Allegri C, Russo E, Roggi C, Cena H
Department of Health Applied Sciences, Section of Human Nutrition, University of Pavia, Pavia, Italy.
Eat Weight Disord. 2008 Mar;13(1):e8-e13. doi: 10.1007/BF03327787.
The Quality of Life (QoL) of overweight and obese subjects is a widely discussed topic. From numerous studies, it emerges that obese persons suffer significant damage as result of their overweight in terms of QoL with regard to their physical and psychosocial well-being, with greater incidence associated with the degree of obesity. Our study aims at evaluating the usefulness of specific psychometric tests on the "obese population" that may be effective for the overall evaluation of the patient and in identifying specific subgroups on the basis of psychometric characteristics relating to QoL and of motivation for treatment.
The study was carried out on a sample of 150 obese subjects who approached the Section of Human Nutrition of the University of Pavia requesting treatment for weight loss. The persons in the selected sample were subjected to a specialized examination during which, as well as collecting all the anamnestic information on each individual patient, they were also asked to fill out the obesity-specific ORWELL 97 (Obesity Related Well- Being) questionnaire and the DBI (Decisional Balance Inventory) questionnaire.
An analysis of the results indicates that the female group is strongly characterized by a lower QoL, as well as by a clearly larger number of failed dieting attempts and by a strong motivation to undergo treatment.
The evaluation of QoL and motivation for treatment in overweight and obese individuals appears to be an effective tool for better identification of the subjects and for planning the most appropriate diagnostic approach.
超重和肥胖人群的生活质量（QoL）是一个广泛讨论的话题。从众多研究中可以看出，肥胖者因其超重而在身体和心理社会幸福感方面的生活质量遭受了重大损害，且肥胖程度越高，发生率越高。我们的研究旨在评估特定心理测量测试对“肥胖人群”的有用性，这些测试可能对患者的全面评估以及根据与生活质量和治疗动机相关的心理测量特征识别特定亚组有效。
该研究对150名肥胖受试者进行，这些受试者前往帕维亚大学人类营养科寻求减肥治疗。所选样本中的人员接受了专门检查，在此过程中，除了收集每个患者的所有既往史信息外，还要求他们填写肥胖特异性的ORWELL 97（肥胖相关幸福感）问卷和DBI（决策平衡量表）问卷。
对结果的分析表明，女性组的显著特征是生活质量较低、节食尝试失败的次数明显较多以及接受治疗的强烈动机。
对超重和肥胖个体的生活质量和治疗动机进行评估似乎是更好地识别受试者以及规划最合适诊断方法的有效工具。
