Giuli Cinzia, Papa Roberta, Bevilacqua Roberta, Felici Elisa, Gagliardi Cristina, Marcellini Fiorella, Boscaro Marco, De Robertis Marco, Mocchegiani Eugenio, Faloia Emanuela, Tirabassi Giacomo
Unit of Geriatrics, INRCA (Italian National Institute on Aging), Fermo, Italy.
BMC Public Health. 2014 Jan 15;14:35. doi: 10.1186/1471-2458-14-35.
Obesity is a complex multifactorial disease, which also has an impact on quality of life. The aim of this paper is to identify the correlates of perceived health related quality of life in obese, overweight and normal weight Italians older adults.
205 subjects at the age ≥ 60 yrs. were recruited into the Division of Endocrinology of the Polytechnic University of Marche Region, Ancona (Italy). A protocol of questionnaires was constructed for data collection, and included domains such as physical activity, quality of life, socio-psychological aspects. The association of the latter variables with SF-36 Health Survey physical component (PCS-36) were evaluated in the whole sample. Multiple linear regression models were used to assess the effect of independent variables on PCS-36 and the physical subscales of SF-36.
PCS-36 showed a lower score in the obese and overweight subjects than the normal weight group (post-hoc test, p < 0.001 and p < 0.05 respectively). Age, gender (male), Body Mass Index, years of education, Physical Activity Scale for the Elderly (PASE) total score, Hospital Anxiety and Depression Scale anxiety, Hospital Anxiety and Depression Scale depression, number of medications prescribed and number of diseases were included in the model. Negative and significant PCS-associated variables included depression (p = 0.009), BMI (p = 0.001), age in years (p = 0.007), whereas positive and significant PCS-associated independent variables were years of education (p = 0.022), physical activity (p = 0.026). BMI was negatively associated with all the physical subscales of SF-36 (p < 0.05).
Research funding should be invested in the study of the benefits accruing from reducing obesity in the elderly.
肥胖是一种复杂的多因素疾病，对生活质量也有影响。本文旨在确定肥胖、超重和正常体重的意大利老年人群中与健康相关生活质量认知的相关因素。
招募了205名年龄≥60岁的受试者，他们来自意大利安科纳马尔凯理工大学内分泌科。构建了一套问卷协议用于数据收集，包括身体活动、生活质量、社会心理方面等领域。在整个样本中评估了后一组变量与SF-36健康调查身体成分（PCS-36）的关联。使用多元线性回归模型评估自变量对PCS-36和SF-36身体子量表的影响。
肥胖和超重受试者的PCS-36得分低于正常体重组（事后检验，分别为p<0.001和p<0.05）。模型纳入了年龄、性别（男性）、体重指数、受教育年限、老年人身体活动量表（PASE）总分、医院焦虑抑郁量表焦虑、医院焦虑抑郁量表抑郁、处方药物数量和疾病数量。与PCS相关的负性且显著的变量包括抑郁（p = 0.009）、BMI（p = 0.001）、年龄（p = 0.007），而与PCS相关的正性且显著的自变量是受教育年限（p = 0.022）、身体活动（p = 0.026）。BMI与SF-36的所有身体子量表均呈负相关（p<0.05）。
应投入研究资金，研究减轻老年人肥胖所带来的益处。
