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Rahman MA, Sagar SK, Dalal K, Barsha SY, Ara T, Khan MAS, Saha S, Sarmin T, Hossian M, Nabi MH, Rahman ML, Hawlader MDH. Quality of life among health care workers with and without prior COVID-19 infection in Bangladesh. BMC Health Serv Res 2022; 22:823. [PMID: 35752784 PMCID: PMC9233781 DOI: 10.1186/s12913-022-08174-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Accepted: 06/10/2022] [Indexed: 01/08/2023] Open
Abstract
Background Health care workers have been facing difficulties in coping with the COVID-19 infection from the beginning. The study aimed to compare Quality of Life (QOL) among health care workers (HCWs) with and without prior COVID-19 disease. Methods This study was conducted from July 2020 to January 2021 among 444 HCWs. We randomly interviewed 3244 participants for our earlier nationwide survey from a list of COVID-19 positive cases after their recovery, and we found 222 HCWs among the respondents. We randomly chose 222 HCWs unaffected by COVID as a comparison group from our selected hospitals. We measured QOL using World Health Organization’s WHOQOL-BREF tool. Physical, psychological, environmental, and social ties were the four areas assessed on a 5-point Likert scale where a higher score suggests better QOL. Due to pandemic restrictions, we used telephonic interviews for data collection. Results A higher QOL score was observed in HCWs with prior COVID-19 infection in all four domains than HCWs without previous COVID-19 conditions. Comorbidity was negatively associated with QOL scores of the physical (p = 0.001) and (p < 0.001) and psychological (p = 0.05, and (p < 0.05) domains for non-COVID and COVID-affected groups, respectively. Current smoking was significantly associated with lower psychological (p = 0.019) and environmental (p = 0.007) QOL scores among HCWs with prior COVID-19 infection. Hospitalization history due to COVID infection was a contributing factor for lower physical QOL scores (p = 0.048). Environmental (p = 0.016) QOL scores were significantly associated with the monthly income in the prior COVID-19 infection group, and physical scores were significantly associated (p = 0.05) with a monthly income in the non-COVID group. Conclusion Governmental and non-governmental stakeholders should focus on potentially modifiable factors to improve health care workers’ quality of life. Supplementary Information The online version contains supplementary material available at 10.1186/s12913-022-08174-0.
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Affiliation(s)
- Mahfil Ara Rahman
- Department of Public Health, North South University, Dhaka, 1229, Bangladesh.,Department of Reproductive and Child Health, Centre for Injury Prevention & Research Bangladesh, Mohakhali, Dhaka, 1206, Bangladesh
| | - Soumik Kha Sagar
- Nutrition and Clinical Services Division (NCSD), International Centre for Diarrheal Disease Research (icddr,b), Mohakhali, Dhaka, 1212, Bangladesh
| | - Koustuv Dalal
- Division of Public Health Science, School of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
| | | | - Tasnim Ara
- Institute of Statistical Research and Training (ISRT), University of Dhaka, Dhaka, 1000, Bangladesh
| | - Md Abdullah Saeed Khan
- Department of Public Health, North South University, Dhaka, 1229, Bangladesh.,Infectious Disease Hospital, Mohakhali, Dhaka, 1212, Bangladesh
| | - Shuvajit Saha
- Department of Maternal and Child Health, Projahnmo Research Foundation, Dhaka, Bangladesh
| | - Tanjina Sarmin
- National Institute of Preventive and Social Medicine (NIPSOM), Mohakhali, Dhaka, 1212, Bangladesh
| | - Mosharop Hossian
- Department of Epidemiology, Public Health Professional Development Society (PPDS), Dhaka, 1205, Bangladesh
| | | | - Mohammad Lutfor Rahman
- Institute of Statistical Research and Training (ISRT), University of Dhaka, Dhaka, 1000, Bangladesh
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Moraes ADS, Padovani RDC, La Scala Teixeira CV, Cuesta MGS, Gil SDS, de Paula B, Dos Santos GM, Gonçalves RT, Dâmaso AR, Oyama LM, Gomes RJ, Caranti DA. Cognitive Behavioral Approach to Treat Obesity: A Randomized Clinical Trial. Front Nutr 2021; 8:611217. [PMID: 33681273 PMCID: PMC7929974 DOI: 10.3389/fnut.2021.611217] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Accepted: 01/08/2021] [Indexed: 11/13/2022] Open
Abstract
Our aim was to analyze and compare the effects of three different long-term treatments on anthropometric profiles, eating behaviors, anxiety and depression levels, and quality of life of groups of adults with obesity. Methods: The 43 participants in the study were randomly assigned to one of three groups: the education and health group (EH, n = 12), which received lectures on health topics; the physical exercise group (PE, n = 13), which underwent physical training; and the interdisciplinary therapy plus cognitive behavioral therapy (IT + CBT) (n = 18) group, which received physical training, nutritional advice, and physical and psychological therapy. Results: Total quality of life increased significantly in the EH group (△ = 2.00); in the PE group, body weight significantly decreased (△ = -1.42) and the physical domain of quality of life improved (△ = 1.05). However, the most significant changes were seen in the IT + CBT group, in which the anthropometric profile improved; there were an increase in quality of life in all domains (physical, psychological, social, and environmental), an improvement in eating behaviors [Dutch Eating Behavior Questionnaire (DEBQ), total △ = -8.39], and a reduction in depression [Beck Depression Inventory (BDI), △ = -10.13). Conclusion: The IT + CBT program was more effective than the PE and EH programs. Clinical Trial Registration Number: NCT02573688.
