engleski

Correlates of Health-Related Quality of Life in Overweight and Obese Adults with Cardiovascular Disease

Introduction: Previous studies agree that cardiovascular disease (CVD) significantly influences the quality of life. The aim of this study was to describe and examine conceptually relevant correlates of health related quality of life in overweight and obese patients with CVD. Methods: The study included 34 men and 8 women during the first year after acute myocardial infarction (MI). The average age of participants was 59.67 years (from 36 to 75 years), average BMI 31.53 (from 26.50 to 39.08). All patients completed Hospital Anxiety and Depression Inventory (HADS), and The Medical Outcome Study Short-Form 36 (SF-36). Because of the significant correlation between anxiety and depression symptoms (r=.85) a negative emotionality variable was formed. We used only four scales related to physical functioning of SF-36 (physical functioning, limitations due to the physical health, pain, and general health). We didn’t use the mental component of SF-36 due to its high correlation with negative emotionality (r=.85-.86). Results: In the sample, 11.9% of the patients showed anxiety symptoms, while 7.1% were depressed. We did not obtain a significant difference in quality of physical functioning between patients of different gender, obesity degrees, and metabolic syndrome. Age and negative emotionality are significant predictors of poor physical functioning, but only negative emotionality predicted limitations due to the physical health, pain, and general health. Conclusion: Negative emotionality is a significant psychological determinant of poor physical functioning in overweight and obese CVD patients that inevitably have effect on the overall approach to the treatment.

overweight and obese adults ; health-related quality of life ; cardiovascular disease

This work has been fully supported by the University of Rijeka under the project number (13.04.1.3.07)