Effects of a Multi-professional Intervention on Quality of Life of Women with Overweight or Obesity Post-Covid-19: A Pragmatic Trial

Jhemilly S. Araujo-Fernandes; Regiane de Paula; Maria L. Amaro-Camilo; Ana Flávia-Sordi; William Costa-Ferreira; Greice Westphal-Nardo; Nelson Nardo-Junior; Braulio H. Magnani-Branco

doi:10.29035/rcaf.25.1.4

PDF

Jhemilly S. Araujo-Fernandes

Universidade Cesumar, Brasil

https://orcid.org/0000-0001-6835-9018

Regiane de Paula

Universidade Cesumar, Brasil

https://orcid.org/0009-0003-7061-2504

Maria L. Amaro-Camilo

Universidade Cesumar, Brasil

https://orcid.org/0000-0001-8056-0937

Ana Flávia-Sordi

Universidade Cesumar, Brasil

https://orcid.org/0000-0002-8441-8206

William Costa-Ferreira

Universidade Cesumar, Brasil

https://orcid.org/0000-0001-6506-2331

Greice Westphal-Nardo

Universidade Cesumar, Brasil

https://orcid.org/0000-0001-9107-0108

Nelson Nardo-Junior

Universidade Cesumar, Brasil

https://orcid.org/0000-0002-6862-7868

Braulio H. Magnani-Branco

Universidade Cesumar, Brasil

https://orcid.org/0000-0002-4625-9128

Abstract

Obesity is a global Non-Communicable Chronic Disease (NCD) associated with various comorbidities and a high mortality rate. This scenario has increasingly affected the female population, leading to a rise in prevalence and related health issues. Therefore, the present study aimed to assess the health-related quality of life of women with overweight or obesity and symptoms of COVID-19 using a multi-professional intervention model. This research was conducted as a parallel group and repeated measures pragmatic trial, in which 28 participants aged between 25 and 65 were allocated into two groups: experimental (intervention group) and control (non-intervention participants). The Body Mass Index (BMI) was (30.5 ± 5.45 kg/m²) in the Experimental Group, and the Control Group was (31 ± 8.2 kg/m2). The 12-Item Health Survey (SF-12) questionnaire was applied to assess the quality of life in the physical and mental domains of COVID-19 survivors with different symptom severities (mild, moderate, severe) compared to the control group. At the end of the program, 28 participants finished the study (15 from the experimental group and 13 from the control group). The results indicated a significant improvement in the mental health domain only in the experimental group after the intervention period (p < 0.05). However, no significant differences in physical health were observed between the experimental and control groups (p > 0.05). Considering these findings, multi-professional actions emerge as a crucial component for enhancing the quality of life, particularly within mental health, during the 16-week intervention period.

Item information

Published: Mar 5, 2024

Issue: Vol. 25 No. 1 (2024): Revista Ciencias de la Actividad Física UCM

Section: Research

DOI: https://doi.org/10.29035/rcaf.25.1.4

Keywords: Pandemic, Public Health, Health Promotion, Overweight

How to Cite

Effects of a Multi-professional Intervention on Quality of Life of Women with Overweight or Obesity Post-Covid-19: A Pragmatic Trial. (2024). Revista Ciencias De La Actividad Física UCM, 25(1), 1-15. https://doi.org/10.29035/rcaf.25.1.4

References

Abarca-Gómez, L., Abdeen, Z. A., Hamid, Z. A., Abu-Rmeileh, N. M., Acosta-Cazares, B., Acuin, C., Adams, R. J., Aekplakorn, W., Afsana, K., Aguilar-Salinas, C. A., Agyemang, C., Ahmadvand, A., Ahrens, W., Ajlouni, K., Akhtaeva, N., Al-Hazzaa, H. M., Al-Othman, A. R., Al-Raddadi, R., Al Buhairan, F., … Ezzati, M. (2017). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. The Lancet, 390(10113), 2627–2642. https://doi.org/10.1016/S0140-6736(17)32129-3

Abdelaal, M., le Roux, C. W., & Docherty, N. G. (2017). Morbidity and mortality associated with obesity. Annals of Translational Medicine, 5(7), 161–172. https://doi.org/10.21037/atm.2017.03.107

