scholarly journals Prospective Associations of the Short Form Health Survey Vitality Scale and Changes in Body Mass Index and Obesity Status

2018 ◽  
Vol 2018 ◽  
pp. 1-10
Author(s):  
Cathrine Lawaetz Wimmelmann ◽  
Emilie Rune Hegelund ◽  
Anna Paldam Folker ◽  
Emilie Just-Østergaard ◽  
Merete Osler ◽  
...  

Objectives. The objectives of the current study were to prospectively investigate the predictive value of the vitality scale of the Short Form Health Survey for changes in body mass index and development of obesity. Methods. The study population comprised 2864 (81.5%) men and 648 (18.5%) women from the Metropolit Project and the Danish Longitudinal Study on Work, Unemployment and Health, who participated in a follow-up examination in 2009–2011 corresponding to a follow-up period of 3–7 years. Associations of vitality with body mass index and obesity were investigated separately for men and women in linear and logistic regression models adjusting for age, baseline body mass index, education, physical activity, smoking, and obesity-related diseases. Results. Vitality was significantly associated with change in body mass index among men (p<0.001) and women (p<0.05) gaining weight after adjusting for age, baseline body mass index, education, physical activity, smoking, and obesity-related diseases. No significant associations of vitality with BMI change were observed among individuals maintaining or losing weight during the follow-up period. Furthermore, vitality significantly predicted development of obesity among women. Conclusion. The study indicates that vitality is of predictive value for increases in BMI over time among individuals gaining weight and may further predict the development of obesity among women. This identification of poor vitality as a potential risk indicator for weight gain and development of obesity may be beneficial in clinical practice.

2011 ◽  
Vol 05 (01) ◽  
pp. 30-36
Author(s):  
M. D. Stehr ◽  
T. von Lengerke

ZusammenfassungDie Frage, wie die Adipositas mit psychischen Störungen assoziiert ist, wird kontrovers diskutiert. Die vorliegende Arbeit gibt einen systematischen Überblick über neuere Studien (2001-2009) zu ihrem Zusammenhang mit psychischer gesundheitsbezogener Lebensqualität bei Erwachsenen. In PubMed wurden dazu 25 empirische Querschnittstudien aus OECD-Ländern aus der Gruppe der sehr hoch entwickelten Länder identifiziert, die einen Vergleich mit nicht adipösen Gruppen (einschließlich Normalgewicht) beinhalteten. Alle verwendeten den Short Form Health Survey 36 (SF-36) oder 12 (SF-12) sowie Grenzwerte nach Body Mass Index laut WHO. Es zeigte sich, dass sich adipöse Erwachsene in ihrer psychischen gesundheitsbezogenen Lebensqualität in 76% der Studien nicht bedeutsam von den Vergleichsgruppen unterschieden. In jeweils 12% der Studien fanden sich adipositas-assoziiert schlechtere bzw. bessere Werte. Dagegen berichteten 96% der Studien Einschränkungen in der körperlichen Lebensqualität. Ohne einen metaanalytischen Anspruch zu erheben und ohne Aussagen über Gewichtsveränderungen machen zu können, erlaubt die Übersicht die Schlussfolgerung, dass im Allgemeinen nicht von adipositas-assoziierten Einschränkungen in der psychischen Lebensqualität bei Erwachsenen auszugehen ist. Es wird daher empfohlen, bei Aussagen zur Lebensqualität adipöser Erwachsener möglichst anzugeben, ob Unterschiede in der körperlichen und/oder in der psychischen Lebensqualität gemeint sind.


