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The Effects of Weight Loss Attempts, Exercise Initiation, and Dietary Practices on Health Related Quality of Life

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Abstract

This study (N = 98) randomly placed participants in either a higher protein or American Heart Association diet group with each group initiating an aerobic exercise program. Body composition (BC) was measured using four different methodologies (DEXA, BIA, skinfold, BMI) along with height and weight, while Health-Related Quality of Life (HRQOL) changes were measured using the Medical Outcomes Short Form 36 (SF-36). There were no significant time/diet interactions in HRQOL scores, body fat measures, and weight with the exception of Role-Physical scores (p = .006) with posttest scores higher in participants in Diet 1. Role-Physical scores changed significantly in participants in Diet 1 (p = .0001) and Diet 2 (p = .026) with higher posttest scores in each group. Social functioning had a significant main effect for time in both groups with pretest scores in both diet groups lower than their respective posttest scores (p = .015). HRQOL pretest scores were not significantly different between groups at baseline (p = .56). ANOVA revealed no significant differences in average calories between groups (p = .88). Analysis revealed no differences in exercise in minutes (p = .66) nor statistically significant changes in BC or weight (p = .65). Conclusions: Improvements in HRQOL were demonstrated in two subscales related to physiological and psychological functioning. These novel findings add to literature suggesting that HRQOL, at least concerning social functioning, work and other daily activities (Role-Physical) may improve by initiating an exercise and dietary program even when weight loss or BC improvements have been unsuccessful.

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References

  • Baiardi, F., Puglia, M. G., Valpiani, G., et al. (2005). Relationship between body weight, quality of life and cardiovascular risk factors; a general population based Italian experience. Eating and Weight Disorders, 10, 19–24 March.

    Google Scholar 

  • Blissmer, B., Reibe, D., Dye, G., et al. (2006). Health-related quality of life following a clinical weight loss intervention among overweight and obese adults: intervention and 24 month follow-up effects. Health QoL Out, 4, 43.

    Article  Google Scholar 

  • Borgaonkar, M. R., & Irvine, E. J. (2007). Quality of life measurement in gastrointestinal and liver disorders. Gut, 47, 444–454.

    Article  Google Scholar 

  • Callegari, A., Michelini, I., Sguazzin, C., et al. (2005). Efficacy of the SF-36 questionnaire in identifying obese patients with psychological discomfort. Obesity Surgery, 15, 254–260.

    Article  Google Scholar 

  • Chaput, J. P., Drapeau, V., Hetherington, M., et al. (2005). Psychobiological impact of a progressive weight loss program in obese men. Phys Behav, 86, 224–232.

    Article  Google Scholar 

  • Dobratz, J. R., Sibley, S. D., Beckman, T. R., et al. (2007). Predicting energy expenditure in extremely obese women. JPEN. Journal of Parenteral and Enteral Nutrition, 31(3), 217–227 May-Jun.

    Article  Google Scholar 

  • Fine, J. R., Colditz, G. A., Coakley, E. H., et al. (1999). A prospective study of weight change and health-related quality of life in women. JAMA, 282, 2136–2142.

    Article  Google Scholar 

  • Fontaine, K. R., Brofsky, I., Andersen, R. E., et al. (1998). Impact of weight loss on Health-Related Quality of Life. QoL Res, 8, 275–277.

    Google Scholar 

  • Fontaine, K. R., Barofsky, I., Bartlett, S. J., et al. (2004). Weight loss and health-related quality of life: Results at 1-year follow-up. Eating Behaviors, 5, 85–88.

    Article  Google Scholar 

  • Hislop, T. G., Bajdik, C. D., Balneaves, L. G., et al. (2006). Physical and emotional health effects and social consequences after participation in a low-fat, high-carbohydrate dietary trial for more than 5 years. Journal of Clinical Oncology, 24, 2311–2317 May.

    Article  Google Scholar 

  • Jeffery, R. W., Linde, J. A., Finch, E. A., et al. (2006). A satisfaction enhancement intervention for long-term weight loss. Obes, 14(5), 863–869 May.

    Article  Google Scholar 

  • Jensen, G. L., Marie-Andree, R., Buchanan, A. E., et al. (2004). Weight loss intervention of obese older women: Improvements in performance and function. Obesity Research, 12(11), 1814–1820 November.

    Article  Google Scholar 

  • Karvonen, M. J., Kentala, E., & Mustala, O. (1957). The effects of training on heart rate; a longitudinal study. Annales Medicinae Experimentalis et Biologiae Fenniae, 35(3), 307–315.

    Google Scholar 

  • Kolotkin, R. L., Crosby, R. D., & Rhys-Williams, G. (2002). Health-related quality of life among obese subgroups. Obesity Research, 10, 748–746.

    Article  Google Scholar 

  • Kolotkin, R. L., Crosby, R. D., Rhys-Williams, G., et al. (2001). The relationship between health-related quality of life and weight loss. Obesity Research, 9, 564–571.

    Article  Google Scholar 

  • Leon-Munoz, L. M., Guallar-Castillon, P., Banegas, J. R., et al. (2005). Changes in body weight and health-related quality-of-life in the older adult population. International Journal of Obesity, 29, 1385–1391.

    Article  Google Scholar 

  • Leyenaar, J., Sutherland, H. J., Lockwood, G. A., et al. (1989). Self-reported physical and emotional health of women in a low-fat, high-carbohydrate dietary trial (Canada). Cancer Causes and Control, 9, 601–610.

    Article  Google Scholar 

  • Lichtenstein, A. H., Appel, L. J., Brands, M., et al. (2007). Diet and lifestyle recommendations revision 2006: A scientific statement from the American Heart Association Nutrition committee. Circulation, 114, 82–96.

    Article  Google Scholar 

  • Lopez-Garcia, E., Benegas, J. R. B., Gutierrez-Fisac, J. L., et al. (2003). Relation between body weight and health-related quality of life among the elderly in Spain. Inter J Obes, 27, 701–709.

    Article  Google Scholar 

  • Mhurchu, C. N., Bennett, D., Lin, R., et al. (2004). Obesity and health-related quality of life: results from a weight loss trial [Electronic version] New Zealand Medical Journal, 117(1207).

  • Rejeski, W. J., Focht, B. D., Messier, S. P., et al. (2002). Obese, older adults with knee osteoarthritis: weight loss, exercise, and quality of life. Health Psychology, 21(5), 419–426.

    Article  Google Scholar 

  • Stewart, K. J., Turner, K. L., Bacher, A. C., et al. (2003). Are fitness, activity, and fatness associated with health-related quality of life and mood in older persons. Journal of Cardiac Rehabilitation, 23, 109–114.

    Article  Google Scholar 

  • Tinker, L. F., Perri, M. G., Patterson, R. E., et al. (2002). The effects of physical and emotional status on adherence to a low-fat dietary pattern in the Women’s Health Initiative. JADA, 102, 789–794, 799–800.

    Google Scholar 

  • US Department of Health and Human Services (1996). Physical activity and health: a report of the Surgeon General. Atlanta: US Department of Health and Human Services, Public Health Service, CDC, National Center for Chronic Disease Prevention and Health Promotion.

    Google Scholar 

  • Wiesinger, G. F., Pleiner, J., Quittan, M., et al. (2001). Health related quality of life in patients with long-standing insulin dependent (Type 1) diabetes mellitus: benefits of regular physical training. Wiener Klinische Wochenschrift, 113(17–18), 670–675.

    Google Scholar 

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Correspondence to Rodney G. Bowden.

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The Faculty Research Investment Program at Baylor University has provided funding for this study. The Exercise and Sports Nutrition Laboratory at Baylor University provided quality of life screening and technicians for this project. Anthony L. Almada, MSc and Imaginutrition provided the DEXA scans for this study.

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Bowden, R.G., Lanning, B.A., Doyle, E.I. et al. The Effects of Weight Loss Attempts, Exercise Initiation, and Dietary Practices on Health Related Quality of Life. Applied Research Quality Life 3, 149–160 (2008). https://doi.org/10.1007/s11482-008-9052-8

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  • DOI: https://doi.org/10.1007/s11482-008-9052-8

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