Akbas, M., Sulu, R., & Gözüyeşil, E. (2021). Women's health anxiety and psychological well-being during the COVID-19 pandemic. A descriptive study. Sao Paulo Medical Journal, 139(5), 496–504. https://doi.org/10.1590/1516-3180.2021.0155.r1.22042021

Al-Aly, Z., Bowe, B., & Xie, Y. (2022). Long COVID after breakthrough SARS-CoV-2 infection. Nature Medicine, 28(7), 1461–1467. https://doi.org/10.1038/s41591-022-01840-0

Armitage, R., & Nellums, L. B. (2020). COVID-19 and the consequences of isolating the elderly. The Lancet Public Health, 5(5), e256. https://doi.org/10.1016/S2468-2667(20)30061-X

Astin, R., Banerjee, A., Baker, M. R., Dani, M., Ford, E., Hull, J. H., Lim, P. B., McNarry, M., Morten, K., O'Sullivan, O., Pretorius, E., Raman, B., Soteropoulos, D. S., Taquet, M., & Hall, C. N. (2023). Long COVID: mechanisms, risk factors and recovery. Experimental Physiology, 108(1), 12–27. https://doi.org/10.1113/EP090802

Authier, J. (1977). The Psychoeducation Model: Definition, Contemporary Roots and Content. Canadian Journal Counselling and Psychotherapy, 12, 15–22. https://cjc-rcc.ucalgary.ca/article/view/60143

Bagheri Lankarani, K., Ardekani, A., Fereidooni, R., Abdipour Mehrian, S. R., Moshfeghinia, R., Shojaaldini, H., Shekouh, D., Bazrgar, A., Saberi Rounkian, M., Maharlouei, N., Joulaei, H., Zakeri, M., Heydari, S. T., & Bazargan, M. (2023). Women's Health in Post-COVID Era: A Report from the 11th International Conference on Women's Health. Shiraz E-Medical Journal, 24(2), e135187. https://doi.org/10.5812/semj-135187

Beck, J. S. (2013). Terapia Cognitivo-Comportamental: Teoria e Prática. Artmed Editora.

Bolognese, M. A., Franco, C. B., Ferrari, A., Bennemann, R. M., Lopes, S. M. A., Bertolini, S. M. M. G., Júnior, N. N., & Branco, B. H. M. (2020). Group Nutrition Counseling or Individualized Prescription for Women with Obesity? A Clinical Trial. Frontiers in Public Health, 8, 127. https://doi.org/10.3389/fpubh.2020.00127

Brasil. (2014). Guia Alimentar para a População Brasileira. In Ministério da Saúde, Secretaria de Atenção à Saúde, & Departamento de Atenção Básica (Eds.). Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica (2ª Ed., Vol. 1).

Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395(10227), 912–920. https://doi.org/10.1016/S0140-6736(20)30460-8

Campos, M. R., Schramm, J. M. de A., Emmerick, I. C. M., Rodrigues, J. M., Avelar, F. G. de, & Pimentel, T. G. (2020). Carga de doença da COVID-19 e de suas complicações agudas e crônicas: reflexões sobre a mensuração (DALY) e perspectivas no Sistema Único de Saúde. Cadernos de Saúde Pública, 36(11), e00148920. https://doi.org/10.1590/0102-311x00148920

Chagas, E. F. B., Biteli, P., Candeloro, B. M., Rodrigues, M. A., & Rodrigues, P. H. (2020). Physical exercise and COVID-19: a summary of the recommendations. AIMS Bioengineering, 7(4), 236–241. https://doi.org/10.3934/bioeng.2020020

Christinelli, H. C. B., Westphal, G., Costa, M. A. R., Okawa, R. T. P., Nardo Junior, N., & Fernandes, C. A. M. (2022). Multi-professional intervention and telenursing in the treatment of obese people in the COVID-19 pandemic: a pragmatic clinical trial. Revista Brasileira de Enfermagem, 75(suppl 2), e20210059. https://doi.org/10.1590/0034-7167-2021-0059