2020 ◽  
Author(s):  
Bin Lv

Abstract BackgroundRecently, unilateral laminotomy for bilateral decompression (ULBD) has become a alternative to conventional decompression for symptomatic lumbar spinal stenosis (LSS),and this minimally invasive surgical technique has shown a satisfactory outcomes and low complications. However, the influence of old age on the risk of postoperative complications and clinical outcome is not well understood.OBJECTIVEThe purpose of this study was to evaluate clinical and radiographic outcomes and complication rates after ULBD in elderly patients.Study DesignSingle center retrospective observational study.SettingAll data was from the affiliated people's hospital of Jiangsu University.METHODSIn this study, 39 elderly patients were treated for lumbar spinal stenosis by ULBD between January 2016 and January 2018. Follow-up consisted of radiologic investigations, Visual Analog Scale, Oswestry Disability Index, and 36-Item Short-Form Health Survey at 6 and 12 months postoperatively. Preoperative comorbidity, postoperative complications and revision surgery rates were also analyzed.RESULTSThere were 12 female patients and 27 male patients with a mean age of 75.83 ± 9.16 years. 20 patients had one levels of spinal stenosis, 13 patients had two levels of stenosis, 6 patients had three levels of stenosis. Average follow-up time was 14.6 ± 7.8 months (range, 6–24 months), Total complications were 10.2%(4/39),and reoperation rate was 2.5%(1/39). Oswestry Disability Index scores decreased significantly (from 32.26 ± 6.82 to 11.44 ± 2.50 at 6 months and 10.56 ± 2.29 at 12 months), and 36-Item Short-Form Health Survey parameter scores demonstrated a significant improvement in the follow-up results.LimitationA multi-center study is recommended to confirm our findings and explore the factors related to clinical and radiographic outcomes.CONCLUSIONSULBD for lumbar spinal stenosis is a safe and effective treatment for elderly patients, improves these patients’ quality of life and does not pose an increased risk of complications.


2020 ◽  
Author(s):  
Veronika Ehegartner ◽  
Michaela Kirschneck ◽  
Eva M Wilhelm ◽  
Dieter Frisch ◽  
Angela Schuh ◽  
...  

Zusammenfassung Hintergrund Pflegekräfte in Deutschland sind zunehmend von physischen und psychischen Belastungen beeinträchtigt, was sich negativ in den Krankheitstagen und Frühberentungszahlen niederschlägt. Im Projekt PFLEGEprevent wurde ein Präventionsprogramm entwickelt, das auf die speziellen Bedürfnisse des Pflegepersonals ausgerichtet ist, damit deren Ressourcen im Umgang mit Arbeitsbelastungen und Herausforderungen des beruflichen Alltags gestärkt werden. Das Präventionsprogramm wurde in einer RCT mit Pflegekräften implementiert und auf seine Wirksamkeit in den Bereichen Stress, Arbeitsfähigkeit und Lebensqualität hin evaluiert. Methodik Die randomisiert kontrollierte Interventionsstudie wurde im Wartegruppendesign mit 6 Erhebungszeitpunkten über 9 Monate durchgeführt. Die Datenerhebung der Zielgrößen erfolgte über validierte Instrumente: Perceived Stress Questionnaire (PSQ), Perceived Stress Scale (PSS), Work Ability Index (WAI), Erholungs-Belastungs-Fragebogen für den Arbeitskontext (EBF-Work 27), Short-Form-Health Survey (SF-12) und WHO-Five Well-Being Index (WHO-5). Neben deskriptiven Analysen wurde der t-Test für unabhängige Stichproben verwendet, um die Veränderungen in der primären und den sekundären Zielgrößen zwischen den Studiengruppen zu vergleichen. Ergebnisse Es nahmen 125 (92% weiblich, Durchschnittsalter 46,7 Jahre) Pflegekräfte an der Studie teil. Es zeigten sich signifikante Gruppenunterschiede in den Veränderungen der Zielgröße zu den Follow-up-Messungen bis zu 9 Monaten. Besonders das Stressempfinden reduzierte sich in der Interventionsgruppe langfristig. Das allgemeine Wohlbefinden in dieser Gruppe verbesserte sich zu allen Erhebungszeitpunkten signifikant zum Ausgangswert. Schlussfolgerung Die Evaluation des Präventionsprogrammes zeigte noch nach 9 Monaten einen positiven Effekt in der gemessenen Zielgröße PSQ zum Stresserleben. In den weiteren Zielgrößen konnten signifikante Gruppenunterschiede zu den Nacherhebungszeitpunkten nach 1 und 3 Monaten gezeigt werden.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Bin Lv ◽  
Sixin Sun ◽  
Haosheng Wang ◽  
Li Xiao ◽  
Tao Xu ◽  
...  

