TY - JOUR
T1 - Weight loss is associated with improved quality of life among rural women completers of a web-based lifestyle intervention
AU - Hageman, Patricia A.
AU - Mroz, Joseph E.
AU - Yoerger, Michael A.
AU - Pullen, Carol H.
N1 - Funding Information:
This study was funded by a National Institute of Nursing Research, National Institutes of Health Grant (Grant no. R01 NR010589; https:// projectreporter.nih.gov/project_info_description. cfm?aid=7982845&icde=43321683&ddparam= &ddvalue=&ddsub=&cr=1&csb=default&cs= ASC&pball=) with CP as Principal Investigator and PH as Co-Investigator. Supplemental funding was received from a Research Support Fund Grant (no number) from The Nebraska Medical Center and the University of Nebraska Medical Center, and from the Hygenic Corporation Thera-Band Academy (no number). The funding agencies had no role in the study design; in the collection, analysis, or interpretation of the data; in the writing of the manuscript; nor in the decision to submit the manuscript for publication.
Publisher Copyright:
© 2019 Hageman et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2019/11/1
Y1 - 2019/11/1
N2 - 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.
AB - 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.
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U2 - 10.1371/journal.pone.0225446
DO - 10.1371/journal.pone.0225446
M3 - Article
C2 - 31743365
AN - SCOPUS:85075252982
VL - 14
JO - PLoS One
JF - PLoS One
SN - 1932-6203
IS - 11
M1 - e0225446
ER -