scholarly journals O38 The relationship between obesity and outcomes in patients with polymyalgia rheumatica

Rheumatology ◽  
2020 ◽  
Vol 59 (Supplement_2) ◽  
Author(s):  
Ian C Scott ◽  
Ram Bajpai ◽  
Samantha L Hider ◽  
Toby Helliwell ◽  
Sara Muller ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cohort Study ◽  
Polymyalgia Rheumatica ◽  
Rating Scale ◽  
Reference Group ◽  
Normal Weight ◽  
Management Support ◽  
Underweight Patients ◽  
The Relationship

Abstract Background Obesity predisposes to a pro-inflammatory state. Studies have reported worse clinical outcomes in patients with inflammatory arthritis who are obese. The relationship between obesity and outcomes in patients with polymyalgia rheumatica (PMR), another common inflammatory rheumatic condition, has not been assessed. We examined this in a cohort study of primary care-recruited patients with PMR. Methods The PMR Cohort Study is an inception cohort of patients with incident PMR, recruited from 382 general practices. Self-completed questionnaires at 0, 12, and 24-months captured: (a) PMR-related pain (0-10 numeric rating scale [NRS]); (b) PMR-related stiffness (0-10 NRS); (c) anxiety (GAD7); (d) depression (PHQ8); (e) fatigue (FACIT-Fatigue); (f) function (mHAQ); (g) quality of life (EQ-5D-3L). Height was self-reported at baseline, and weight at baseline, 12 and 24 months. Patients were categorised as underweight (BMI<18.5 kg/m2); normal weight (18.50-24.99 kg/m2); overweight (25-29.99 kg/m2); or obese (≥30 kg/m2). Piecewise, multivariable, multilevel, linear mixed-effects regression models examined relationships between BMI categories and outcomes over time, using restricted cubic spline functions. Adjustments were made for age, sex, prednisolone-use, smoking, and alcohol. Due to few underweight patients (three at 0 months; one at 12/24 months), underweight and normal weight patients were combined, as a single reference group. Results 652 patients were included (62% female). At baseline, mean age was 72 years, median BMI 26.6 (IQR 24.0-30.2), 34% were normal/under-weight, 40% overweight, and 26% obese. Compared to normal/underweight patients, obese patients had the following significantly poorer outcomes (P<0.05): higher pain scores at 12-months; higher stiffness scores at 12 and 24 months; higher depression levels at 12 and 24 months; worse fatigue at 0, 12 and 24 months; worse function at 12 and 24 months; worse quality of life at 0, and 12 months. BMI changed little over 24 months (25.7% and 25.9% obese at 0 and 24-months, respectively). Conclusion Obesity is associated with poorer outcomes in patients with PMR. Consideration should be given to providing weight management support to patients with PMR and obesity. Further research should examine the impacts of weight-based steroid dosing on outcomes. Disclosures I.C. Scott None. R. Bajpai None. S.L. Hider None. T. Helliwell None. S. Muller None. C.D. Mallen None.

scholarly journals Physical Activity Patterns and Quality of Life of Overweight Boys: A Preliminary Study

2012 ◽  
Vol 22 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Chung-Ying Lin ◽  
Chia-Ting Su ◽  
Hui-lng Ma
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Standard Deviation ◽  
Activity Patterns ◽  
Occupational Therapists ◽  
Normal Weight ◽  
Age Range ◽  
The Relationship ◽  
Pearson Correlations

Objective We compared the physical activity (PA) patterns and the quality of life (QoL) between overweight and normal-weight boys, and examined the relationship between PA and QoL of overweight boys. Methods Eighteen overweight boys (age range: 8–10 years, mean ± standard deviation: 9.36 ± 0.82 years) and 18 age-matched, normal-weight counterparts (age range: 8–10 years, mean ± standard deviation: 9.01 ± 0.65 years) participated in this study. All participants were in the 3rd or 4th grade. Each boy completed a QoL questionnaire and wore an accelerometer on his waist for a week to measure his PA during that period. Independent t tests were used to examine the differences in QoL and PA between the overweight and normal-weight boys. Paired t tests were used to test the differences in PA between weekdays and weekend days for each group. Finally, Pearson correlations were used to analyze the relationships between PA and QoL in overweight boys. Results Overweight boys reported a significantly lower QoL, and participated in significantly less PA on weekends than did normal-weight boys. A moderate and marginally significant correlation was found between PA on weekends and QoL in overweight boys. Conclusion Our findings suggest the importance of increasing weekend PA for overweight boys. Occupational therapists should encourage overweight boys to engage in PA that the boys are interested in on weekends, and conduct a PA program for overweight boys.