Background. Recently, “over the top” (also called ULBD; microscopic unilateral laminotomy for bilateral decompression) is a less invasive technique for symptomatic degenerative lumbar spinal stenosis (LSS), and this minimally invasive surgical technique has demonstrated favorable therapeutic outcomes. However, the risk of postoperative complications remains controversial. Objective. This study is aimed at determining the clinical efficacy and complication and rehabilitation of the microscopic “over the top” for degenerative LSS in geriatric patients. Study Design. This was a retrospective study. Setting. All data were obtained from the People’s Hospital of a University. Methods. A retrospective analysis of 39 consecutive elderly patients treated for LSS by microscopic “over the top” between January 2016 and January 2018 was performed. A postoperative rehabilitation program for geriatric patients with restricted weight-bearing was instituted after the microscopic “over the top” treatment. Estimated blood loss, duration of operation, length of hospitalization, and total complications were also evaluated. The CT and MRI examinations of the lumbar spine were collected to evaluate the completeness of the nerve decompression. Clinical data were assessed at 6 months and 12 months after operation utilizing the visual analog scale (VAS), Oswestry Disability Index (ODI), and 36-Item Short-Form Health Survey (SF-36). Preoperative comorbidities, complications, and revision surgery were also recorded. Results. We enrolled a total of 39 degenerative LSS patients (27 male and 12 female patients, mean age of 75.8 ± 9.2 years). Twenty patients had one-level of degenerative LSS; thirteen patients had two-level of LSS; six patients had three-level of LSS. The average follow-up time in our study was 14.6 ± 7.8 months (range, 6-24 months). The overall complication rate was 10.2% (4/39), and the reoperation rates at one year were 2.5% (1/39). VAS back and leg pain score at 6 months were decreased to 1.8 ± 0.7 and 1.4 ± 0.6 , respectively, and remained at 1.9 ± 0.3 and 1.2 ± 0.2 at 12 months, respectively. ODI scores improved significantly from 32.26 ± 6.82 to 11.44 ± 2.50 at 6 months and 10.56 ± 2.29 at 12 months. 36-Item Short-Form Health Survey scores revealed a significant improvement throughout follow-up. Postoperative complications included dural tear ( n = 2 ), neurologic deficit ( n = 1 ), and reoperation ( n = 1 ). No infections or hematomas were reported. Limitation. Multicenter research is recommended to confirm our results and investigate the factors related to clinical and radiographic results. Conclusions. Microscopic “over the top” technique is a safe, effective option in the therapy of degenerative LSS and obtained satisfactory functional outcomes when coupled with aggressive rehabilitation, with a long recurrence-free recovery.


Diagnostica ◽  
2012 ◽  
Vol 58 (3) ◽  
pp. 145-153 ◽  
Author(s):  
Volker Beierlein ◽  
Matthias Morfeld ◽  
Corinna Bergelt ◽  
Monika Bullinger ◽  
Elmar Brähler

Zusammenfassung. Der Short-Form Health Survey SF-8 ist ein Instrument zur Messung der gesundheitsbezogenen Lebensqualität, einem wichtigen Outcomekriterium klinischer Studien und in den Gesundheitswissenschaften. Das Instrument ist eine Kurzform des häufig verwendeten SF-36, mit dem acht Dimensionen der subjektiven Gesundheit gemessen sowie zwei Summenskalen Körperlicher und Psychischer Gesundheit berechnet werden können. Der SF-8 wurde im Jahr 2004 im Rahmen einer bundesweit durchgeführten Mehrthemenbefragung eingesetzt. Basierend auf diesen Daten können erstmalig repräsentative Normdaten zum SF-8 (N = 2552) aus einer schriftlichen Befragung für die deutsche Bevölkerung vorgelegt werden. Die Referenzdaten werden alters- sowie geschlechtsdifferenziert berichtet und auf Zusammenhänge mit soziodemografischen Merkmalen analysiert. Seltene fehlende Werte in den Antworten weisen auf eine gute Akzeptanz des Instruments hin. Auch wenn der SF-8 in verschiedenen Subskalen mit Deckeneffekten behaftet ist, kann sein Einsatz aufgrund seiner Ökonomie empfohlen werden.


