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Morbidly obese have more digestive symptoms and a poorer quality of life: Study


Morbidly obese have more digestive symptoms and a poorer quality of life: Study -- Posted by Sweet Zombie Jesus! on 06-08-05 06:11


Introduction: morbid obesity (MO) is a chronic disease that is reaching
epidemic proportions and becoming an increasing health problem in
developed countries. Obesity-related comorbidities reduce both the
quality and expectancy of life.

Objectives: to validate the GIQLI (Gastrointestinal Quality of Life
Index) test as a reliable and effective tool for the evaluation of
quality of life in morbidly obese patients.Patients and methods: the
GIQLI test is made up of 36 individually scored items, the addition of
which give up a final score. A higher score correlates with a better
quality of life. Items can be separated into five groups or dimensions:
digestive symptoms, emotional status, effects of treatment, and
physical as well as social dysfunction. The GIQLI test was administered
to a randomized sample of 1990 morbidly obese patients who fulfilled
the indication criteria for bariatric surgery, and to a control group
of 100 healthy individuals with no known medical, functional or
psychiatric disease. Overall test and specific dimension scores were
evaluated for each group.

Results: overall test and specific dimension scores were significantly
lower in patients with MO when compared to the control group. The
overall GIQLI score decreased as age increased, as did the number of
associated comorbidities.

Conclusions: the GIQLI test proved to be a rather useful tool to
evaluate quality of life in morbidly obese patients. These patients
present a poorer quality of life not only because of the presence of
digestive symptoms but also because of their emotional, physical, and
social status.

Rev Esp Enferm Dig. 2005 Apr;97(3):187-195. Quality of life in morbid
obesity.Poves Prim I, Macias GJ, Cabrera Fraga M, Situ L, Ballesta
Lopez C.


Re: Morbidly obese have more digestive symptoms and a poorer quality of life: Study -- Posted by Mary_Gordon@tvo.org on 06-08-05 09:41


Hey, thats no big surprise.

My technician/clerk at the office went for a gastric bypass in
February. Prior to the surgery, my guess is she weighed something like
450lb at 5'6" tall (we're about the same height). Of COURSE she had a
crummy quality of life. Her weight really defined her because it so
totally restricted her activities (she could barely walk - even a short
stroll to the mall near our office would hurt her joints and get her
all out of breath). She couldn't fit into many vehicles and chairs (I'm
sure even a seat in a regular movie theatre would have been
uncomfortable for her). She was very stricted in what she could wear,
where she could go, the kind of things she got involved in. Her health
was impacted on multiple fronts. Of course she was miserable. Her life
had kind of dwindled around her as her weight spiralled upwards.

She is one of the nicest people I have ever met - and I absolutely know
she's going to blossom as she rediscovers all kinds of activities and
interests that her prior size and resultant health difficulties
precluded. Thus far, I think she's lost something like 70 pounds, and I
can't WAIT to see her in another year or so. Its not about looks, its
about being able to do what you want to do and feel good.

I saved my size 16/18's for her so when she passes by those sizes she
doesn't need to buy anything.

Mary G.
Was 195, now hovering 130.



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