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首页> 外文期刊>Clinical obesity. >The impact of a 'vicious cycle' on the daily functioning of a group of severely obese adults
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The impact of a 'vicious cycle' on the daily functioning of a group of severely obese adults

机译：的影响在每日的“恶性循环”功能的一组严重肥胖的成年人

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As the rates of obesity are steadily increasing, the relevance to occupational therapy (OT) is increasing accordingly. There is limited OT-focused research internationally, particularly relating to the functional and social implications of obesity and none within an Irish context. This was the first research of its kind at a national level and aimed to explore the daily functional difficulties experienced by a group of adults attending an Irish weight management clinic. A mixed methods study design was deployed, and the two phases were combined to form an overall picture of the daily functional difficulties experienced. Of the 26 participants included in the study, 21 completed the quantitative phase, and 19 of those completed the follow-on qualitative phase. Mean body mass index (BMI) of those involved in the quantitative phase was 52.6 (range 39-69). Of the 21 respondents, nine were partnered, and 10 were unemployed. A large number of participants (n = 16) were reported to experience comorbid-ities alongside their weight, and the number of comorbidities experienced varied between one and seven. A significant correlation was found between a greater number of comorbidities and a greater level of functional difficulties and a lower perceived health-related quality of life. Interestingly, there was no relationship between BMI and both functional difficulty and perceived health status. The presence of a vicious cycle and interdependency between factors was seen to be an over-riding, dominant theme throughout the qualitative interviews. The issue of a vicious cycle was reinforced in the quantitative measures where community participation in particular was reported to be an area of neglect due to the interaction of emotional difficulties, physiological difficulties, environmental barriers and societal attitudes. The complex interaction and incremental worsening of factors was also seen to be a major barrier to effective implementation of the advice given by the weight management clinic into everyday occupational performance. The findings indicate the complex interaction that exists between the consequences of obesity and their impact on health and well-being. Understanding of such interactions will have important implications for OT practice as addressing these factors on a continuum rather than in isolation may lead to greater success with weight-loss interventions and also with occupational re-engagement.
机译：肥胖率正在稳步增加,职业治疗(OT)的相关性相应的增加。OT-focused研究在国际上,特别是相关功能和社会肥胖的影响,没有在一个爱尔兰人上下文。在国家层面上,旨在探索日常功能所经历的困难群成年人参加一个爱尔兰的重量管理诊所。部署,结合两个阶段形成一个整体的日常功能经历过的困难。包括在这项研究中,21完成了定量阶段,和19的完成了后续定性阶段。(BMI)中涉及的定量阶段范围为52.6(39 - 69)。九是合作,10人失业。大量的参与者(n = 16)据报道,comorbid-ities与经验他们的重量,并发症的数量经历了不同的一至七。之间的显著相关性被发现更多的并发症,更大功能困难和一个较低的水平感知到的与健康有关的生活质量。有趣的是,没有关系BMI和功能性困难和感知健康状况。因素被认为之间和相互依赖在整个面容,占主导地位的主题定性访谈。周期是钢筋的量化措施社区参与特殊在哪里据报道,由于忽视的一个领域交互的情感上的困难,生理上的困难,环境障碍和社会态度。交互和增量恶化因素也被视为一个主要障碍有效实现的建议给出的重量在每天的职业管理诊所的性能。之间存在的相互作用的结果肥胖对健康和及其影响幸福。将有重要意义不作为连续体,而解决这些因素比隔离可能会导致更大的成功减肥干预和也职业关系重新启动。

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