Environmental and individual factors associated with quality of life of adults who underwent bariatric surgery: a cohort study

环境和个人因素与接受减肥手术的成年人生活质量的关系:一项队列研究

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作者:Marina Dayrell de Oliveira Lima, Thales Philipe Rodrigues da Silva, Mariana Carvalho de Menezes, Larissa Loures Mendes, Milene Cristine Pessoa, Lauro Pinheiro Ferreira de Araújo, Roberto Guimarães Cabezas Andrade, Alexandra Dias Moreira D'Assunção, Bruna Figueiredo Manzo, Allana Dos Reis Corrêa, Fer

Conclusions

Individual and contextual factors were associated with the QOL of adults who underwent bariatric surgery. Although the surgery yields positive results, the maintenance of same is strongly related to changes in lifestyle, the built environment and multi-professional guidance.

Methods

A prospective cohort study conducted with adults who underwent bariatric surgery. Using longitudinal linear regression analysis, we verified the association between the domains of World Health Organization Quality of Life in version bref (WHOQOL-Bref) - General QOL and domains psychological, physical health, social relations and environment - and possible influencing factors.

Objective

To estimate the built and social environmental and individual factors that influence the QOL of adults who underwent bariatric surgery.

Results

The increase in Body Mass Index (BMI) reduces on average 0.47 points in physical domain assessment score. The increase of healthy establishments within the buffer increases on average 0.52 points in the physical domain score. Being female reduces, on average, 5.35 points in the psychological domain evaluation score. Adults who practiced less than 150 min a week of leisure-time physical activity had a 3.27 point average reduction in the social relations domain assessment score. The increase in the number of Supermarkets and Hypermarkets in the buffer increases on average 2.18 points from the Social Relations domain score. Conclusions: Individual and contextual factors were associated with the QOL of adults who underwent bariatric surgery. Although the surgery yields positive results, the maintenance of same is strongly related to changes in lifestyle, the built environment and multi-professional guidance.

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