IRCCS Istituto Auxologico Italiano, San Giuseppe Hospital, Verbania, Verbania-Cusio-Ossola, Italy -
IRCCS Istituto Auxologico Italiano, San Giuseppe Hospital, Verbania, Verbania-Cusio-Ossola, Italy.
Eur J Phys Rehabil Med. 2021 Aug;57(4):630-638. doi: 10.23736/S1973-9087.20.06512-0. Epub 2020 Nov 9.
Obesity is a clinical condition that contributes to the development of related disability in different areas (physical, psychological and social). Multidisciplinary treatment calls for specific instruments able to evaluate all related functional problems. We have developed a tool (an ICF-based assessment instrument, the ICF-OB schedule) to evaluate obesity-related disability, composed of an inventory of 71-items from the WHO International Classification of Functioning, Disability and Health (ICF).
The aim of the present study was to validate this new tool for the definition of obesity-related disability. We also sought to examine the relationship between obesity disability, an index of multimorbidity (Cumulative Illness Rating Scale [CIRS]) and a well-validated score of perceived obesity-related disability (Italian Obesity Society Test for Obesity-Related Disability [TSD-OC]).
Process validation of the ICF-OB schedule.
Baseline conditions of out- and in-patients.
A large cohort of obese patients recruited from 9 multidisciplinary centers belonging to the Italian Obesity Society (SIO) network, which provide specialized obesity care.
A total of 353 patients (F: 70%, age: 50.2±12.7yrs, BMI: 41.4±8.3kg/m) were enrolled between January 2017 and June 2018. The ICF-OB was used to define patients' functioning and disability profiles in order to set and appraise rehabilitation goals.
We described the distribution of body functions (BF), body structures (BS) and activities and participations (A&P) categories and the agreement rates were significant for the majority of these. The ICF-OB was more often significantly associated, and with stronger coefficients, with patients' comorbidities as described by the CIRS rather than with Body Mass Index (BMI). The TSD-OC also presented a strong association with A&P indexes.
The complexity of clinical condition, that generates disability in obesity might be well identified with the use of this new instrument that appear significant related to the perceived disability for each patients and also with their multimorbidity.
The ICF-OB shows great promise as a tool for goal setting in the rehabilitation of obese patients.
肥胖是一种临床病症，会导致身体、心理和社会等不同领域的相关残疾。多学科治疗需要特定的工具来评估所有相关的功能问题。我们开发了一种工具（基于 ICF 的评估工具，ICF-OB 量表）来评估肥胖相关的残疾，该工具由来自世界卫生组织国际功能、残疾和健康分类（ICF）的 71 项清单组成。
本研究的目的是验证这种新工具用于定义肥胖相关残疾。我们还试图检查肥胖残疾、一种多种疾病指数（累积疾病评分量表 [CIRS]）和一个经过充分验证的感知肥胖相关残疾评分（意大利肥胖学会肥胖相关残疾测试 [TSD-OC]）之间的关系。
ICF-OB 量表的过程验证。
门诊和住院患者的基线条件。
从属于意大利肥胖学会（SIO）网络的 9 个多学科中心招募的大量肥胖患者，这些中心提供专业的肥胖护理。
共有 353 名患者（女性占 70%，年龄：50.2±12.7 岁，BMI：41.4±8.3kg/m²）于 2017 年 1 月至 2018 年 6 月期间入组。使用 ICF-OB 来确定患者的功能和残疾状况，以设定和评估康复目标。
我们描述了身体功能（BF）、身体结构（BS）和活动与参与（A&P）类别的分布，并且大多数类别的分布都具有显著的一致性。ICF-OB 与 CIRS 描述的患者合并症的相关性更强，并且与 BMI 的相关性更强。TSD-OC 与 A&P 指数也具有很强的相关性。
肥胖导致残疾的临床病症的复杂性可以通过使用这种新工具来很好地识别，该工具与患者对自身残疾的感知以及与他们的多种疾病都有显著的相关性。
ICF-OB 有望成为肥胖患者康复目标设定的工具。
