Elbe A-M, Elsborg P, Dandanell S, Helge J W
Institute of Sport Psychology and Physical Education, Leipzig University Germany.
Health Promotion, Steno Diabetes Center Copenhagen, the Capital Region of Denmark Denmark.
Obes Sci Pract. 2018 Mar 24;4(2):188-193. doi: 10.1002/osp4.163. eCollection 2018 Apr.
The aim of this study was to investigate the relationship between weight loss during and after a unique type of weight loss intervention, namely, a residential intensive lifestyle intervention (ILI), and participants' obesity-specific health-related quality of life (HRQOL) several years after the intervention. In the residential ILI under investigation, participants attended a 10- to 12-week long course away from their daily living environment, namely, at Ubberup Folk High School located in Denmark.
A total of 79 former participants (31 male, mean age 36.6; SD = 12.7 years) who had participated in the intervention on average 5.3 (SD = 3.2) years ago were recruited for this study. They completed a questionnaire on weight-related quality of life (IWQOL-lite) and physical activity, as well as measurements of VOmax, blood pressure, Homeostatic Model Assessment for Insulin Resistance, waist circumference and hand grip strength.
The study results showed that weight change after the end of the intervention could predict HRQOL whereas how much weight they lost during the intervention could not. Furthermore, almost all of the investigated physiological factors were related to participants' current HRQOL. Waist circumference showed relationships with four of the five aspects of HRQOL.
Focusing on behavioural change, adhering to improved lifestyle and maintaining weight loss after the end of the intervention seem to be the key not only for cardio-metabolic risk factors but also for sustainable HRQOL.
本研究旨在调查一种独特的减肥干预措施(即住院强化生活方式干预,ILI)期间及之后的体重减轻与干预数年之后参与者特定于肥胖的健康相关生活质量(HRQOL)之间的关系。在所研究的住院ILI中,参与者离开他们的日常生活环境,在丹麦的乌贝鲁普民众高中参加为期10至12周的课程。
本研究招募了79名前参与者(31名男性,平均年龄36.6岁;标准差=12.7岁),他们平均在5.3(标准差=3.2)年前参加了该干预。他们完成了一份关于体重相关生活质量(IWQOL-lite)和身体活动的问卷,以及对最大摄氧量、血压、胰岛素抵抗稳态模型评估、腰围和握力的测量。
研究结果表明,干预结束后的体重变化可以预测健康相关生活质量,而他们在干预期间减轻的体重则不能。此外,几乎所有被调查的生理因素都与参与者当前的健康相关生活质量有关。腰围与健康相关生活质量五个方面中的四个方面有关。
关注行为改变、坚持改善生活方式以及在干预结束后保持体重减轻似乎不仅是控制心血管代谢危险因素的关键,也是实现可持续健康相关生活质量的关键。