Health and Quality of Life Outcomes (Mar 2020)

Environmental and individual factors associated with quality of life of adults who underwent bariatric surgery: a cohort study

  • Marina Dayrell de Oliveira Lima,
  • Thales Philipe Rodrigues da Silva,
  • Mariana Carvalho de Menezes,
  • Larissa Loures Mendes,
  • Milene Cristine Pessoa,
  • Lauro Pinheiro Ferreira de Araújo,
  • Roberto Guimarães Cabezas Andrade,
  • Alexandra Dias Moreira D’Assunção,
  • Bruna Figueiredo Manzo,
  • Allana dos Reis Corrêa,
  • Fernanda Batista Oliveira Santos,
  • Sheila Aparecida Ferreira Lachtim,
  • Giselle Lima de Freitas,
  • Lucas Adailton Viana de Andrade,
  • Marco Aurélio de Sousa,
  • Fernanda Penido Matozinhos

DOI
https://doi.org/10.1186/s12955-020-01331-1
Journal volume & issue
Vol. 18, no. 1
pp. 1 – 12

Abstract

Read online

Abstract Introduction Obesity is a multifactorial chronic condition associated with genetic, behavioral and environmental factors. Understanding the role of the built and social environment in Quality of Life (QOL) is critical to reducing the negative impacts of the environment on health. Objective To estimate the built and social environmental and individual factors that influence the QOL of adults who underwent bariatric surgery. Methods A prospective cohort study conducted with adults who underwent bariatric surgery. Using longitudinal linear regression analysis, we verified the association between the domains of World Health Organization Quality of Life in version bref (WHOQOL-Bref) – General QOL and domains psychological, physical health, social relations and environment – and possible influencing factors. Results The increase in Body Mass Index (BMI) reduces on average 0.47 points in physical domain assessment score. The increase of healthy establishments within the buffer increases on average 0.52 points in the physical domain score. Being female reduces, on average, 5.35 points in the psychological domain evaluation score. Adults who practiced less than 150 min a week of leisure-time physical activity had a 3.27 point average reduction in the social relations domain assessment score. The increase in the number of Supermarkets and Hypermarkets in the buffer increases on average 2.18 points from the Social Relations domain score. Conclusions Individual and contextual factors were associated with the QOL of adults who underwent bariatric surgery. Although the surgery yields positive results, the maintenance of same is strongly related to changes in lifestyle, the built environment and multi-professional guidance.

Keywords