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Archives of Gynecology and Obstetrics

, Volume 298, Issue 2, pp 415–426 | Cite as

Illness perception in overweight and obesity and impact on bio-functional age

  • Luisa Mathieu
  • Norman Bitterlich
  • Florian Meissner
  • Michael von Wolff
  • Dagmar Poethig
  • Petra Stute
Gynecologic Endocrinology and Reproductive Medicine
  • 116 Downloads

Abstract

Purpose

Obesity is pandemic. Yet, the success of most weight loss programmes is poor. The aim of the study was to assess illness perception in overweight/obese people and its impact on bio-functional age (BFA) reflecting physical, mental, emotional and social functioning.

Methods

75 overweight/obese subjects from the cross-sectional Bern Cohort Study 2014 were included. Participants followed a validated “bio-functional status” test battery amended by the validated questionnaires Patiententheoriefragebogen (illness perception) and AD-EVA (eating and movement behaviour). BFA was calculated in subjects aged ≥ 35 years (n = 56).

Results

(1) Mental occupation with the cause of overweight/obesity was generally moderate to high, but decreasing with age. (2) The predominant theories for being overweight/obese were health behaviour (58.7%) and psychosocial factors (33.3%). (3) Overweight/obese people with psychosocial theories on illness causes were more likely to have emotional or disinhibited eating patterns. (4) Cognitive control of eating patterns increased with age in both sexes. (5) Overweight/obese people were still bio-functionally younger than their chronological age (8.6 ± 0.8 year equivalents), although (6) quality of life was below average and (7) the risk for functional pro-aging was increased in those being especially mentally occupied with causes for overweight/obesity (r = 0.38, p < 0.001) and those having psychosocial (r = 0.32, p < 0.05) or naturalistic theories (r = 0.47, p > 0.001).

Conclusions

Consciously perceived psychosocial stress was found to be a main factor to disturb health and promote unhealthy cognitive patterns regulating eating and moving habits. Thus, successful weight reduction programmes should integrate subjective illness perceptions to not only improve the therapeutic outcome, but also functioning (BFA).

Keywords

Illness perception Bio-functional age (BFA) Ageing Obesity/overweight Bern Cohort Study 2014 Psychological stress 

Abbreviations

AD-EVA

Interdisciplinary test system for the diagnostic and evaluation of adiposity and other with eating and movement behaviour influenceable diseases

AHA

Active and healthy aging

BeCS-14

Bern Cohort Study 2014

BFA

Bio-functional age

BFS

Bio-functional status

BMI

Body Mass Index

CA

Calendaric age

CA-BFA

Difference between calendaric and bio-functional age

GSS

General Single scale

HADS

Hospital Anxiety and Depression Scale

HB

Health Behavioural scale

ICF

International Classification of Functioning, Disability and Health

NCD

Non-communicable diseases

NT

Naturalistic scale

NTE

Naturalistic External scale

NTI

Naturalistic Internal scale

OS

Overall score

PATEF

Patiententheoriefragebogen

PS

Psychosocial scale

PSE

Psychosocial External scale

PSI

Psychosocial Internal scale

SF-36

Short Form Gesundheitsfragebogen

TICS

Trier Inventar zum chronischen Stress

Notes

Acknowledgements

The authors would like to thank J. D. Wanner and D. Gafner, study nurses, for their administrative assistance during the study. Also, the authors are thankful to the medical students N. Ammann and M. Moser for conducting the assessments.

Author contributions

Contributions to the manuscript are as follows: LM: statistical analysis with support of Dr. Bitterlich, writing the manuscript. NB: statistics. MW: discussion of results, advise on manuscript. FM: discussion of results, advise on manuscript. DP: discussion of results. PS: principle investigator, responsible for study idea, design, finances, supervision of doctoral student and finalizing the manuscript.

Funding

The study was supported by an unrestricted Grant by Merck Sharp & Dohme Corp. and Burgergemeinde Bern.

Compliance with ethical standards

Conflict of interest

L. Mathieu, P. Stute, M. von Wolff and N. Bitterlich declare to have no conflict of interest in context of this manuscript. F. Meissner is the managing director of Vital Services and D. Poethig is member of the scientific board of Vital Services, which provides the technology for BFS/BFA measuring. F. Meissner has no involvements that might raise the question of bias in the work reported or in the conclusions, implications, or opinions stated.

Supplementary material

404_2018_4827_MOESM1_ESM.pdf (143 kb)
Supplementary file 1: Exemplification of bio-functional status (BFS) and bio-functional age (BFA) (PDF 142 kb)
404_2018_4827_MOESM2_ESM.pdf (66 kb)
Supplementary file 2: Supplementary table: Correlations of PATEF with HADS and TICS; only statistically significant correlations are shown (*p < 0.05/**p < 0.001) (PDF 66 kb)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.University of BernBernSwitzerland
  2. 2.Medizin & Service GmbHChemnitzGermany
  3. 3.Vital Services GmbH, GerontoLab EuropeLeipzigGermany
  4. 4.Department of Gynecologic Endocrinology and Reproductive MedicineUniversity Clinic of Obstetrics and Gynecology, Inselspital BernBernSwitzerland
  5. 5.European Association on Vitality and Active Aging eVAA e.V., EIP-AHA Reference Site SaxonyLeipzigGermany

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