BACKGROUND:We aimed to investigate whether employment status was associated with health-related quality of life (HRQoL) in a population of morbidly obese subjects. METHODS:A total of 143 treatment-seeking morbidly obese patients completed the Medical Outcome Study 36-Item Short-Form Health Survey (SF-36) and the Obesity and Weight-Loss Quality of Life (OWLQOL) questionnaires. The former (SF-36) is a generic measure of physical and mental health status and the latter (OWLQOL) an obesity-specific measure of emotional status. Multiple linear regression analyses included various measures of the HRQoL as dependent variables and employment status, education, marital status, gender, age, body mass index (BMI), type 2 diabetes, hypertension, obstructive sleep apnea, and treatment choice as independent variables. RESULTS:The patients (74% women, 56% employed) had a mean (SD, range) age of 44 (11, 19-66) years and a mean BMI of 44.3 (5.4) kg/m(2). The employed patients reported significantly higher HRQoL scores within all eight subscales of SF-36, while the OWLQOL scores were comparable between the two groups. Multiple linear regression confirmed that employment was a strong independent predictor of HRQoL according to the SF-36. Based on part correlation coefficients, employment explained 16% of the variation in the physical and 9% in the mental component summaries of SF-36, while gender explained 22% of the variation in the OWLQOL scores. CONCLUSION:Employment is associated with the physical and mental HRQoL of morbidly obese subjects, but is not associated with the emotional aspects of quality of life.

译文

背景:我们旨在调查在病态肥胖受试者中,就业状况是否与健康相关的生活质量(HRQoL)相关。
方法:共有143名寻求治疗的病态肥胖患者完成了医学成果研究36项简短健康调查(SF-36)和肥胖与体重减轻生活质量(OWLQOL)问卷。前者(SF-36)是衡量身体和精神健康状况的通用指标,而后者(OWLQOL)是针对肥胖者的情绪状况的指标。多元线性回归分析包括将HRQoL的各种量度作为因变量,并将就业状况,教育程度,婚姻状况,性别,年龄,体重指数(BMI),2型糖尿病,高血压,阻塞性睡眠呼吸暂停和治疗选择作为独立变量。
结果:患者(74%的女性,56%的受雇女性)的平均(SD,范围)年龄为44(11,19-66)岁,平均BMI为44.3(5.4)kg / m(2)。受雇的患者报告在SF-36的所有八个分量表中HRQoL得分均显着较高,而两组的OWLQOL得分相当。多元线性回归证实,根据SF-36,就业是HRQoL的强烈独立预测因子。根据零件的相关系数,就业解释了SF-36的身体变化的16%,心理组成的摘要的9%,而性别则解释了OWLQOL分数的22%。
结论:就业与病态肥胖受试者的身心HRQoL有关,但与生活质量的情感方面无关。

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