Quality of Life Research

, Volume 8, Issue 3, pp 275–277 | Cite as

Impact of weight loss on Health-Related Quality of Life

  • Kevin R. Fontaine
  • Ivan Barofsky
  • Ross E. Andersen
  • Susan J. Bartlett
  • Lori Wiersema
  • Lawrence J. Cheskin
  • Shawn C. Franckowiak
Article

Abstract

To examine the effect of treatment-induced weight loss on Health-Related Quality of Life (HRQL), 38 mildly-to-moderately overweight persons recruited to participate in a study to examine the efficacy of a lifestyle modification treatment program completed a sociodemographic questionnaire, the Beck Depression Inventory (BDI), the Medical Outcomes Study Short-Form Health Survey (SF-36, as an assessment of HRQL), and underwent a series of clinical evaluations prior to treatment. After baseline evaluations, participants were randomly assigned to either a program of lifestyle physical activity or a program of traditional aerobic activity. Participants again completed the SF-36 and BDI after the 13-week treatment program had ended. Weight loss averaged 8.6 ± 2.8 kg over the 13-week study. We found that weight loss was associated with significantly higher scores (enhanced HRQL), relative to baseline, on the physical functioning, role-physical, general health, vitality and mental health domains of the SF-36. The largest improvements were with respect to the vitality, general health perception and role-physical domains. There were no significant differences between the lifestyle and aerobic activity groups on any of the study measures. These data indicate that, at least in the short-term, weight loss appears to profoundly enhance HRQL.

Health-Related Quality of Life Obesity Weight loss 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Galuska DA, Serdula M, Pamuk E, Siegel PZ, Byers T. Trends in overweight among US adults from 1987 to 1993: A multistate telephone survey. Amer J Public Health 1996; 86: 1729±1735.Google Scholar
  2. 2.
    Kuczmarski RJ, Flegal KM, Campbell SM, Johnson CL. Increasing prevalence of overweight among US adults. JAMA 1994; 272: 205±211.Google Scholar
  3. 3.
    Pi-Sunyer FX. Medical hazards of obesity. Ann Intern Med1993; 119: 655±660.Google Scholar
  4. 4.
    Fontaine KR, Bartlett SJ. Estimating health-related quality of life in obese individuals. Disease Manage-ment and Health Outcomes 1998; 3: 61±70.Google Scholar
  5. 5.
    Fontaine KR, Cheskin LJ, Barofsky I. Health-related quality of life in obese persons seeking treatment. J Fam Pract 1996; 43: 265±270.Google Scholar
  6. 6.
    Fontaine KR, Barofsky I, Cheskin LJ. Predictors of quality of life for obese persons. J Nerv Ment Dis 1997; 185: 120±122.Google Scholar
  7. 7.
    Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiat 1961; 4: 561±571.Google Scholar
  8. 8.
    Ware JE, Snow KK, Kosinski M, Gandek B. SF-36 Health Survey:Manual and interpretation guide. Boston, MA: New England Medical Center, 1993.Google Scholar
  9. 9.
    Beck AT, Steer RA, Garbin MG. Psychometric properties of the Beck depression inventory: Twenty-®ve years of evaluations. Clin Psychol Rev 1988; 8: 77±100.Google Scholar
  10. 10.
    Buchwald D, Pearlman T, Umali J, Schmaling K, Katon W. Functional health status in patients with chronic fatigue syndrome, other fatiguing illnesses and health individuals. Amer J Med 1996; 101: 364±370.Google Scholar
  11. 11.
    Koran LM, Thienemann ML, Davenport R. Quality of life for patients with obsessive-compulsive disorder. Am J Psychiatry 1996; 153: 783±788.Google Scholar
  12. 12.
    Ware, JE, Bayliss MS, Rofers WH, Kosinski M, Tarlov AR. Differences in 4-year health outcomes for elderly and poor, chronically ill patients treated in HMO and fee-for-service systems: Results from the Medical Outcomes Study. JAMA 1996; 276: 1039±1047.Google Scholar

Copyright information

© Kluwer Academic Publishers 1999

Authors and Affiliations

  • Kevin R. Fontaine
    • 1
  • Ivan Barofsky
    • 2
  • Ross E. Andersen
    • 1
  • Susan J. Bartlett
    • 1
  • Lori Wiersema
    • 3
  • Lawrence J. Cheskin
    • 1
  • Shawn C. Franckowiak
    • 1
  1. 1.Department of MedicineThe Johns Hopkins University School of MedicineUSA
  2. 2.Department of Psychiatry and Behavioral SciencesThe Johns Hopkins University School of Medicine, and The Johns Hopkins Bayview Medical CenterBaltimoreUSA
  3. 3.Eating Disorders ClinicSt. Joseph's HospitalBaltimoreUSA

Personalised recommendations