International Journal of Environmental Research and Public Health

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Dear Colleagues,

Health systems worldwide are being challenged by the increasing prevalence of multimorbidity. Multimorbidity is the co-occurrence of multiple chronic conditions in one person. Multimorbidity is associated with increased healthcare costs, and people living with multimorbidity experience poorer clinical outcomes (increased mortality, poorer quality of life, more disability), disruptions to their personal and social lives, and a greater financial burden.

There is uncertainty about how to best provide care to patients with multimorbidity. A patient-centered approach that shifts from vertical management of disease to a longitudinal model has been touted as beneficial for patients with multimorbidity and may give them the opportunity to express their concerns and expectations regarding healthcare. However, a trend to personalized care and prevention strategies is appearing, supported by technologies and other lifestyle interventions.

Researchers are invited to submit original research articles, using any study design, including case studies, implementation/interventional studies, cohort studies, cross-sectional studies, as well as reviews and meta-analyses.

You may choose our Joint Special Issue in Healthcare.

Dr. João Pedro Gregório
Dr. Cíntia Ferreira-Pêgo
Dr. Regina Menezes
Guest Editors

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Keywords

multimorbidity
lifestyle
nutrition
physical activity
healthy behaviors
quality of life
mental health

Published Papers (1 paper)

Research

11 pages, 916 KiB

Open AccessArticle

The Long-Term Association between Physical Activity and Weight Regain, Metabolic Risk Factors, Quality of Life and Sleep after Bariatric Surgery

by Cláudia Santos, Manuel Carvalho, Leandro Oliveira, António Palmeira, Luís Monteiro Rodrigues and João Gregório

Int. J. Environ. Res. Public Health 2022, 19(14), 8328; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph19148328 - 7 Jul 2022

Cited by 16 | Viewed by 2139

Abstract

Bariatric surgery is currently regarded as a safe and effective long-term procedure for the treatment of obesity and related comorbidities. We analyzed the association between physical activity (PA), weight regain, metabolic risk factors and quality of life in patients submitted to bariatric surgery. This study also aimed to preliminarily assess how physical activity and weight regain may be associated with sleep quality and sedentary behavior. This was an observational study, with retrospective data collection and a cross-sectional survey. Retrospective clinical data were collected from a sample of 84 individuals who had undergone bariatric gastric bypass surgery at least five years prior to the study period in an Integrated Responsibility Center for Obesity and Metabolic Diseases Surgery. The survey, developed from validated questionnaires and applied in telephone interviews, focused on health data, associated comorbidities, quality of life, physical activity, sedentary behavior and sleep. Descriptive and comparative statistics were performed with a 95% confidence level. Bariatric surgery induced a significant weight loss in the first year after surgery. Our analysis also revealed that lower levels of PA were associated with weight regain. Quality of life as well as sleep quality were inversely related to weight regain, as well as sedentary behavior in general. Primary and secondary outcomes of bariatric surgery can be better achieved if the practice of PA could be maintained for consecutive years. Full article

(This article belongs to the Special Issue Living with Multimorbidity—from Current Prevention Strategies to Personalized Care)

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Living with Multimorbidity—from Current Prevention Strategies to Personalized Care

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