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脂肪性水肿女性的残疾与情绪症状:与超重/肥胖女性的比较

Disability and emotional symptoms in women with lipedema: A comparison with overweight/obese women.

作者信息

Chachaj Angelika, Jeziorek Małgorzata, Dudka Ilona, Sowicz Monika, Adaszyńska Agnieszka, Truszyński Aleksander, Putek Justyna, Kuźnik Edwin, Małyszczak Krzysztof, Kujawa Krzysztof, Szuba Andrzej

机构信息

Department of Angiology and Internal Medicine, Wroclaw Medical University, Poland.

Department of Dietetics and Bromatology, Faculty of Pharmacy, Wroclaw Medical University, Poland.

出版信息

Adv Clin Exp Med. 2024 Dec;33(12):1367-1377. doi: 10.17219/acem/181146.

DOI:10.17219/acem/181146
PMID:38348967
Abstract

BACKGROUND

Lipedema is characterized by the painful abnormal deposition of adipose tissue in the lower limbs and is often misdiagnosed as obesity. Considering the numerous bothersome physical symptoms of lipedema, women with lipedema may have greater disability and emotional problems than women with lifestyle-induced obesity.

OBJECTIVES

Our study aims to assess disability, anxiety and depression symptoms in women with lipedema compared to women with overweight/obesity.

MATERIAL AND METHODS

Women with lipedema (n = 45, with a mean age of 41 years) and women who are overweight/obese (n = 43, with a mean age of 44.95 years) were asked to complete the following questionnaires: The World Health Organization Disability Assessment Schedule (WHO-DAS II), Beck's Depression Inventory - II (BDI-II), and The Hospital Anxiety and Depression Scale (HADS).

RESULTS

Despite the higher BMI in the overweight/obesity group, the group with lipedema was more disabled in numerous domains of the WHO-DAS II questionnaire, including Life activities - domestic, work and school responsibilities and Participation in society When the influence of BMI was adjusted, a difference in the domain of Mobility was also present. The study groups did not differ in anxiety and depression symptoms.

CONCLUSIONS

We showed that behavioral impairment was the main factor affecting functioning in women with lipedema. Emotional symptoms did not differentiate the study groups. Leg volumes and adipose tissue pain intensity were associated with greater disability in women with lipedema, and should be considered in managing women with this condition and in future research estimating the effectiveness of lipedema treatment.

摘要

背景

脂肪性水肿的特征是下肢出现疼痛性异常脂肪沉积,常被误诊为肥胖。考虑到脂肪性水肿有诸多令人困扰的身体症状,患有脂肪性水肿的女性可能比因生活方式导致肥胖的女性有更大的残疾和情绪问题。

目的

我们的研究旨在评估脂肪性水肿女性与超重/肥胖女性相比的残疾、焦虑和抑郁症状。

材料与方法

要求患有脂肪性水肿的女性(n = 45,平均年龄41岁)和超重/肥胖女性(n = 43,平均年龄44.95岁)完成以下问卷:世界卫生组织残疾评估量表(WHO - DAS II)、贝克抑郁量表第二版(BDI - II)以及医院焦虑抑郁量表(HADS)。

结果

尽管超重/肥胖组的体重指数较高,但脂肪性水肿组在WHO - DAS II问卷的多个领域残疾程度更高,包括生活活动——家务、工作和学校责任以及社会参与。调整体重指数的影响后,在活动能力领域也存在差异。研究组在焦虑和抑郁症状方面没有差异。

结论

我们表明行为障碍是影响脂肪性水肿女性功能的主要因素。情绪症状并未区分研究组。腿部体积和脂肪组织疼痛强度与脂肪性水肿女性更大的残疾程度相关,在管理患有这种疾病的女性以及未来评估脂肪性水肿治疗效果的研究中应予以考虑。

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