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Erschienen in: Wiener klinische Wochenschrift 5-6/2020

09.12.2019 | original article

Relationship between psychological stress and metabolism in morbidly obese individuals

verfasst von: Friedrich Riffer, Manuel Sprung, Ph.D., Hannah Münch, Elmar Kaiser, Lore Streibl, Kathrin Heneis, Alexandra Kautzky-Willer

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 5-6/2020

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Summary

Background

Despite evidence for a bidirectional relationship between obesity and stress-related mental disorders, the general relationship between psychological stress and metabolism is still controversial. Only few studies have addressed this relationship in morbidly obese individuals.

Methods

The present study investigated the relationship between psychological distress, health-related quality of life (HRQL), eating behavior, negative emotions and body mass index (BMI), body composition and biomedical parameters of metabolism in an adult sample of 123 (94 females) morbidly obese individuals.

Results

No significant relationship was found between psychological distress and BMI, body composition or any of the parameters of metabolism; however, there was a strong and robust association between HRQL in the physical domain and BMI, body composition and several biomedical parameters of sugar and fat metabolism. The results also showed an interesting dissociation in the relationship between BMI and HRQL in the physical and psychology domains. Only little evidence was found for a relationship between eating behavior (e.g. restraint) or negative emotions (e.g. anger) and BMI, body composition and parameters of metabolism. There was, however, a significant gender difference in restraint eating. Other commonly reported gender differences in BMI, body composition, fat metabolism and liver values were also observed in this sample of morbidly obese individuals.

Conclusion

Results from the present study highlight the relationship between HRQL in the physical domain and metabolism. Implications of these findings for weight loss treatment are discussed, emphasizing HRQL as an important treatment goal and the need for long-term psychological monitoring.
Fußnoten
1
Results from independent samples T-test
t=T-test value(df=degrees of freedom)
 
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Metadaten
Titel
Relationship between psychological stress and metabolism in morbidly obese individuals
verfasst von
Friedrich Riffer
Manuel Sprung, Ph.D.
Hannah Münch
Elmar Kaiser
Lore Streibl
Kathrin Heneis
Alexandra Kautzky-Willer
Publikationsdatum
09.12.2019
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 5-6/2020
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-019-01583-y

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