How do the obese persons perceive their overall health?
Main Article Content
Keywords
Obesity, Overweight, Gastric bypass
Abstract
Background: the purpose was to investigate how the obese person perceives their health in different areas of their life.
Methods: the SF-36 instrument, which measures various dimensions (social and physical functioning, mental and physical health, bodily pain, limitations due to physical and/or emotional problems, vitality and general health), was applied to 224 patients. It was analyzed whether there were differences between gender, which were channeled to the treatment (surgical and nonsurgical) and the degree of obesity (overweight, obesity and morbid obesity). A descriptive analysis, Student t test, Anova and Turkey t test was realized.
Results: significant differences (p < 0.05) were found in some dimensions, like tendency to feel tired, exhausted and feeling that their health has been and will continue to deterioration. Women had a worse social and emotional functioning than men; patients with gastric bypass reported more fatigue than patients with gastric band; in regards to the degree of obesity, those who had morbid obesity showed less physical functioning, more pain and worse overall health than those who were just obese.
Conclusions: the perception of the obese patients was that their health was deteriorated. Women are most affected in social and emotional functioning than men.
References
Gómez-Dantés H, Vázquez-Martínez JL, Fernández-Cantón S. Obesidad en adultos derechohabientes del IMSS. Encuesta Nacional de Salud 2000. Rev Med Inst Mex Seguro Soc. 2004;42(3):239-45. Texto libre en http://201.144.108.128/revista_medica/index.php?option=com_multicategories&view=article&id=1539:obesidad-en-adultos-derechohabientes-del-imss-encuesta-nacional-de-salud-2000 &catid=560:temas-de-actualidad&Itemid=703
Laguna-Camacho A. Determinantes del sobrepeso: biología, psicología y ambiente. Rev Endocrinol Nutr. 2005;13(4):197-202. Texto libre en http://www.medigraphic.com/pdfs/endoc/er-2005/er054e.pdf
Brito B, Castro R, Domínguez S, et al. Psicoendocrinoneurología de la obesidad. Rev Esp Obes. 2007; 5:204-25.
Fausto J, Valdez RM, Aldrete MG, et al. Antecedentes históricos sociales de la obesidad en México. Inv Salud. 2006;VIII(2):91-94. Texto libre en http://www.medigraphic.com/pdfs/invsal/isg-2006/isg062f.pdf
Dong C, Sánchez LE, Price RA. Relationship of obesity to depression: a family-based study. Int J Obes Metab Disord. 2004;28(6):790-5.
Ball K, Crawford D. An investigation of psychological, social and environmental correlates of obesity and weight gain in young women. Int J Obes (London). 2006;30(8):1240-9.
Levitsky DA. Putting behavior back into feeding behavior: a tribute to George Collier. Appetite. 2002; 38(2):143-8.
Ruiz MA, Berrocal C, Valero L. Cambios psicológicos tras cirugía bariátrica en personas con obesidad mórbida. Psicotherma. 2002;14(3):577-82. Texto libre en http://www.psicothema.com/pdf/768.pdf
Sánchez-Reyes L, Berber A, Fanghänel G. Incidencia de obesidad en una población mexicana. Rev Endocrinol Nutr. 2001;9(2):60-6. Texto libre en http://www.medigraphic.com/pdfs/endoc/er-2001/er012d.pdf
Ali SM, Linström M. Socioeconomic, psychosocial, behavioral, and psychological determinants of BMI among young women: differing patterns for underweight and overweight/obesity. Eur J Public Health. 2005;16(3):324-30. Texto libre en http://eurpub.oxfordjournals.org/cgi/pmidlookup?view=long&pmid=16162598
Chiprut R, Castellanos-Urdaibay A, Sánchez-Hernández C, et al. La obesidad en el siglo XXI: avances en la etiopatogenia y tratamiento. Gac Med Mex. 2001;137(4):323-34. Texto libre en http://www.medigraphic.com/pdfs/gaceta/gm-2001/gm014e.pdf
Herva A, Laitinen J, Miettunen J, et al. Obesity and depression: results from the longitudinal Northern Finland 1966 Birth Cohort Study. Int J Obesity (London). 2006;30(3):520-7.
Goodman E, Whitaker RC. A prospective study of the role of depression in the development and persistence of adolescent obesity. Pediatrics. 2002;110 (3):497-504.
Ríos-Martínez B, Rangel-Rodríguez G, Álvarez-Cordero R, et al. Ansiedad, depresión y calidad de vida en el paciente obeso. Acta Med Grupo Angeles. 2008;6(4):147-53. Texto libre en http://www.medigraphic.com/pdfs/actmed/am-2008/am084a.pdf
Carpenter KM, Hasin DS, Allison DB, et al. Relationships between obesity and DSM-IV major depressive disorder, suicide ideation, and suicide attempts: results from a general population study. Am J Public Health. 2000;90(2):251-7. Texto libre en http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1446144/pdf/10667187.pdf
Jáuregui-Lobera I, López-Polo IM, Montaña-González MT, et al. Percepción de la obesidad en jóvenes universitarios y pacientes con trastornos de la conducta alimentaria. Nutr Hosp. 2008;23(3):226-33. Texto libre en http://scielo.isciii.es/pdf/nh/v23n3/original5.pdf
Fontaine KR, Cheskin LJ, Barofsky I. Health-related quality of life in obese persons seeking treatment. J Fam Pract. 1996;43(3):265-70.
Hays RD, Sherbourne CD, Mazel RM. The RAND 36-Item Health Survey 1.0. Health Economics. 1993; 2:217-27.
Zúñiga MA, Carrillo-Jiménez GT, Fos P, et al. Evaluación del estado de salud con la encuesta SF-36: resultados preliminares en México. Salud Publica Mex. 1999;41(2):110-8. Texto libre en http://bvs.insp.mx/rsp/articulos/articulo.php?id=001597
Ware JE, Sherbourne CD. The MOS 36-item short form health survey (SF-36) I. Conceptual framework and item selection. Med Care. 1992;30(6):473-83.
Alonso J, Prieto L, Antó JM. La versión española del SF-36 Health Survey (Cuestionario de Salud SF-36): un instrumento para la medida de los resultados clínicos. Med Clin (Barc). 1995;104:771-6.
Ayuso-Mateos JL, Lasa L, Vázquez-Barquero JL, et al. Measuring health status in psychiatric community surveys: internal and external validity of the Spanish version of the SF-36. Acta Psychiatr Scand. 1999; 99(1):26-32.
McDowell I. Measuring health. a guide to rating scales and questionnaires. New York: Oxford University Press; 1996.
Weiner S, Sauerland S, Fein M, et al. The Bariatric Quality of Life (BQL) Index: a measure of well-being in obesity surgery patients, Obes Surgery. 2005;15 (4):538-45.
Norma Oficial Mexicana NOM-174-SSA1-1998, para el manejo integral de la obesidad. México: Diario Oficial de la Federación del 12 de abril de 2000. Texto libre en http://www.salud.gob.mx/unidades/cdi/nom/174ssa18.html