Life Quality Resources

The main objective of the PPUPIK program at the community nutrition service center is toencourage Padang State University clinics to provide holistic community nutrition services. Theimplementation of this activity is managed by a group of lecturers who scientifically have a closerelationship with the program to be created. It is hoped that the proposal for a community nutritionservice center will develop well in providing individual and community services based on clinicalnutrition. Community nutrition service centers are oriented towards other health service efforts found inclinics, namely promotive, preventive, curative and rehabilitative. The advantage of this service centercompared to other first-level health facilities such as the puskesmas is that the services provided areaccompanied in the field when carrying out counseling and provision as an integrity service. The maintargets of community nutrition services are children, adolescents, pregnant women and the elderly. Theprograms carried out include nutrition service programs for infants and toddlers, nutrition services foradolescents, nutrition services for pregnant women, nutrition services for the elderly and preparticipation examinations.

SummaryThe Impact of Weight on Quality of Life–Lite Clinical Trials Version (IWQOL‐Lite‐CT) was developed to assess weight‐related physical and psychosocial functioning in the context of clinical trials. Data from two pivotal trials of once‐weekly subcutaneous semaglutide for the purpose of weight management (NCT03548935 and NCT03552757) were analysed to confirm the structure, reliability, validity, and responsiveness of the IWQOL‐Lite‐CT and evaluate the magnitude of meaningful within‐patient change in patients with overweight or obesity, with and without type 2 diabetes. Factor analyses and inter‐item correlations confirmed the IWQOL‐Lite‐CT structure and scoring algorithm. Each composite score (physical, physical function, psychosocial, and total) demonstrated excellent internal consistency (Cronbach's alphas ≥ 0.82) and test–retest reliability (intraclass correlation coefficients ≥ 0.85) in both trials. Patterns of cross‐sectional and longitudinal construct validity correlations were generally consistent with hypotheses. Each of the IWQOL‐Lite‐CT composites was able to discriminate between known groups. Effect sizes and paired t tests comparing IWQOL‐Lite‐CT scores at baseline and Week 68 were statistically significant for all composites in both trials (P < 0.0001), providing strong support for the ability to detect change. Results of anchor‐based analyses supported responder thresholds ranging from 13.5 to 16.6 across composite scores. The IWQOL‐Lite‐CT, a comprehensive assessment of weight‐related functioning from the patient perspective, is appropriate for use in clinical trials evaluating the efficacy of new treatments for weight management.

ABSTRACTObjective: Our aim was to explore how differing attitudes, expectations, and experiences among people with obesity (PwO) and healthcare providers (HCPs) might have an impact on effectively implementing current obesity treatment guidelines.Methods: Online surveys were conducted among 3,008 adult PwO (BMI≥30 by self-reported height and weight) and 606 HCPs.Results: PwO with weight loss ≥ 10% during the previous three years were more likely to have been diagnosed with obesity and to have discussed a weight loss plan with an HCP. However, only 21% believe HCPs have a responsibility to actively contribute to their obesity treatment. Further, HCPs tend not to effectively communicate the diagnosis of obesity, its nature as a serious and chronic disease, the full range of treatment options, and obesity’s implications for health and quality of life.Regarding treatment goals, HCPs more often focus on BMI reduction, while PwO’s goals focus on improved functioning, energy, and appearance. HCPs also tend to underestimate their patients’ motivation to address their obesity. Twenty-eight percent of HCPs ‘completely agreed’ that losing weight was a high priority for PwO, whereas more than half of PwO ‘completely agreed’ that losing weight was a high priority for them. When asked how their HCP could better support them, PwO most often expressed a desire for helpful resources, as well as assistance with specific and realistic goal-setting to improve health.Conclusions: HCPs can more effectively implement obesity treatment guidelines by more clearly and proactively communicating with PwO about their diagnosis, health implications of obesity, desired treatment goals, and the full range of treatment options. HCPs should understand that most PwO believe that managing their disease is solely their own responsibility. HCPs can also encourage more effective conversations by better appreciating their patients’ motivation and treatment goals.Trial registration: ClinicalTrials.gov identifier: NCT03223493.

We investigated whether a seven-month (November 2014 to June 2015), school-based cluster-randomized controlled physical activity intervention improved health-related quality of life (HRQoL) in 10-year old children. The participants (N = 1229) from 57 elementary schools in Sogn og Fjordane County, Norway, were cluster-randomized by school either to the intervention (I) or control (C) group. The planned intervention in the 28 I-schools was 300 min of physical activity per week, compared to 135 min in the 29C-schools. HRQoL was assessed by self-report, using the Kidscreen-27 questionnaire. Objectively measured physical activity did not differ between the I–schools and C-schools during the intervention. No effect of the intervention was found for HRQoL: Physical well-being (P = 0.789), Psychological well-being (P = 0.682), Autonomy & parents (P = 0.662), Social support & peers (P = 0.828) and School environment (P = 0.074). In conclusion, the ASK school-based physical activity intervention showed no significant effect on HRQoL.