2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Chadia Haddad ◽  
Hala Sacre ◽  
Sahar Obeid ◽  
Pascale Salameh ◽  
Souheil Hallit

Abstract Background In clinical practice, quality of life measures can be used alongside some types of assessment to give valuable information that can identify areas that influence an individual and help the clinician make the best healthcare choices. This study aimed to investigate the psychometric properties of the Arabic version of the 12-item short-form health survey (SF-12) in a sample of Lebanese adults. Methods This cross-sectional study performed between July and November 2019 recruited 269 participants. Cronbach’s alpha was used to assess the reliability of the SF-12 questionnaire, and a factor analysis using the principal component analysis was performed to confirm its construct validity. Results The mean score for the “physical component summary (PCS-12)” was 50.27 ± 8.94 (95 % CI: 49.18–51.36) and for the “Mental component summary (MCS-12)” was 44.95 ± 12.17 (95 % CI: 43.47–46.43). A satisfactory Cronbach’s alpha was found for the two components: MCS (α = 0.707) and PCS (α = 0.743). The principal component analysis converged over a two-factor solution (physical and mental), explaining a total variance of 55.75 %. Correlations between the SF-12 scales and single items were significant, showing a good construct validity. The “physical functioning”, “role physical”, “bodily pain”, and “general health” subscales were highly associated with “PCS-12”, while the “vitality”, “social functioning”, “role emotional”, and “mental health” subscales were more associated with MCS-12. Conclusions The Arabic version of the SF-12 is a reliable, easy-to-use, and valid tool to measure health-related quality of life in the general population. Future studies using a larger sample size and focusing on questionnaire psychometric properties are necessary to confirm our findings.


2012 ◽  
Vol 114 (2) ◽  
pp. 513-521 ◽  
Author(s):  
Louise Næser Christensen ◽  
Lars Ehlers ◽  
Finn Breinholt Larsen ◽  
Morten Berg Jensen

2017 ◽  
Vol 45 (12) ◽  
pp. 2784-2790 ◽  
Author(s):  
Benedict U. Nwachukwu ◽  
Brenda Chang ◽  
Pramod B. Voleti ◽  
Patricia Berkanish ◽  
Matthew R. Cohn ◽  
...  

Background: There is increased interest in understanding the preoperative determinants of postoperative outcomes. Return to play (RTP) and the patient-reported minimal clinically important difference (MCID) are useful measures of postoperative outcomes after anterior cruciate ligament reconstruction (ACLR). Purpose: To define the MCID after ACLR and to investigate the role of preoperative outcome scores for predicting the MCID and RTP after ACLR. Study Design: Case-control study; Level of evidence, 3. Methods: There were 294 active athletes enrolled as part of an institutional ACL registry with a minimum 2-year follow-up who were eligible for inclusion. A questionnaire was administered to elicit factors associated with RTP. Patient demographic and clinical data as well as patient-reported outcome measures were captured as part of the registry. Outcome measures included the International Knee Documentation Committee (IKDC) subjective knee evaluation form, Lysholm scale, and 12-Item Short Form Health Survey (SF-12) physical component summary (PCS) and mental component summary (MCS). Preoperative outcome score thresholds predictive of RTP were determined using a receiver operating characteristic (ROC) with area under the curve (AUC) analysis. The MCID was calculated using a distribution-based method. Multivariable logistic models were fitted to identify predictors for achieving the MCID and RTP. Results: At a mean (±SD) follow-up of 3.7 ± 0.7 years, 231 patients were included from a total 294 eligible patients. The mean age and body mass index were 26.7 ± 12.5 years and 23.7 ± 3.2 kg/m2, respectively. Of the 231 patients, 201 (87.0%) returned to play at a mean time of 10.1 months. Two-year postoperative scores on all measures were significantly increased from preoperative scores (IKDC: 50.1 ± 15.6 to 87.4 ± 10.7; Lysholm: 61.2 ± 18.1 to 89.5 ± 10.4; SF-12 PCS: 41.5 ± 9.0 to 54.7 ± 4.6; SF-12 MCS: 53.6 ± 8.1 to 55.7 ± 5.7; P < .001 for all). The corresponding MCID values were 9.0 (IKDC), 10.0 (Lysholm), 5.1 (SF-12 PCS), and 4.3 (SF-12 MCS). Preoperative score thresholds predictive of RTP were the following: IKDC, 60.9; Lysholm, 57.0; SF-12 PCS, 42.3; and SF-12 MCS, 48.3. These thresholds were not independently predictive but achieved significance as part of the multivariable analysis. In the multivariable analysis for RTP, preoperative SF-12 PCS scores above 42.3 (odds ratio [OR], 2.73; 95% CI, 1.09-7.62) and SF-12 MCS scores above 48.3 (OR, 4.41; 95% CI, 1.80-10.98) were predictive for achieving RTP; an ACL allograft (OR, 0.26; 95% CI, 0.06-1.00) was negatively predictive of RTP. In the multivariable analysis for the MCID, patients with higher preoperative scores were less likely to achieve the MCID ( P < .0001); however, a higher preoperative SF-12 MCS score was predictive of achieving the MCID on the IKDC form (OR, 1.27; 95% CI, 1.11-1.52) and Lysholm scale (OR, 1.08; 95% CI, 1.00-1.16). Medial meniscal injuries, older age, and white race were also associated with a decreased likelihood for achieving the MCID. Conclusion: Preoperative SF-12 MCS and PCS scores were predictive of RTP after ACLR; patients scoring above 42.3 on the SF-12 PCS and 48.3 on the SF-12 MCS were more likely to achieve RTP. Additionally, we defined the MCID after ACLR and found that higher SF-12 MCS scores were predictive of achieving the MCID on knee-specific questionnaires.


2021 ◽  
Vol 11 (1) ◽  
pp. 15-20
Author(s):  
Renalty Ibsen Alves Pereira ◽  
João Victor França Sousa ◽  
Glaucia Posso Lima

O presente estudo tem como objetivo analisar os indicadores sociodemográficos e de qualidade de vida dos estudantes dos cursos de saúde da Universidade Estadual do Ceará correlacionando os resultados obtidos entre os cursos. Trata-se de um estudo transversal quantitativo onde 432 estudantes de graduação dos cursos da área da saúde foram voluntariamente convidados a participar. O instrumento utilizado nesta pesquisa para avaliar a qualidade de vida dos estudantes é o genérico “Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) que divide em oito domínios o estudo da qualidade de vida. As características sociodemográficas: sexo feminino (63,6%), sexo masculino 36,3%. solteiros correspondendo a 94,2% e casados 5,09%. Dentre os domínio analisados, vitalidade foi o que menos pontuou nos cursos de medicina (48,17), ciências biológicas (46,56), enfermagem (48,11) e nutrição (59,7). O aspecto menos prejudicado em todos os cursos é o de capacidade funcional, sendo inclusive o único a apresentar valores acima de 80 pontos em todos os cursos, com o menor sendo da ciências biológicas (82,31) e o maior sendo do curso de nutrição (89,40). O estudo identificou que a percepção da qualidade de vida para os estudantes das áreas da saúde apresentou valores semelhantes quando comparados entre si.Os achados deste estudos evidenciam a necessidade das instituições de ensino em preocupar-se com o bem-estar físico e emocional dos seus alunos que pode estar diretamente ligado ao sucesso acadêmico e profissional destes.


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