Rouen University Hospital, Institute for Biomedical Research, Rouen, France.
Nutrition. 2012 Jul;28(7-8):e7-e13. doi: 10.1016/j.nut.2011.12.005. Epub 2012 Apr 7.
Quality of life (QoL) is impaired in obesity, but the roles of eating behavior and psychological distress need to be more documented.
One hundred thirty consecutive obese patients seeking medical care filled out questionnaires evaluating QoL, the presence of an eating disorder (ED), levels of anxiety and depression, and perception of body image.
Global QoL was poor in 16.4% and intermediate in 61.8% of the patients. EDs were present in 58% of patients who were more (P = 0.05) overweight; 24.2% of patients had binging. EDs impaired significantly the global and specific dimensions of QoL; binging impaired physical and sexual QoLs (both P < 0.02). Anxiety and depression were found in 73.6% and 50.4% of patients, respectively; depression was more frequent in women (P = 0.007) and in patients with EDs. Anxiety and/or depression impaired global (P < 0.001) and specific dimensions of QoL. Body shape concern was marked in 86.4% of women and associated with poor global (P < 0.001) and specific QoL, and with anxiety and depression.
The impairment of QoL in obese patients is increased by the presence of an ED, anxiety, and/or depression and marked body shape concern. These psychological factors should be assessed more carefully and taken into account in global strategies aiming to improve the well-being of obese patients.
生活质量（QoL）在肥胖中受损，但需要更多地记录饮食行为和心理困扰的作用。
130 名连续寻求医疗护理的肥胖患者填写了评估生活质量、饮食障碍（ED）、焦虑和抑郁水平以及身体形象感知的问卷。
16.4%的患者整体生活质量较差，61.8%的患者整体生活质量中等。ED 存在于 58%的超重患者中（P = 0.05）；24.2%的患者有暴食。ED 显著损害整体和特定维度的生活质量；暴食损害身体和性健康生活质量（均 P < 0.02）。分别有 73.6%和 50.4%的患者存在焦虑和抑郁；女性中抑郁更为常见（P = 0.007），并且 ED 患者中抑郁更为常见。焦虑和/或抑郁损害整体（P < 0.001）和特定维度的生活质量。86.4%的女性对体型感到担忧，与整体（P < 0.001）和特定生活质量较差以及焦虑和抑郁相关。
ED、焦虑和/或抑郁以及明显的体型担忧会增加肥胖患者生活质量的受损。这些心理因素应更仔细地评估，并在旨在改善肥胖患者幸福感的整体策略中考虑。
