Environmental and individual factors associated with quality of life of adults who underwent bariatric surgery : a cohort study.
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Date
2020
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Abstract
Introduction: 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.
Objective: To estimate the built and social environmental and individual factors that influence the QOL of adults
who underwent bariatric surgery.
Methods: 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.
Results: 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.
Conclusions: 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.
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Keywords
Obesity, Built environment
Citation
LIMA, M. D. de O. et al. Environmental and individual factors associated with quality of life of adults who underwent bariatric surgery: a cohort study. Health and Quality of Life Outcomes, v. 18, artigo 87, 2020. Disponível em: <https://hqlo.biomedcentral.com/articles/10.1186/s12955-020-01331-1>. Acesso em: 11 out. 2022.