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Affiliation(s)
- Amanda Dos Santos Moraes
- Post Graduate Program of Interdisciplinary Health Sciences, Federal University of São Paulo, São Paulo, Brazil.,Obesity Study Group (GEO), Post-Graduate Program of Nutrition, Federal University of São Paulo, São Paulo, Brazil
| | - Ricardo da Costa Padovani
- Post Graduate Program of Interdisciplinary Health Sciences, Federal University of São Paulo, São Paulo, Brazil.,Obesity Study Group (GEO), Post-Graduate Program of Nutrition, Federal University of São Paulo, São Paulo, Brazil.,Health, Education and Society Department, Federal University of São Paulo, São Paulo, Brazil
| | - Cauê Vazquez La Scala Teixeira
- Post Graduate Program of Interdisciplinary Health Sciences, Federal University of São Paulo, São Paulo, Brazil.,Obesity Study Group (GEO), Post-Graduate Program of Nutrition, Federal University of São Paulo, São Paulo, Brazil
| | - Maria Gabriela Soria Cuesta
- Post Graduate Program of Interdisciplinary Health Sciences, Federal University of São Paulo, São Paulo, Brazil.,Obesity Study Group (GEO), Post-Graduate Program of Nutrition, Federal University of São Paulo, São Paulo, Brazil.,Post Graduate Program of Food, Nutrition, Federal University of São Paulo, São Paulo, Brazil
| | - Silvandro Dos Santos Gil
- Post Graduate Program of Interdisciplinary Health Sciences, Federal University of São Paulo, São Paulo, Brazil.,Obesity Study Group (GEO), Post-Graduate Program of Nutrition, Federal University of São Paulo, São Paulo, Brazil
| | - Bárbara de Paula
- Obesity Study Group (GEO), Post-Graduate Program of Nutrition, Federal University of São Paulo, São Paulo, Brazil.,Graduate Program of Interdisciplinary Health Sciences, Federal University of São Paulo, São Paulo, Brazil
| | - Gilberto Monteiro Dos Santos
- Obesity Study Group (GEO), Post-Graduate Program of Nutrition, Federal University of São Paulo, São Paulo, Brazil
| | | | - Ana Raimunda Dâmaso
- Obesity Study Group (GEO), Post-Graduate Program of Nutrition, Federal University of São Paulo, São Paulo, Brazil
| | - Lila Missae Oyama
- Obesity Study Group (GEO), Post-Graduate Program of Nutrition, Federal University of São Paulo, São Paulo, Brazil.,Post Graduate Program of Food, Nutrition, Federal University of São Paulo, São Paulo, Brazil
| | - Ricardo José Gomes
- Post Graduate Program of Interdisciplinary Health Sciences, Federal University of São Paulo, São Paulo, Brazil.,Obesity Study Group (GEO), Post-Graduate Program of Nutrition, Federal University of São Paulo, São Paulo, Brazil.,Biosciences Department, Federal University of São Paulo, São Paulo, Brazil
| | - Danielle Arisa Caranti
- Post Graduate Program of Interdisciplinary Health Sciences, Federal University of São Paulo, São Paulo, Brazil.,Obesity Study Group (GEO), Post-Graduate Program of Nutrition, Federal University of São Paulo, São Paulo, Brazil.,Health, Education and Society Department, Federal University of São Paulo, São Paulo, Brazil.,Biosciences Department, Federal University of São Paulo, São Paulo, Brazil
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