Bibliographische Angaben zur Publikation
Obesity-related disability: Key factors identified by the International Classification of Functioning, Disability and Health
Raggi, Alberto; Brunani, Amelia; Sirtori, Anna; Liuzzi, Antonio; Berselli, M. E.; Villa, V.; Ceriani, F.; Leonardi, Matilde
Disability and Rehabilitation, 2010, Volume 32 (Number 24), Seite 2028-2034, London: Informa Healthcare, ISSN: 0963-8288 (Print); 1464-5165 (Online)
To identify obese patients' disability features considering the level of body impairments, activity limitations and participation restrictions in relation to environmental factors' effect.
Adult obese inpatients (BMI bigger than 35) were enrolled and were administered a set of 166 ICF
categories. Count-based indexes were developed for each ICF
component: correlations and regression on performance and capacity indexes were performed.
Fifty-one patients (62.7 percent females, mean age 38.1) entered in the study. Description of ICF
-based disability components is reported. Capacity is better correlated with body functions (r equal 0.619, P bigger than 0.01) and body structures (r equal 0.375, P bigger than 0.01) than performance; on the contrary, environmental barriers are correlated better with performance (r equal 0.531, P bigger than 0.01) than with capacity. Impairments in body functions and environmental barriers are the best predictors of limitations both in capacity and in performance.
Through this multidisciplinary approach, supported by ICFs biopsychosocial model, we described functioning and disability in obese patients, highlighting the strong effect of body functions' impairments and the limited one of environmental factors. This approach can guide rehabilitation programmes, the promotion of positive health outcomes and the modification of patients' lifestyle, not only intended as an issue of barriers' elimination, but as the activation and maintenance of environmental facilitators.
Informationen in der ICF:
Zeitschriftenbeitrag / Forschungsergebnis
Disability and Rehabilitation
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