Postgraduate Program in Nursing, School of Nursing, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Postgraduate Program in Health Sciences, Child and Adolescent Health, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Health Qual Life Outcomes. 2020 Mar 30;18(1):87. doi: 10.1186/s12955-020-01331-1.
Obesity is a multifactorial chronic condition associated with genetic, behavioral and environmental factors. Understanding the role of the built and social environment in Quality of Life (QOL) is critical to reducing the negative impacts of the environment on health.
To estimate the built and social environmental and individual factors that influence the QOL of adults who underwent bariatric surgery.
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.
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.
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.
肥胖是一种与遗传、行为和环境因素有关的多因素慢性疾病。了解建筑和社会环境在生活质量（QOL）中的作用对于减少环境对健康的负面影响至关重要。
估计影响接受减重手术的成年人生活质量的建筑和社会环境及个体因素。
对接受减重手术的成年人进行前瞻性队列研究。使用纵向线性回归分析，我们验证了世界卫生组织生活质量量表简表（WHOQOL-Bref）中一般生活质量和心理、身体健康、社会关系和环境领域与可能的影响因素之间的关联。
体重指数（BMI）的增加平均使身体领域评估分数降低 0.47 分。缓冲区中健康机构数量的增加平均使身体领域得分提高 0.52 分。女性的平均心理领域评估得分降低 5.35 分。每周休闲时间体育活动少于 150 分钟的成年人在社会关系领域评估得分平均降低 3.27 分。缓冲区中超市和大型超市数量的增加平均使社会关系领域得分提高 2.18 分。
个体和环境因素与接受减重手术的成年人的生活质量相关。尽管手术产生了积极的结果，但对生活方式、建筑环境和多专业指导的改变的维持与手术效果密切相关。
