Weight loss is associated with improved quality of life among rural women completers of a web-based lifestyle intervention

Patricia A Hageman, Joseph E Mroz, Michael A Yoerger, Carol H Pullen, Patricia A Hageman, Joseph E Mroz, Michael A Yoerger, Carol H Pullen

Abstract

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.

Trial registration: ClinicalTrials.gov NCT01307644.

Conflict of interest statement

I have read the journal's policy and the authors of this manuscript have the following competing interests: uthors PAH and CHP declare a patent copyright (no number assigned) on the “Banding Together for Strength” DVD used in the intervention component of the clinical trial from which participant data were analyzed for this manuscript. This does not alter our adherence to PLOS ONE policies on sharing data and materials. Authors JEM and MAY declare that they have no conflict of interest.

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