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肥胖症患者报告的经历及总体影响:一项跨国研究的结果

Experiences and overall impact reported by people living with obesity: results from a multinational study.

作者信息

Artime Esther, Khare Swarna, Zimner-Rapuch Sarah, Redig Josefine, Flannery Caragh, Higgins Victoria, Leith Andrea, Mortimer Ashley, Halpern Bruno, Alfaris Nasreen

机构信息

Eli Lilly and Company, Alcobendas, Spain.

Eli Lilly and Company, Bracknell, UK.

出版信息

SAGE Open Med. 2025 Jan 27;13:20503121241313082. doi: 10.1177/20503121241313082. eCollection 2025.

Abstract

OBJECTIVES

To explore the impact of obesity on clinical outcomes, health-related quality of life, emotional well-being, and work productivity in people/patients with obesity across six countries by body mass index and the presence of complications.

METHODS

Adelphi Real World Obesity Disease Specific Programme™ captured data related to physicians and their consulting people/patients with obesity on a weight management program or anti-obesity medication in Brazil, Canada, China, Japan, Kingdom of Saudi Arabia, and the United Arab Emirates from April to December 2022. Physicians reported data for up to eight qualifying people/patients with obesity. People/patients with obesity voluntarily completed outcome measures: 36-Item Short Form Health Survey, emotional well-being, and Work Productivity and Activity Impairment.

RESULTS

Of 1506 people/patients with obesity, 58% were female (mean ± standard deviation age: 41 ± 12.7 years; body mass index: 32.3 kg/m ± 7.7 kg/m). Overall, 82% had ⩾1 complication (median and interquartile range: 2.0 (1.0-3.0)). People/patients with obesity struggled with weight for a mean ± SD of 64.1 ± 86.6 months with a median (interquartile range) of 3.0 (2.0-5.0) weight-loss attempts. Mean ± standard deviation 36-Item Short Form Health Survey scores for people/patients with obesity above the obesity threshold showed impairment in general health (42.3 ± 11.5), social functioning (44.3 ± 9.2), role-emotional (46.0 ± 9.3), and mental health (45.7 ± 9.6). People/patients with obesity with complications showed similar impairment. People/patients with obesity reported bother/embarrassment about their weight, with 72% worried about future weight gain. Work productivity and activity impairment scores among people/patients with obesity above the obesity threshold showed impairment in activity (36%), overall work (34%), and presenteeism (31%). Findings were similar for people/patients with obesity with complications.

CONCLUSION

Results suggest that obesity alongside the presence of complications negatively impacts health-related quality of life, emotional well-being, and work productivity, reinforcing the need for comprehensive interventions for this complex health issue.

摘要

目的

通过体重指数和并发症情况,探讨肥胖对六个国家肥胖人群/患者的临床结局、健康相关生活质量、情绪健康和工作生产力的影响。

方法

阿德尔菲真实世界肥胖疾病特定项目™于2022年4月至12月收集了巴西、加拿大、中国、日本、沙特阿拉伯王国和阿拉伯联合酋长国的医生及其肥胖咨询人群/患者在体重管理计划或抗肥胖药物方面的数据。医生报告了多达8名符合条件的肥胖人群/患者的数据。肥胖人群/患者自愿完成结局测量:36项简短健康调查、情绪健康以及工作生产力和活动障碍。

结果

在1506名肥胖人群/患者中,58%为女性(平均±标准差年龄:41±12.7岁;体重指数:32.3kg/m±7.7kg/m)。总体而言,82%的人有≥1种并发症(中位数和四分位间距:2.0(1.0 - 3.0))。肥胖人群/患者体重问题的平均时长为±标准差64.1±86.6个月,减肥尝试次数的中位数(四分位间距)为3.0(2.0 - 5.0)次。肥胖阈值以上肥胖人群/患者的36项简短健康调查平均±标准差得分显示,其总体健康(42.3±11.5)、社会功能(44.3±9.2)、角色 - 情绪(46.0±9.3)和心理健康(45.7±9.6)均受损。有并发症的肥胖人群/患者也表现出类似的损害。肥胖人群/患者报告了对自身体重的困扰/尴尬,72%的人担心未来体重增加。肥胖阈值以上肥胖人群/患者的工作生产力和活动障碍得分显示,其活动(36%)、总体工作(34%)和出勤主义(31%)均受损。有并发症的肥胖人群/患者的结果相似。

结论

结果表明,肥胖以及并发症的存在会对健康相关生活质量、情绪健康和工作生产力产生负面影响,这进一步凸显了针对这一复杂健康问题进行全面干预的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a51e/11770732/0ec7c099320a/10.1177_20503121241313082-fig1.jpg

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