Palabras clave
Validez
Calidad de vida
Obesidad Reliability
Validity
Quality of life
Obesity
Cómo citar
Resumen
Las características psicométricas de la forma breve del cuestionario “Impacto del peso en la calidad de vida” (IWQOL-Lite), para medir la calidad de vida relacionada con salud específica para obesidad, han sido bien evaluadas en población norteamericana. Objetivo: evaluar la confiabilidad y la validez de una versión en español del cuestionario IWQOL–Lite para medir la CVRS en pacientes de la Clínica Reina Sofía en Bogotá. Diseño: estudio descriptivo de corte transversal. Métodos: se evaluó la confiabilidad como consistencia interna y pruebareprueba. Se obtuvieron pruebas sobre validez, incluyendo análisis factorial exploratorio y correlación con medidas colaterales. Sujetos: 223 sujetos (154 mujeres), edad promedio 49.4 años, índice de masa corporal promedio 33.3 kg/m2, con uno o más diagnósticos relacionados con la obesidad. Resultados: para las cinco subescalas se obtuvo coeficiente de confiabilidad alfa de Cronbach entre 0.89 y 0.96. En la evaluación de la confiabilidad test-retest se encontró coeficiente de correlación intraclase entre 0.85 y 0.94. En el análisis factorial exploratorio se encontró compatibilidad con una estructura de cinco factores correspondientes con los designados originalmente. Se obtuvieron coeficientes mayores de 0.4 en las correlaciones previstas entre las medidas del IWQOL-Lite y las medidas de la encuesta SF 36. Se presentaron valores negativos de correlación mayores de -0.5 entre las mediciones antropométricas de obesidad y el cuestionario IWQOL-Lite. Conclusión: la confiabilidad y la validez de esta versión del cuestionario IWQOL- Lite son adecuadas para medir la CVRS en este grupo de pacientes.
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Braunwald E, Antman EM. Acute Myocardial Infarction. Harrison's. Principles of Internal Medicine. 15 ed. Nueva York: Mc Graw Hill; 2001. p. 1386-99.
Antman EM, Cohen M, Bernink PJ, McCabe CH, Horacek T, Papuchis G, et al. The TIMI risk score for unstable angina/non-ST elevation MI: A method for prognostication and therapeutic decision making 1. JAMA 2000 Aug 16;284(7):835-42. https://doi.org/10.1001/jama.284.7.835
Lee KL, Woodlief LH, Topol EJ, Weaver WD, Betriu A, Col J, et al. Predictors of 30-day mortality in the era of reperfusion for acute myocardial infarction. Results from an international trial of 41,021 patients. GUSTO-I Investigators. Circulation 1995 Mar 15;91(6):1659-68. https://doi.org/10.1161/01.CIR.91.6.1659
Boersma E, Pieper KS, Steyerberg EW, Wilcox RG, Chang WC, Lee KL, et al. Predictors of outcome in patients with acute coronary syndromes without persistent ST-segment elevation. Results from an international trial of 9461 patients. The PURSUIT Investigators. Circulation 2000 Jun 6;101(22): 2557-67. https://doi.org/10.1161/01.CIR.101.22.2557
Moss AJ, Bigger J.T. The Multicenter Postinfarction Research Group. Risk Stratification and Survival After myocardial Infarction. NEJM 1983; 309(6): 331-6. https://doi.org/10.1056/NEJM198308113090602
Zuanetti G, Neilson JM, Latini R, Santoro E, Maggioni AP, Ewing DJ. Prognostic significance of heart rate variability in post-myocardial infarction patients in the fibrinolytic era. The GISSI-2 results. Gruppo Italiano per lo Studio della Sopravvivenza nell' Infarto Miocardico. Circulation 1996 Aug 1;94(3):432-6. https://doi.org/10.1161/01.CIR.94.3.432
Zuanetti G, Mantini L, Hernandez-Bernal F, Barlera S, di GD, Latini R, et al. Relevance of heart rate as a prognostic factor in patients with acute myocardial infarction: insights from the GISSI-2 study. Eur Heart J 1998 Jun;19 Suppl F:F19-F26.
Fei L, Copie X, Malik M, Camm AJ. Short- and longterm assessment of heart rate variability for risk stratification after acute myocardial infarction. Am J Cardiol 1996 Apr 1;77(9):681-4. https://doi.org/10.1016/S0002-9149(97)89199-0
La Rovere MT, Bigger JT, Jr., Marcus FI, Mortara A, Schwartz PJ. Baroreflex sensitivity and heart-rate variability in prediction of total cardiac mortality after myocardial infarction. ATRAMI (Autonomic Tone and Reflexes After Myocardial Infarction) Investigators. Lancet 1998 Feb 14;351(9101): 478-84. https://doi.org/10.1016/S0140-6736(97)11144-8
Singh N, Mironov D, Armstrong PW, Ross AM, Langer A. Heart rate variability assessment early after acute myocardial infarction. Pathophysiological and prognostic correlates. GUSTO ECG Substudy Investigators. Global Utilization of Streptokinase and TPA for Occluded Arteries. Circulation 1996 Apr 1;93(7):1388-95. https://doi.org/10.1161/01.CIR.93.7.1388
Lanza GA, Guido V, Galeazzi MM, Mustilli M, Natali R, Ierardi C, et al. Prognostic role of heart rate variability in patients with a recent acute myocardial infarction. Am J Cardiol 1998 Dec 1;82(11):1323-8. https://doi.org/10.1016/S0002-9149(98)00635-3
Lombardi F, Sandrone G, Spinnler MT, Torzillo D, Lavezzaro GC, Brusca A, et al. Heart rate variability in the early hours of an acute myocardial infarction. Am J Cardiol 1996 May 15;77(12):1037-44. https://doi.org/10.1016/S0002-9149(96)00127-0
González A, Garcia A. Variabilidad de la frecuencia cardiaca en las primeras 24 horas del infarto agudo de miocardio. Med Clin (Barc) 1998;110(3):81-5.
Doulalas AD, Flather MD, Pipilis A, Campbell S, Studart F, Rizos IK, et al. Evolutionary pattern and prognostic importance of heart rate variability during the early phase of acute myocardial infarction. Int J Cardiol 2001 Feb;77(2-3):169-79. https://doi.org/10.1016/S0167-5273(00)00420-4
Tapanainen J. Non-invasive predictors of mortality after acute myocardial infarction University of Oulu, for public discussion.; 2003.
Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Eur Heart J 1996 Mar;17(3):354-81.
Sayers BM. Analysis of heart rate variability. Ergonomics 1973 Jan;16(1):17-32. https://doi.org/10.1080/00140137308924479
Penaz J, Honzikova N, Fiser B. Spectral analysis of resting variability of some circulatory parameters in man. Physiol Bohemoslov 1978;27(4):349-57.
Luczak H, Laurig W. An analysis of heart rate variability. Ergonomics 1973 Jan;16(1):85-97. https://doi.org/10.1080/00140137308924484
Hirsch JA, Bishop B. Respiratory sinus arrhythmia in humans: how breathing pattern modulates heart rate. Am J Physiol 1981 Oct;241(4):H620-H629. https://doi.org/10.1152/ajpheart.1981.241.4.H620
Ewing DJ, Martyn CN, Young RJ, Clarke BF. The value of cardiovascular autonomic function tests: 10 years experience in diabetes. Diabetes Care 1985 Sep;8(5):491-8. https://doi.org/10.2337/diacare.8.5.491
Wolf MM, Varigos GA, Hunt D, Sloman JG. Sinus arrhythmia in acute myocardial infarction. Med J Aust 1978 Jul 15;2(2):52-3. https://doi.org/10.5694/j.1326-5377.1978.tb131339.x
Akselrod S, Gordon D, Ubel FA, Shannon DC, Berger AC, Cohen RJ. Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-tobeat cardiovascular control. Science 1981 Jul 10; 213(4504):220-2. https://doi.org/10.1126/science.6166045
Pomeranz B, Macaulay RJ, Caudill MA, Kutz I, Adam D, Gordon D, et al. Assessment of autonomic function in humans by heart rate spectral analysis. Am J Physiol 1985 Jan;248(1 Pt 2):H151-H153. https://doi.org/10.1152/ajpheart.1985.248.1.H151
Pagani M, Lombardi F, Guzzetti S, Rimoldi O, Furlan R, Pizzinelli P, et al. Power spectral analysis of heart rate and arterial pressure variabilities as a marker of sympatho-vagal interaction in man and conscious dog. Circ Res 1986 Aug;59(2):178-93. https://doi.org/10.1161/01.RES.59.2.178
Kleiger RE, Miller JP, Bigger JT, Jr., Moss AJ. Decreased heart rate variability and its association with increased mortality after acute myocardial infarction. Am J Cardiol 1987 Feb 1;59(4):256-62. https://doi.org/10.1016/0002-9149(87)90795-8
Malik M, Farrell T, Cripps T, Camm AJ. Heart rate variability in relation to prognosis after myocardial infarction: selection of optimal processing techniques. Eur Heart J 1989 Dec;10(12):1060-74. https://doi.org/10.1093/oxfordjournals.eurheartj.a059428
Bigger JT, Jr., Fleiss JL, Steinman RC, Rolnitzky LM, Kleiger RE, Rottman JN. Frequency domain measures of heart period variability and mortality after myocardial infarction. Circulation 1992 Jan;85(1):164-71. https://doi.org/10.1161/01.CIR.85.1.164
Arai Y, Saul JP, Albrecht P, Hartley LH, Lilly LS, Cohen RJ, et al. Modulation of cardiac autonomic activity during and immediately after exercise. Am J Physiol 1989 Jan;256(1 Pt 2):H132-H141. https://doi.org/10.1152/ajpheart.1989.256.1.H132
Odemuyiwa O, Malik M, Farrell T, Bashir Y, Poloniecki J, Camm J. Comparison of the predictive characteristics of heart rate variability index and left ventricular ejection fraction for all-cause mortality, arrhythmic events and sudden death after acute myocardial infarction. Am J Cardiol 1991 Aug 15;68(5):434-9. https://doi.org/10.1016/0002-9149(91)90774-F
Vybiral T, Glaeser DH, Goldberger AL, Rigney DR, Hess KR, Mietus J, et al. Conventional heart rate variability analysis of ambulatory electrocardiographic recordings fails to predict imminent ventricular fibrillation. J Am Coll Cardiol 1993 Aug; 22 (2):557-65 https://doi.org/10.1016/0735-1097(93)90064-8
Camm AJ, Fei L. Risk stratification following myocardial infarction: Heart rate variability and other risk factors. In: Amork F, editor. Heart rate variability. 1995. p. 369-92.
Narendra S, Moronov D, Armstrong P, et al. Heart rate variability early acute myocardial infarction: pathophysiological and prognostic correlates. Circulation 1996;97(7):1388-95. https://doi.org/10.1161/01.CIR.93.7.1388
Kiviniemi AM, Tulppo MP, Wichterle D, Hautala AJ, Tiinanen S, Seppanen T, et al. Novel spectral indexes of heart rate variability as predictors of sudden and non-sudden cardiac death after an acute myocardial infarction. Ann Med 2007;39(1):54-62. https://doi.org/10.1080/07853890600990375
Bonnemeier H, Hartmann F, Wiegand UK, Irmer C, Kurz T, Tolg R, et al. Heart rate variability in patients with acute myocardial infarction undergoing primary coronary angioplasty. Am J Cardiol 2000 Apr 1;85(7):815-20. https://doi.org/10.1016/S0002-9149(99)00873-5
Ori Z, et al. Heart Rate Variability Frequency Domain Analysis. Cardiology Clinics 1992;10(3):499-537. https://doi.org/10.1016/S0733-8651(18)30231-5
Conny MA, et al. Heart rate variability. Annuals of Internal Medicine 1993;118:436-47. https://doi.org/10.7326/0003-4819-118-6-199303150-00008
Kjellgren O, Gomes JA. Heart rate variability and baroreflex sensitivity in myocardial infarction. Am Heart J 1993 Jan;125(1):204-15. https://doi.org/10.1016/0002-8703(93)90076-L
Kleiger RE. Heart rate variability and mortality and sudden death post infarction. J Cardiovasc Electrophysiol 1995 May;6(5):365-7. https://doi.org/10.1111/j.1540-8167.1995.tb00409.x
Pieper SJ, Hammill SC. Heart rate variability: technique and investigational applications in cardiovascular medicine. Mayo Clin Proc 1995 Oct; 70(10):955-64. https://doi.org/10.4065/70.10.955
Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Circulation 1996 Mar 1;93(5):1043-65.
Mansier P, Clairambault J, Charlotte N, Medigue C, Vermeiren C, LePape G, et al. Linear and non-linear analyses of heart rate variability: a minireview. Cardiovasc Res 1996 Mar;31(3):371-9. https://doi.org/10.1016/S0008-6363(96)00009-0
Tsuji H, Venditti FJ, Jr., Manders ES, Evans JC, Larson MG, Feldman CL, et al. Determinants of heart rate variability. J Am Coll Cardiol 1996 Nov 15;28(6):1539-46. https://doi.org/10.1016/S0735-1097(96)00342-7
Acanfora D, Trojano L, Furgi G, Rengo F. Heart rate variability in post infarction patients 100. Pacing Clin Electrophysiol 1997 Jan;20(1 Pt 1):141-3. https://doi.org/10.1111/j.1540-8159.1997.tb04829.x
Bates RA, Hilton MF, Godfrey KR, Chappell MJ. Autonomic function assessment using analysis of heart rate variability. Control Eng Practice 1997;5:1731 https://doi.org/10.1016/S0967-0661(97)10028-4
Fetsch T, Reinhardt L, Breithardt G. Contribution of heart rate variability to long-term risk stratification after myocardial infarction. Eur Heart J 1997 May;18(5):710-2. https://doi.org/10.1093/oxfordjournals.eurheartj.a015333
Barron HV, Viskin S. Autonomic markers and prediction of cardiac death after myocardial infarction. Lancet 1998 Feb 14;351(9101):461-2. https://doi.org/10.1016/S0140-6736(05)78676-1
Quintana M, Lindvall K. Contribution of heart rate variability to long-term risk stratification after myocardial infarction. Eur Heart J 1998 Feb; 19(2):352.
Schwartz PJ, La Rovere MT. ATRAMI: a mark in the quest for the prognostic value of autonomic markers. Autonomic Tone and Reflexes After Myocardial Infarction. Eur Heart J 1998 Nov; 19 (11):1593-5. https://doi.org/10.1053/euhj.1998.1292
Barros AK, Wisbeck J, Ohnishi N. Extracting the heart rate variability from an electrocardiogram sampled at a very low frequency. Computers in Cardiology 1999;26:335-8. https://doi.org/10.1109/CIC.1999.825975
Fauchier L, Babuty D, Fauchier JP. Heart rate variability and prognosis in coronary artery disease. Eur Heart J 1999 Aug;20(15):1135-6. https://doi.org/10.1053/euhj.1999.1588
Huikuri HV, Makikallio T, Airaksinen KE, Mitrani R, Castellanos A, Myerburg RJ. Measurement of heart rate variability: a clinical tool or a research toy? J Am Coll Cardiol 1999 Dec;34(7):1878. https://doi.org/10.1016/S0735-1097(99)00468-4
Santoni-Rugiu F, Gomes JA. Methods of identifying patients at high risk of subsequent arrhythmic death after myocardial infarction. Curr Probl Cardiol 1999 Mar;24(3):117-60. https://doi.org/10.1016/S0146-2806(99)90006-3
Schwartz PJ. The neural control of heart rate and risk stratification after myocardial infarction. Eur Heart J suppl 1999;1(H):33-43.
Silipo R, Deco G, Vergassola R, Gremigni C. A characterization of HRV's nonlinear hidden dynamics by means of Markov models 1. IEEE Trans Biomed Eng 1999 Aug;46(8):978-86. https://doi.org/10.1109/10.775408
Altman DG, Royston P. What do we mean by validating a prognostic model? Stat Med 2000 Feb 29; 19(4):453-73. https://doi.org/10.1002/(SICI)1097-0258(20000229)19:4<453::AID-SIM350>3.0.CO;2-5
Cheng TO. