scholarly journals The relationship of quality of life of patients, body weight and comorbidities in different periods after surgical treatment of morbid obesity

2015 ◽  
Vol 12 (2) ◽  
pp. 20-23
Author(s):  
Valeriy Nikolaevich Egiev ◽  
Yuliya Borisovna Mayorova ◽  
Evgeniy Aleksandrovich Zorin ◽  
Anastasiya Vladimirovna Meleshko ◽  
Ekaterina Sergeevna Orlovskaya

The main goal of any surgical intervention in morbid obesity is to improve the quality of life of patients which is considered directly related to the loss of excess body weight and a reduction in the incidence of related diseases. The aim of this study was to determine the interdependence of these indicators. In 2005-2013 we performed 457 operations of gastric banding (GB) and 198 - gastric bypass (GBP). After GB only body mass index (BMI) and quality of life index (QOL) had significant linear correlation, i.e., the higher the weight of the patient, the worse the quality of life. After GBP there was is a significant linear relationship only between the patient's body weight and dynamics of comorbidities, i.e. the higher the weight of the patient, the higher the level of comorbidity. The QOL of patients after GBP does not depend on the body weight or on the frequency of comorbidities.

2021 ◽  
Vol 17 (1) ◽  
pp. 87-101
Author(s):  
Ekaterina Shamaeva

In recent decades, it has become obvious that an ecological catastrophe is rapidly approaching civilization and the continued existence and development of mankind depends on it. It has long been understood in society that environmental factors affect the standard and quality of life of the population. Modeling the relationship of this influence is an interdisciplinary task that requires the removal of a number of methodological restrictions. Among them: effective data collection and monitoring, the choice of a measurement system, "noisiness" of data. The purpose of the work is to analyze the current state of methodological foundations and choose a method for building a model of the relationship of quality of life with components of the structure of quality of life of the population. Today, various systems of formalized description of the quality of life are proposed at the global level: the human development index, the environmental-economic accounting system, the real progress index and the sustainable economic well-being index, the happiness index, the quality of life index according to the Economist Intelligence Unit, the Sustainable Society Index. The modern stage of research on the problem of modeling the level and quality of life is represented by intercountry and interregional comparisons using a developed mathematical apparatus. The work presents general and methodological problems of quality of life research; analysis and selection of methods for solving problems of modeling the relationship of components and indicators of the level and quality of life of the population. The following are considered: methods of multicriterial evaluation, methods of multipurpose mathematical programming, statistical methods, methods of dynamic modeling, methods of simulation modeling. It is shown that in order to solve the applied problems of building a model of level and quality of life, it is advisable to use multidimensional statistical methods, where the initial necessary stage is the procedure of data conversion by standardizing (normalizing) data, namely, bringing all variables involved in the construction of an integral indicator to a single unified scale.


2014 ◽  
Vol 11 (2) ◽  
pp. 13-16
Author(s):  
V Egiev ◽  
J Majorova ◽  
M Leont’yeva ◽  
A Meleshko

In order to estimate the quality of life in bariatric surgery patients usually two scales are used: GIQLI (gastrointestinal Quality of life index) and BAROS (Bariatric analysis and reporting outcome system). In our work we used the original estimation of the quality of life, based on the questionnaire GIQLI. This questionnaire consists of two parts: universal and specific. For the estimation of the level of morbid obesity two main scores are utilized: overweight and the Body Mass Index (BMI). We estimated the quality of life of patients with morbid obesity before the operation (25 patients), after gastric banding (25 patients) and gastric bypass (25 patients). For the control group we show the answers for the same questionnaire of 26 volunteers without any chronic diseases, including morbid obesity. Gastric bypass was performed in patients with BMI more than 40 kg/m2, gastric banding was performed in patients with BMI less than 40 kg/m2. The median periods of supervising the patients after gastric bypass and gastric banding were 3±1,9 years and 4,3±1,7 years for each. After the surgery the percentage of reduction of the overweight was significantly higher in the patients after the gastric bypass. It means that the weight loss is more effective after gastric bypass than gastric banding. The index of the quality of life of the patients with the morbid obesity was much lower than in the control group (р0,05). After the surgical treatment all the scores increased in the group of the patients being operated on, than in the group of the patients with obesity before the operations (р0,05). While comparatively estimating the two operations we got practically the same results after gastric bypass and gastric banding. For gastric banding a very important index of the improvement of the quality of life is the level of the weight loss, but after the gastric bypass there were no such outcome.


2020 ◽  
Vol 17 (6) ◽  
pp. 76-91
Author(s):  
E. D. Solozhentsev

The scientific problem of economics “Managing the quality of human life” is formulated on the basis of artificial intelligence, algebra of logic and logical-probabilistic calculus. Managing the quality of human life is represented by managing the processes of his treatment, training and decision making. Events in these processes and the corresponding logical variables relate to the behavior of a person, other persons and infrastructure. The processes of the quality of human life are modeled, analyzed and managed with the participation of the person himself. Scenarios and structural, logical and probabilistic models of managing the quality of human life are given. Special software for quality management is described. The relationship of human quality of life and the digital economy is examined. We consider the role of public opinion in the management of the “bottom” based on the synthesis of many studies on the management of the economics and the state. The bottom management is also feedback from the top management.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rongxin Wang ◽  
Jing Wang ◽  
Shuiqing Hu

Abstract Background The etiology of reflux esophagitis (RE) is multi-factorial. This study analyzed the relationship of depression, anxiety, lifestyle and eating habits with RE and its severity and further explored the impact of anxiety and depression on patients’ symptoms and quality of life. Methods From September 2016 to February 2018, a total of 689 subjects at Xuanwu Hospital Capital Medical University participated in this survey. They were divided into the RE group (patients diagnosed with RE on gastroscopy, n = 361) and the control group (healthy individuals without heartburn, regurgitation and other gastrointestinal symptoms, n = 328). The survey included general demographic information, lifestyle habits, eating habits, comorbidities, current medications, the gastroesophageal reflux disease (GERD) questionnaire (GerdQ), the Patient Health Questionnaire-9 depression scale and the General Anxiety Disorder-7 anxiety scale. Results The mean age and sex ratio of the two groups were similar. Multivariate logistic regression analysis identified the following factors as related to the onset of RE (p < 0.05): low education level; drinking strong tea; preferences for sweets, noodles and acidic foods; sleeping on a low pillow; overeating; a short interval between dinner and sleep; anxiety; depression; constipation; history of hypertension; and use of oral calcium channel blockers. Ordinal logistic regression analysis revealed a positive correlation between sleeping on a low pillow and RE severity (p = 0.025). Depression had a positive correlation with the severity of symptoms (rs = 0.375, p < 0.001) and patients’ quality of life (rs = 0.306, p < 0.001), whereas anxiety showed no such association. Conclusions Many lifestyle factors and eating habits were correlated with the onset of RE. Notably, sleeping on a low pillow was positively correlated with RE severity, and depression was positively related to the severity of symptoms and patients’ quality of life.


2021 ◽  
pp. 1-8
Author(s):  
Alice K. Silbergleit ◽  
Lonni Schultz ◽  
Kendra Hamilton ◽  
Peter A. LeWitt ◽  
Christos Sidiropoulos

Background: Hypokinetic dysarthria and dysphagia are known features of Parkinson’s disease; however, self-perception of their handicapping effects on emotional, physical, and functional aspects of quality of life over disease duration is less understood. Objective: 1) Based upon patient self-perception, to determine the relationship of the handicapping effects of dysphagia and dysphonia with time since diagnosis in individuals with Parkinson’s disease; 2)To determine if there is a relationship between voice and swallowing handicap throughout the course of Parkinson’s disease. Method: 277 subjects completed the Dysphagia Handicap Index and the Voice Handicap Index. Subjects were divided into three groups based on disease duration: 0–4 years, 5–9 years, and 10 + years. Results: Subjects in the longer duration group identified significantly greater perceptions of voice and swallowing handicap compared to the shorter duration groups. There was a significant positive correlation between the DHI and VHI. Conclusion: Self-perception of swallowing and voice handicap in Parkinson’s disease are associated with later stages of disease and progress in a linear fashion. Self-perception of voice and swallowing handicap parallel each other throughout disease progression in Parkinson’s disease. Individuals may be able to compensate for changes in voice and swallowing early while sensory perceptual feedback is intact. Results support early targeted questioning of patient self-perception of voice and swallowing handicap as identification of one problem indicates awareness of the other, thus creating an opportunity for early treatment and maintenance of swallowing and communication quality of life for as long as possible.


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