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Weight loss is associated with improved quality of life among rural women completers of a web-based lifestyle intervention
INTRODUCTION: The evidence for whether weight loss following longer-term lifestyle interventions results in improved health-related quality of life (HRQoL) is inconclusive. This study examines whether women who lose weight after completing an 18-month web-based lifestyle modification intervention wo...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6863546/ https://www.ncbi.nlm.nih.gov/pubmed/31743365 http://dx.doi.org/10.1371/journal.pone.0225446 |
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author | Hageman, Patricia A. Mroz, Joseph E. Yoerger, Michael A. Pullen, Carol H. |
author_facet | Hageman, Patricia A. Mroz, Joseph E. Yoerger, Michael A. Pullen, Carol H. |
author_sort | Hageman, Patricia A. |
collection | PubMed |
description | INTRODUCTION: The evidence for whether weight loss following longer-term lifestyle interventions results in improved health-related quality of life (HRQoL) is inconclusive. This study examines whether women who lose weight after completing an 18-month web-based lifestyle modification intervention would report a corresponding improvement in HRQoL as measured using the Patient-Reported Outcomes Measurement Information System 29-item profile (PROMIS-29 v1.0). METHODS: Data from 216 rural women, ages 40 to 69, with baseline and 18-month PROMIS-29 data were analyzed in this secondary analysis of the Women Weigh-in for Wellness clinical trial. This trial promoted lifestyle modification for initial weight loss (baseline to 6 months) and guided weight loss (6 months to 18 months) using a web-delivery format. RESULTS: After adjusting for age, number of comorbidities, change in physical activity from baseline, intervention group, and baseline PROMIS-29 scores, change in weight was associated with improved health-related quality of life (HRQoL) in the domains of depression, physical function, pain interference, fatigue, and satisfaction with social role. Logistic regressions, adjusting for the same factors, indicated women with ≥ 10% weight loss were more likely to report lower depression, higher physical function and less pain interference, compared to women who gained weight or lost < 5%. CONCLUSIONS: Among our rural women, a loss in weight from baseline appeared to be associated with overall improvement in multiple PROMIS-29 v 1.0 domains, noting the likelihood of achieving improvement was significantly higher among women who attained ≥ 10% weight loss. These findings may positively influence a woman’s adherence to lifestyle modification weight loss and weight maintenance program. TRIAL REGISTRATION: ClinicalTrials.gov NCT01307644. |
format | Online Article Text |
id | pubmed-6863546 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-68635462019-12-07 Weight loss is associated with improved quality of life among rural women completers of a web-based lifestyle intervention Hageman, Patricia A. Mroz, Joseph E. Yoerger, Michael A. Pullen, Carol H. PLoS One Research Article INTRODUCTION: The evidence for whether weight loss following longer-term lifestyle interventions results in improved health-related quality of life (HRQoL) is inconclusive. This study examines whether women who lose weight after completing an 18-month web-based lifestyle modification intervention would report a corresponding improvement in HRQoL as measured using the Patient-Reported Outcomes Measurement Information System 29-item profile (PROMIS-29 v1.0). METHODS: Data from 216 rural women, ages 40 to 69, with baseline and 18-month PROMIS-29 data were analyzed in this secondary analysis of the Women Weigh-in for Wellness clinical trial. This trial promoted lifestyle modification for initial weight loss (baseline to 6 months) and guided weight loss (6 months to 18 months) using a web-delivery format. RESULTS: After adjusting for age, number of comorbidities, change in physical activity from baseline, intervention group, and baseline PROMIS-29 scores, change in weight was associated with improved health-related quality of life (HRQoL) in the domains of depression, physical function, pain interference, fatigue, and satisfaction with social role. Logistic regressions, adjusting for the same factors, indicated women with ≥ 10% weight loss were more likely to report lower depression, higher physical function and less pain interference, compared to women who gained weight or lost < 5%. CONCLUSIONS: Among our rural women, a loss in weight from baseline appeared to be associated with overall improvement in multiple PROMIS-29 v 1.0 domains, noting the likelihood of achieving improvement was significantly higher among women who attained ≥ 10% weight loss. These findings may positively influence a woman’s adherence to lifestyle modification weight loss and weight maintenance program. TRIAL REGISTRATION: ClinicalTrials.gov NCT01307644. Public Library of Science 2019-11-19 /pmc/articles/PMC6863546/ /pubmed/31743365 http://dx.doi.org/10.1371/journal.pone.0225446 Text en © 2019 Hageman et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Hageman, Patricia A. Mroz, Joseph E. Yoerger, Michael A. Pullen, Carol H. Weight loss is associated with improved quality of life among rural women completers of a web-based lifestyle intervention |
title | Weight loss is associated with improved quality of life among rural women completers of a web-based lifestyle intervention |
title_full | Weight loss is associated with improved quality of life among rural women completers of a web-based lifestyle intervention |
title_fullStr | Weight loss is associated with improved quality of life among rural women completers of a web-based lifestyle intervention |
title_full_unstemmed | Weight loss is associated with improved quality of life among rural women completers of a web-based lifestyle intervention |
title_short | Weight loss is associated with improved quality of life among rural women completers of a web-based lifestyle intervention |
title_sort | weight loss is associated with improved quality of life among rural women completers of a web-based lifestyle intervention |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6863546/ https://www.ncbi.nlm.nih.gov/pubmed/31743365 http://dx.doi.org/10.1371/journal.pone.0225446 |
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