title: Impact of eating disorders and psychological distress on the quality of life of obese people.
abstract: OBJECTIVE
  Quality of life (QoL) is impaired in obesity, but the roles of eating behavior and psychological distress need to be more documented.
  
  
  METHODS
  One hundred thirty consecutive obese patients seeking medical care filled out questionnaires evaluating QoL, the presence of an eating disorder (ED), levels of anxiety and depression, and perception of body image.
  
  
  RESULTS
  Global QoL was poor in 16.4% and intermediate in 61.8% of the patients. EDs were present in 58% of patients who were more (P = 0.05) overweight; 24.2% of patients had binging. EDs impaired significantly the global and specific dimensions of QoL; binging impaired physical and sexual QoLs (both P < 0.02). Anxiety and depression were found in 73.6% and 50.4% of patients, respectively; depression was more frequent in women (P = 0.007) and in patients with EDs. Anxiety and/or depression impaired global (P < 0.001) and specific dimensions of QoL. Body shape concern was marked in 86.4% of women and associated with poor global (P < 0.001) and specific QoL, and with anxiety and depression.
  
  
  CONCLUSIONS
  The impairment of QoL in obese patients is increased by the presence of an ED, anxiety, and/or depression and marked body shape concern. These psychological factors should be assessed more carefully and taken into account in global strategies aiming to improve the well-being of obese patients.
authors.affiliation: Rouen University Hospital, Institute for Biomedical Research, Rouen, France. vanessa.folope@chu-rouen.fr
authors.forename: Vanessa
authors.initials: V
authors.lastname: Folope
authors.forename: Charlène
authors.initials: C
authors.lastname: Chapelle
authors.forename: Sébastien
authors.initials: S
authors.lastname: Grigioni
authors.forename: Moïse
authors.initials: M
authors.lastname: Coëffier
authors.forename: Pierre
authors.initials: P
authors.lastname: Déchelotte
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000453:epidemiology*; D056912:Binge-Eating Disorder / Q000523:psychology; D001828:Body Image; D015992:Body Mass Index; D003863:Depression / Q000453:epidemiology*; D001068:Feeding and Eating Disorders / Q000523:psychology*; D005260:Female; D005602:France / Q000453:epidemiology; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000503:physiopathology / Q000523:psychology*; D050177:Overweight / Q000503:physiopathology / Q000523:psychology; D015995:Prevalence; D011788:Quality of Life; D012720:Severity of Illness Index; D012727:Sex Characteristics; D055815:Young Adult