Feletto, E., Grogan, P., Nickson, C., Smith, M., & Canfell K. (2020). How has COVID-19 impacted cancer screening? Adaptation of services and the future outlook in Australia. Public Health Research & Practice, 30(4), e3042026. https://doi.org/10.17061/phrp3042026

Fernández-de-las-Peñas, C., Martín-Guerrero, J. D., Pellicer-Valero, Ó. J., Navarro-Pardo, E., Gómez-Mayordomo, V., Cuadrado, M. L., Arias-Navalón, J. A., Cigarán-Méndez, M., Hernández-Barrera, V., & Arendt-Nielsen, L. (2022). Female Sex Is a Risk Factor Associated with Long-Term Post-COVID Related-Symptoms but Not with COVID-19 Symptoms: The LONG-COVID-EXP-CM Multicenter Study. Journal of Clinical Medicine, 11(2), 413. https://doi.org/10.3390/jcm11020413

Gandek, B., Ware, J. E., Aaronson, N. K., Apolone, G., Bjorner, J. B., Brazier, J. E., Bullinger, M., Kaasa, S., Leplege, A., Prieto, L., & Sullivan, M. (1998). Cross-Validation of Item Selection and Scoring for the SF-12 Health Survey in Nine Countries. Journal of Clinical Epidemiology, 51(11), 1171–1178. https://doi.org/10.1016/S0895-4356(98)00109-7

Goossens, G. H. (2017). The Metabolic Phenotype in Obesity: Fat Mass, Body Fat Distribution, and Adipose Tissue Function. Obesity Facts, 10(3), 207–215. https://doi.org/10.1159/000471488

Instituto Brasileiro de Geografia e Estatística. (2020). Pesquisa nacional de saúde : 2019 : Atenção Primária à Saúde e Informações Antropométricas. Brasil, IBGE, Coordenação de Trabalho e Rendimento, Ministério da Saúde.

Iqbal, F. M., Lam, K., Sounderajah, V., Clarke, J. M., Ashrafian, H., & Darzi, A. (2021). Characteristics and predictors of acute and chronic post-COVID syndrome: A systematic review and meta-analysis. EClinicalMedicine, 36, 100899. https://doi.org/10.1016/j.eclinm.2021.100899

Jenkinson, C., Layte, R., Jenkinson, D., Lawrence, K., Petersen, S., Paice, C., & Stradling, J. (1997). A shorter form health survey: can the SF-12 replicate results from the SF-36 in longitudinal studies? Journal of Public Health, 19(2), 179–186. https://doi.org/10.1093/oxfordjournals.pubmed.a024606

Jensen, M. D., Ryan, D. H., Apovian, C. M., Ard, J. D., Comuzzie, A. G., Donato, K. A., Hu, F. B., Hubbard, V. S., Jakicic, J. M., Kushner, R. F., Loria, C. M., Millen, B. E., Nonas, C. A., Pi-Sunyer, F. X., Stevens, J., Stevens, V. J., Wadden, T. A., Wolfe, B. M., & Yanovski, S. Z. (2014). 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Journal of the American College of Cardiology, 63(25 Pt B), 2985–3023. https://doi.org/10.1016/j.jacc.2013.11.004

Kang, Z., Luo, S., Gui, Y., Zhou, H., Zhang, Z., Tian, C., Zhou, Q., Wang, Q., Hu, Y., Fan, H., & Hu, D. (2020). Obesity is a potential risk factor contributing to clinical manifestations of COVID-19. International Journal of Obesity, 44(12), 2479–2485. https://doi.org/10.1038/s41366-020-00677-2

Lemos, M. M., Cavalini, G. R., Pugliese Henrique, C. R., Perli, V. A. S., de Moraes Marchiori, G., Marchiori, L. L. de M., Sordi, A. F., Franzói de Moraes, S. M., de Paula Ramos, S., Valdés-Badilla, P., Mota, J., & Magnani Branco, B. H. (2022). Body composition and cardiorespiratory fitness in overweight or obese people post COVID-19: A comparative study. Frontiers in Physiology, 13, 949351. https://doi.org/10.3389/fphys.2022.949351