scholarly journals Social Isolation, Illness Anxiety, and Quality of Life in Corona Survivors

2021 ◽  
Vol 36 (4) ◽  
pp. 515-528
Author(s):  
Shiza Shahid ◽  
Amina Shahid ◽  
Izza Mahfooz
Keyword(s):  
Quality Of Life ◽  
Social Isolation ◽  
Psychological Health ◽  
Rating Scale ◽  
Negative Relationship ◽  
World Health ◽  
Illness Anxiety ◽  
The Relationship

The aim of this study was to investigate the relationship between social isolation, illness anxiety and quality of life in corona survivors. This paper focuses on moderating role of illness anxiety on the relationship between social isolation and quality of life of COVID-19 survivors who faced this disease in past 6 months. The sample comprised of 110 survivors of COVID-19. Purposive sampling was used to assess the participants with the help of Google forms. Social isolation was measured by using Lubben Social Network Scale (Lubben et al., 2006), quality of life was measured by WHOQOL-BREF (World Health Organization, 1996), and to measure illness anxiety Hamilton Anxiety Rating Scale (Hamilton, 1959) was used. Correlational analysis revealed that social isolation had positive relationship with illness anxiety. Illness anxiety had negative relationship with physical health, psychological health environment and overall quality of life. Moreover, moderation analysis revealed that illness anxiety significantly moderated the relationship between social isolation and quality of life. This research attempted to explore the social isolation during lock down and illness anxiety corporate in low quality of life in COVID-19 pandemic. This study has variety of clinical implications as this research gave us insight into the role of social isolation and illness anxiety on quality of life especially in this pandemic so it will help psychologists to take measurements accordingly.

scholarly journals Factors associated with maternal overall quality of life six months postpartum: a cross sectional study from The Norwegian Mother, Father and Child Cohort Study

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Lisbeth Valla ◽  
Sølvi Helseth ◽  
Milada Cvancarova Småstuen ◽  
Nina Misvær ◽  
Randi Andenæs
Keyword(s):  
Quality Of Life ◽  
Cohort Study ◽  
Relationship Satisfaction ◽  
Postnatal Depression ◽  
Satisfaction With Life ◽  
Depression Scale ◽  
Satisfaction With Life Scale ◽  
Factors Associated ◽  
The Relationship

Abstract Background Having good Quality of Life (QoL) is essential, particularly for women after childbirth. However, little is known about the factors associated with maternal QoL after giving birth. We aimed to investigate the relationship between characteristics of the mother (socio-demographic variables), selected symptoms (depression and joy/anger), health perception (perception of birth) and possible characteristics of the environment (infant temperament, colic, sleep, parental relationship), with mothers’ overall quality of life when the child is 6 months of age. Methods This study is based on the Norwegian Mother, Father and Child Cohort Study (MoBa), conducted at the Norwegian Institute of Public Health from June 1999 to December 2008, which included a total of 86,724 children. Maternal QoL was assessed by the Satisfaction With Life Scale. Joy and anger were measured using the Differential Emotional Scale, mothers’ mental health was assessed using the Edinburgh Postnatal Depression Scale and satisfaction with relationship was measured using the Relationship Satisfaction Scale. Child temperament was measured using the Infant Characteristics Questionnaire and colic, sleep duration and feelings related to childbirth were assessed by mothers’ reports. The associations between life satisfaction and selected variables were analysed using stepwise multiple linear regression models, and the results are presented as effect sizes (ES). Results Maternal feelings of joy of having a baby (ES = 0.35), high relationship satisfaction (ES = 0.32), as well as having a baby with normal sleep (ES = 0.31), are factors associated with higher maternal overall QoL. Postnatal depression was negatively associated with mothers’ QoL, and infant colic or child’s temperament (fussiness) showed no such association with mothers’ QoL. Conclusions Health professionals and clinicians should focus on infants sleep but also on supporting joy of motherhood and strengthening relationships of the new parents when they develop health interventions or provide counselling to new mothers and their families.

