349–2380. doi:10.1002/(SICI)1097-0258(19971030)16:20<2349::AID-SIM667>3.0.CO;2-E. PubMedCrossRef

28.

Verbeke, G., & Molenberghs, G. (2000). Linear mixed models for longitudinal data. New York: Springer-Verlag.

29.

Rosenbaum, P. R. (1984). The consquences of adjustment for a concomitant variable that has been affected by the treatment. Journal of the Royal Statistical Society. Series A, (Statistics in Society), 147, 656–666.

30.

Rejeski, W. J., Focht, B. C., Messier, S. P., et al. (2002). Obese, older adults with knee osteoarthritis: Weight loss, exercise, and quality of life. Health Psychology, 21, 419–426. doi:10.1037/0278-6133.21.5.419.PubMedCrossRef

31.

Fujioka, K., Seaton, T. B., Rowe, E., et al. (2000). Weight loss with sibutramine improves glycaemic control and other metabolic parameters in obese patients with type 2 diabetes mellitus. Diabetes, Obesity & Metabolism, 2, 175–187. doi:10.1046/j.1463-1326.2000.00081.x.CrossRef

32.

Nguyen, N. T., Goldman, C., Rosenquist, C. J., et al. (2001). Laparoscopic versus open gastric bypass: A randomized study of outcomes, quality of life, and costs. Annals of Surgery, 234, 279–289 (discussion 289–291). doi:10.1097/00000658-200109000-00002.

33.

Kaukua, J., Pekkarinen, T., Sane, T., & Mustajoki, P. (2002). Health-related quality of life in WHO class II-III obese men losing weight with very-low-energy diet and behaviour modification: A randomised clinical trial. International Journal of Obesity and Related Metabolic Disorders, 26, 487–495. doi:10.1038/sj.ijo.0801953.PubMedCrossRef

34.

Grimm, R. H., Jr., Grandits, G. A., Cutler, J. A., et al. (1997). Relationships of quality-of-life measures to long-term lifestyle and drug treatment in the Treatment of Mild Hypertension Study. Archives of Internal Medicine, 157, 638–648. doi:10.1001/archinte.157.6.638.PubMedCrossRef

35.

Rippe, J. M., Price, J. M., Hess, S. A., 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, 208–218.PubMed

36.

O’brien, P. E., Dixon, J. B., Laurie, C., et al. (2006). Treatment of mild to moderate obesity with laparoscopic adjustable gastric banding or an intensive medical program: A randomized trial. Annals of Internal Medicine, 144, 625–633.PubMed

37.

Macrodimitris, S. D., & Endler, N. S. (2001). Coping, control, and adjustment in Type 2 diabetes. Health Psychology, 20, 208–216. doi:10.1037/0278-6133.20.3.208.PubMedCrossRef

38.

Eastwood, J. A., Doering, L., Roper, J., & Hays, R. D. (2008). Uncertainty and health-related quality of life 1 year after coronary angiography. American Journal of Critical Care, 17, 232–242. (quiz 243).PubMed

39.

Schifter, D. E., & Ajzen, I. (1985). Intention, perceived control, and weight loss: An application of the theory of planned behavior. Journal of Personality and Social Psychology, 49, 843–851. doi:10.1037/0022-3514.49.3.843.PubMedCrossRef

40.

Boden, G., Sargrad, K., Homko, C., et al. (2005). Effect of a low-carbohydrate diet on appetite, blood glucose levels, and insulin resistance in obese patients with type 2 diabetes. Annals of Internal Medicine, 142, 403–411.PubMed

41.

Fontani, G., Corradeschi, F., Felici, A., et al. (2005). Blood profiles, body fat and mood state in healthy subjects on different diets supplemented with Omega-3 polyunsaturated fatty acids. European Journal of Clinical Investigation, 35, 499–507. doi:10.1111/j.1365-2362.2005.01540.x.PubMedCrossRef

42.

Shai, I., Schwarzfuchs, D., Henkin, Y., et al. (2008). Weight loss with a low-carbohydrate, Mediterranean, or low-fat diet. The New England Journal of Medicine, 359, 229–241. doi:10.1056/NEJMoa0708681.PubMedCrossRef

43.

Thachil, A. F., Mohan, R., & Bhugra, D. (2007). The evidence base of complementary and alternative therapies in depression. Journal of Affective Disorders, 97, 23–35. doi:10.1016/j.jad.2006.06.021.PubMedCrossRef

44.

Fochtmann, L. J., & Gelenberg, A. J. (2005). Guideline watch: Practice guideline for the treatment of patients with major depressive disorder. Arlington: American Psychiatric Association.

45.

Karasu, T. B., Gelenberg, A., Merriam, A., & Wang, P. (2000). Practice guideline for the treatment of patients with major depressive disorder. Arlington: American Psychiatric Association.

Titel: Effects of two weight-loss diets on health-related quality of life
Auteurs: William S. Yancy Jr.
Daniel Almirall
Matthew L. Maciejewski
Ronette L. Kolotkin
Jennifer R. McDuffie
Eric C. Westman
Publicatiedatum: 01-04-2009
Uitgeverij: Springer Netherlands
Gepubliceerd in: Quality of Life Research / Uitgave 3/2009
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-009-9444-8

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Purpose

Methods

Results

Conclusions

Log in om toegang te krijgen

Andere artikelen Uitgave 3/2009

Qualify of life and palliation predict survival in patients with chronic alveolar hypoventilation and nocturnal ventilatory support

Measuring global physical health in children with cerebral palsy: illustration of a multidimensional bi-factor model and computerized adaptive testing

Response shift: a brief overview and proposed research priorities

Measures of asthma control and quality of life: longitudinal data provide practical insights into their relative usefulness in different research contexts

Disability meanings according to patients and clinicians: imagined recovery choice pathways

The 6-item CTS symptoms scale: a brief outcomes measure for carpal tunnel syndrome