Mahindru, A., Patil, P., & Agrawal, V. (2023). Role of Physical Activity on Mental Health and Well-Being: A Review. Cureus, 15(1), e33475. https://doi.org/10.7759/cureus.33475

Manrique-Acevedo, C., Chinnakotla, B., Padilla, J., Martinez-Lemus, L. A., & Gozal, D. (2020). Obesity and cardiovascular disease in women. International Journal of Obesity, 44(6), 1210–1226. https://doi.org/10.1038/s41366-020-0548-0

Mitchell, S., & Shaw, D. (2015). The worldwide epidemic of female obesity. Best Practice & Research Clinical Obstetrics & Gynaecology, 29(3), 289–299. https://doi.org/10.1016/j.bpobgyn.2014.10.002

Munblit, D., Bobkova, P., Spiridonova, E., Shikhaleva, A., Gamirova, A., Blyuss, O., Nekliudov, N., Bugaeva, P., Andreeva, M., DunnGalvin, A., Comberiati, P., Apfelbacher, C., Genuneit, J., Avdeev, S., Kapustina, V., Guekht, A., Fomin, V., Svistunov, A. A., Timashev, P., … Butnaru, D. (2021). Incidence and risk factors for persistent symptoms in adults previously hospitalized for COVID‐19. Clinical & Experimental Allergy, 51(9), 1107–1120. https://doi.org/10.1111/cea.13997

Ortona, E., Buonsenso, D., Carfi, A., Malorni, W., Munblit, D., De Rose, C., Sinatti, D., Ricchiuto, A., & Valentini, P. (2021). Long COVID: an estrogen-associated autoimmune disease? Cell Death Discovery, 7, 77. https://doi.org/10.1038/s41420-021-00464-6

Ottoboni, G., Cherici, A., Marzocchi, M., & Chattat, R. (2017). Algoritimi di calcolo per gli indici PCS e MCS del questinario SF-12. AMSActa, University of Bologna. https://doi.org/10.6092/unibo/amsacta/5751

Patsopoulos N. A. (2011). A pragmatic view on pragmatic trials. Dialogues in clinical neuroscience, 13(2), 217–224. https://doi.org/10.31887/DCNS.2011.13.2/npatsopoulos

Perli, V. A. S., Sordi, A. F., Lemos, M. M., Fernandes, J. S. A., Capucho, V. B. N., Silva, B. F., Ramos, S. P., Valdés-Badilla, P., Mota, J., & Branco, B. H. M. (2023). Body composition and cardiorespiratory fitness of overweight COVID-19 survivors in different severity degrees: A cohort study. Scientific Reports, 13, 17615. https://doi.org/10.1038/s41598-023-44738-8

Pitanga, F. J. G., Beck, C. C., & Pitanga, C. P. S. (2020). Should Physical Activity Be Considered Essential During the COVID-19 Pandemic? International Journal of Cardiovascular Sciences, 33(4), 401-403. https://doi.org/10.36660/ijcs.20200072

Polero, P., Rebollo-Seco, C., Adsuar, J. C., Pérez-Gómez, J., Rojo-Ramos, J., Manzano-Redondo, F., Garcia-Gordillo, M. Á., & Carlos-Vivas, J. (2020). Physical Activity Recommendations during COVID-19: Narrative Review. International Journal of Environmental Research and Public Health, 18(1), 65. https://doi.org/10.3390/ijerph18010065

Ryal, J. J., Perli, V. A. S., Marques, D. C. de S., Sordi, A. F., Marques, M. G. de S., Camilo, M. L., Milani, R. G., Mota, J., Valdés-Badilla, P., & Magnani Branco, B. H. (2023). Effects of a Multi-Professional Intervention on Mental Health of Middle-Aged Overweight Survivors of COVID-19: A Clinical Trial. International Journal of Environmental Research and Public Health, 20(5), 4132. https://doi.org/10.3390/ijerph20054132

