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Cited by 123Eating Disorders and BehaviorsBariatric Surgery and OutcomesObesity, Physical Activity, Diet

Two Measures of Health‐Related Quality of Life in Morbid Obesity

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de Zwaan, Martina, Mitchell, James E., Howell, L. Michael, Monson, Nancy, Swan‐Kremeier, Lorraine, Roerig, James L., Kolotkin, Ronette L., Crosby, Ross D.·2002·Obesity Research
DOI 10.1038/oby.2002.155
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Abstract

Objective: To compare health‐related quality of life (HRQOL) measures in obese presurgery patients with and without binge‐eating disorder (BED) and to investigate the relationship between a generic [short form‐36 (SF‐36)] and a disease‐specific HRQOL measure [Impact of Weight on Quality of Life Questionnaire (IWQOL)] and measures of eating‐related and general psychopathology. Research Methods and Procedures: One hundred ten patients ages 19 to 62 years with a mean body mass index of 48.4 ± 8.3 kg/m 2 who were evaluated for gastric bypass surgery were asked to fill out questionnaires assessing eating‐related and general psychopathology (depression, self‐esteem), as well as the two HRQOL questionnaires. BED was assessed by self‐report. Results: Nineteen (17.3%) patients met criteria for BED. Significant differences between patients with and without BED were found for four of the eight subscales of the SF‐36—with effect sizes ranging from 0.44 to 0.75—and for the total score and three of the five subscales of the IWQOL‐Lite—with effect sizes from 0.57 to 0.74. The mental composite score of the SF‐36 as well as the IWQOL total score correlated significantly with the measures of psychopathology. Discussion: This is the first study comparing the results of HRQOL measures in morbidly obese presurgery patients with and without BED. The results indicate that BED has a profound negative impact on HRQOL that exceeds the influence of obesity. Both HRQOL measures were able to reliably discriminate between patients with and without BED. Depression and self‐esteem influenced HRQOL in a similar way as binge eating.

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Authors
de Zwaan, M., Mitchell, J. E., Howell, L. M., Monson, N., Swan‐Kremeier, L., Roerig, J. L., Kolotkin, R. L., & Crosby, R. D.
Affiliations
University of North Dakota (US)
ORCID
Venue
Obesity Research
Publisher
Wiley
Published
2002-11
Volume
10
Issue
11
Pages
1143-1151
ISSN
  • 1071-7323 (ISSN-L)
  • 1550-8528
DOI
10.1038/oby.2002.155
OpenAlex
W2064693259
Cited by
123
References
51
Citations by year
2024: 2 · 2023: 3 · 2022: 5 · 2021: 2 · 2020: 2 · 2019: 5 · 2018: 2 · 2017: 5 · 2016: 5 · 2015: 4 · 2014: 7 · 2013: 4 · 2012: 7
FWCI
9.27
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 3597 d)
Locations
  • Obesity Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • McKnight Foundation
  • Louis and Harold Price Foundation
  • National Institutes of Health
  • National Institute of Mental Health (R01 MH59100, R01MH059100, R01MH/DK58820)
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK061911, R01 DK61911, U24DK058820)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords
health-related quality of life, morbid obesity, binge eating disorder, gastric bypass, SF-36, psychopathology, depression, self-esteem
MeSH terms
Adult, Aged, Bulimia, Depression, Female, Health Status, Humans, Male, Middle Aged, Obesity, Morbid, Quality of Life, Surveys and Questionnaires, Self Concept, Gastric Bypass, Body Mass Index

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