scholarly journals Subjective Estimation of the Quality of Life in Relation to Neuroticism

2012 ◽  
Vol 63 (Supplement-1) ◽  
pp. 17-22 ◽  
Author(s):  
Jasminka Bobić
Keyword(s):  
Quality Of Life ◽  
Work Environment ◽  
Rating Scale ◽  
Personality Variables ◽  
Sf 36 ◽  
The Social ◽  
Subjective Estimation ◽  
Social Readjustment Rating Scale ◽  
The Relationship

Subjective Estimation of the Quality of Life in Relation to NeuroticismIt is generally agreed that personality variables have a relatively consistent influence on the subjective estimation of different situations in everyday life and the way people react to them. The aim of this review was to summarise our previously published findings on the relationship between subjective estimation of one's quality of life and the personality trait neuroticism-emotional stability. We used theWHO Quality of Life - BREFor SF-36 questionnaires for the assessment of the quality of life, Cornell Index for the assessment of neuroticism, and The Social Readjustment Rating Scale for the evaluation of common stressors. Our results have shown that more emotionally stable participants (lower neuroticism) perceive their life better in quality and are more satisfied with their work environment. In addition, our results support the findings from other studies that women have higher neuroticism and lower quality of life scores than men.

scholarly journals The Relationship between Weight Status, Health-Related Quality of Life, and Life Satisfaction in a Sample of Spanish Adolescents

2020 ◽  
Vol 17 (9) ◽  
pp. 3106
Author(s):  
José Ignacio Baile ◽  
Raquel María Guevara ◽  
María José González-Calderón ◽  
José David Urchaga
Keyword(s):  
Quality Of Life ◽  
Life Satisfaction ◽  
Weight Status ◽  
Normal Weight ◽  
The Body ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The Relationship

Excess weight has been associated with numerous psychosocial problems and is considered to be one of the most important health problems of today. The aim of this study is to analyze the relationship between weight status, which is evaluated by means of the body mass index (BMI), and the health-related quality of life (HRQoL) and life satisfaction (LS) variables in Spanish adolescents, as well as to examine whether gender influences this interrelationship. A total of 1197 subjects studying in their 1st and 4th years of high school (mean age: 14.4 years, SD: 1.69) participated in the study by completing the Health Behavior in School-Aged Children (HBSC) questionnaire. Then, the participants were grouped into the following categories: underweight, normal weight, overweight, and obese. The results show that boys have significantly higher HRQoL as well as higher levels of LS. On the other hand, only the obese group shows significantly lower scores in both HRQoL and LS than those in the normal-weight group. The interaction of weight category and gender does not have a significant impact on the variables that have been analyzed (HRQoL or LS).

scholarly journals Comparing Years of Healthy Life, Measured in 16 Ways, for Normal Weight and Overweight Older Adults

2012 ◽  
Vol 2012 ◽  
pp. 1-13 ◽  
Author(s):  
Paula Diehr ◽  
Stephen Thielke ◽  
Ellen O’Meara ◽  
Annette L. Fitzpatrick ◽  
Anne Newman
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Older Adults ◽  
Body Mass Index ◽  
Normal Weight ◽  
Overweight And Obesity ◽  
Healthy Life ◽  
Relationship Of ◽  
The Relationship

Introduction. The traditional definitions of overweight and obesity are not age specific, even though the relationship of weight to mortality is different for older adults. Effects of adiposity on aspects of health beside mortality have not been well investigated.Methods. We calculated the number of years of healthy life (YHL) in the 10 years after baseline, for 5,747 older adults. YHL was defined in 16 different ways. We compared Normal and Overweight persons, classified either by body mass index (BMI) or by waist circumference (WC).Findings. YHL for Normal and Overweight persons differed significantly in 25% of the comparisons, of which half favored the Overweight. Measures of physical health favored Normal weight, while measures of mental health and quality of life favored Overweight. Overweight was less favorable when defined by WC than by BMI. Obese persons usually had worse outcomes.Discussion. Overweight older adults averaged as many years of life and years of healthy life as those of Normal weight. There may be no outcome based reason to distinguish Normal from Overweight for older adults.Conclusion. The “Overweight paradox” appears to hold for nonmortality outcomes. New adiposity standards are needed for older adults, possibly different by race and sex.

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