Schuch, F. B., Stubbs, B., Meyer, J., Heissel, A., Zech, P., Vancampfort, D., Rosenbaum, S., Deenik, J., Firth, J., Ward, P. B., Carvalho, A. F., & Hiles, S. A. (2019). Physical activity protects from incident anxiety: A meta‐analysis of prospective cohort studies. Depression and Anxiety, 36(9), 846–858. https://doi.org/10.1002/da.22915

Sheu, N., Lin, Y.C., & Chen, C.J. (2017). Mechanisms, Pathophysiology, and Management of Obesity. The New England Journal of Medicine, 376(15), 1490–1492. https://doi.org/10.1056/NEJMc1701944

Silva-Filho, E., Xavier, J., Cezarino, L., Sales, H., & Albuquerque, J. (2020). Comment on "The importance of physical exercise during the coronavirus (COVID-19) pandemic." Revista Da Associação Médica Brasileira, 66(9), 1311–1313. https://doi.org/10.1590/1806-9282.66.9.1311

Silva, M. H. da, Jesus, M. C. P. de, Merighi, M. A. B., Oliveira, D. M. de, Souto, R. Q., & Biscotto, P. R. (2014). Obesity in Adult Women: Home-based Cross-sectional Study. Online Brazilian Journal of Nursing, 13(3), 302-310. https://doi.org/10.5935/1676-4285.20144393

Singh, B., Olds, T., Curtis, R., Dumuid, D., Virgara, R., Watson, A., Szeto, K., O'Connor, E., Ferguson, T., Eglitis, E., Miatke, A., Simpson, C. E., & Maher, C. (2023). Effectiveness of physical activity interventions for improving depression, anxiety and distress: an overview of systematic reviews. British Journal of Sports Medicine, 57(18), 1203-1209. https://doi.org/10.1136/bjsports-2022-106195

Sordi, A. F., Lemos, M. M., de Souza Marques, D. C., Ryal, J. J., Priscila de Paula Silva Lalucci, M., Marques, M. G., Amaro Camilo, M. L., De Paula Ramos, S., Franzói De Moraes, S. M., Valdés-Badilla, P., Mota, J., & Magnani Branco, B. H. (2023). Effects of a multi-professional intervention on body composition, physical fitness and biochemical markers in overweight COVID-19 survivors: a clinical trial. Frontiers in Physiology, 14, 1219252. https://doi.org/10.3389/fphys.2023.1219252

Stefan, N., Birkenfeld, A. L., & Schulze, M. B. (2021). Global pandemics interconnected — obesity, impaired metabolic health and COVID-19. Nature Reviews Endocrinology, 17, 135–149. https://doi.org/10.1038/s41574-020-00462-1

Svensson, M., Brundin, L., Erhardt, S., Hållmarker, U., James, S., & Deierborg, T. (2021). Physical Activity Is Associated with Lower Long-Term Incidence of Anxiety in a Population-Based, Large-Scale Study. Frontiers in Psychiatry, 12, 714014. https://doi.org/10.3389/fpsyt.2021.714014

Wang, W., Wang, C. Y., Wang, S. I., & Wei, J. C. C. (2022). Long-term cardiovascular outcomes in COVID-19 survivors among non-vaccinated population: A retrospective cohort study from the TriNetX US collaborative networks. EClinicalMedicine, 53, 101619. https://doi.org/10.1016/j.eclinm.2022.101619

Westphal-Nardo, G., Chaput, J. P., Faúndez-Casanova, C., Fernandes, C. A. M., de Andrade Gonçalves, E. C., Utrila, R. T., Oltramari, K., Grizzo, F. M. F., & Nardo-Junior, N. (2023). Exploring New Tools for Risk Classification among Adults with Several Degrees of Obesity. International Journal of Environmental Research and Public Health, 20(13), 6263. https://doi.org/10.3390/ijerph20136263

Youngwanichsetha, S. (2018). Overweight, Obesity and Women Health. Journal of Nutrition & Food Sciences, 8(4), e146. https://doi.org/10.4172/2155-9600.1000e146

Downloads statistics

Download data is not yet available.

License information

Esta obra está bajo una licencia de Creative Commons Reconocimiento-CompartirIgual 4.0 Internacional

Article Sidebar

Main Article Content

Abstract

Article Details