ABSTRACT
BACKGROUND: The impact of overweight and nonmorbid obesity on health-related quality of life (HRQL) has not been widely researched. The aim of this study was to evaluate the effects of a lifestyle modification program (LMP) focused on diet, exercise, and psychological support on HRQL in overweight and nonmorbidly obese patients treated in a primary healthcare setting. METHODS: Sixty patients with grade II overweight and nonmorbid grade I-II obesity were included in this open pilot clinical trial; subjects' ages ranged from 18 to 50 years. They were provided with an LMP combining nutrition education, physical activity, and psychological support. Subjects attended group sessions every 2 weeks. The main outcome measures at baseline and 6 months were body composition parameters (body mass index, body fat percentage, and waist circumference) and HRQL using the 1.4 Spanish version of the SF-36 questionnaire. The questionnaire yields an 8-scale profile of physical functioning (PF), role--physical (RP), bodily pain (BP), vitality (VT), social functioning (SF), role--emotional (RE), mental health (MH), and general health (GH) factors. RESULTS: The LMP achieved improvements in SF-36 subscales at the end of the intervention: PF (80.37 ± 18.90 vs 89.40 ± 13.95, P < .001), RP (20.37 ± 9.10 vs 23.14 ± 6.67, P < .05), VT (58.71 ± 21.98 vs 70.91 ± 26.56, P < .01), SF (79.62 ± 27.76 vs 86.57 ± 25.45, P < .03), and GH (61.03 ± 19.13 vs 69.42 ± 18.80, P < .001). CONCLUSION: An LMP focused on balanced and moderate energy-restricted diets, increased physical activity, and psychological support may improve the anthropometric parameters and the quality of life in moderately obese patients treated in a primary healthcare center.
Subject(s)
Health Behavior , Life Style , Obesity/diet therapy , Quality of Life , Surveys and Questionnaires , Adolescent , Adult , Body Mass Index , Counseling , Exercise , Female , Health Status , Humans , Male , Mental Health , Middle Aged , Obesity/psychology , Pilot Projects , Primary Health Care/methods , Risk Reduction Behavior , Young AdultSubject(s)
Humans , Male , Female , Middle Aged , Pyelonephritis/diagnosis , Pyelonephritis/therapy , Amoxicillin-Potassium Clavulanate Combination/therapeutic use , Drug Resistance , Risk Factors , Escherichia coli/pathogenicity , Pyelonephritis/physiopathology , Bacteriuria/complications , Bacteriuria/diagnosis , Sensitivity and SpecificityABSTRACT
Se trata de una mujer de 55 años sin hipertensión arterial conocida hasta ese momento ni otros antecedentes clínicos de interés. Tras un proceso agudo de neuropatía sensitivomotora comienza con una hipertensión arterial moderada; permanece ingresada en el hospital durante un mes, siendo diagnosticada de síndrome de Guillain-Barré. La paciente es dada de alta con dosis bajas de fármacos antihipertensivos (IECA). Transcurrido un año del proceso agudo se consigue controlar la tensión arterial sin necesidad de tratamiento, por lo que sospechamos que la hipertensión arterial fue secundaria al proceso neurológico
This is a 55 year old woman with no known arterial hypertension up to now or other clinical background of interest. After an acute sensory-motor neuropathy condition, she began with moderate arterial hypertension. She remained in the hospital for one month, being diagnosed of Guillain-Barre syndrome. The patient was discharged with low doses of antihypertensive drugs (ACEIs). After one year with the acute condition, it was possible to control the blood pressure without need for treatment so that we suspect that the arterial hypertension was secondary to the neurological condition
Subject(s)
Female , Middle Aged , Humans , Guillain-Barre Syndrome/complications , Hypertension/etiology , Hypertension/drug therapy , Antihypertensive Agents/therapeutic useABSTRACT
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