TRABAJOS PRESENTADOS POR EL DR. ALBERTO CORMILLOT Y COLABORADORES EN CONGRESOS INTERNACIONALES

 

QUALITY OF LIFE ASSESSMENT IN 54 MEMBERS FROM A WEIGHT MAINTENANCE GROUP

 

E. Barinaga, A. Cormillot, R.Zukerfeld, G. Piatti, C. Sharry, R. Hilu. Fundación ALCO; Buenos Aires, Argentina. 8th International Congress on Obesity, Paris, France, September 1998.

 

The purpose of this study was to examine the quality of life and presence of eating disorders and anxiety in obese patients who had lost at least 20 Kg and kept their weight loss during the 4 years they attended a maintenance group.

Method: 40 women and 14 men (X age 48.2, X BMI: 25:32) completed the EAT-26, STAI, quality of life scales (Nottingham Health Profile, EuroQoL), Duke Social Support and Stress Scale and structured interviews in order to obtain a Wellbeing and Health Index (WHI) to measure health and quality of life variables.

Results: According to the established cut-off values, 14,8% exhibited some disturbance in their eating behavior and 5.5% some anxiety feature. Neither problems in energy nor mobility were found in this sample. Total quality of life assessed either by questionnaire or structured interview (WHI: 0=worst, 100=optimum) scored higher than global self-perception (82.5 vs 73.4, p<0.05). Perception of support did not differ significantly from that of obese subjects under treatment but perception of social stress was lower (12.1 vs 24,8, p<0.05).

Conclusions: Patients who had lost weight and maintained their weight loss in a group, improved mood and quality of life. While a percentage of dieting behavior seemed to persist, there was a significant improvement in their interpersonal relationships. Furthermore, demands for appreciation of their health status and quality of life seemed to increase probably because they had denied their initial quality of life. It is important to develop a continuing maintenance system where achievements are recognized and responsible self-care encouraged.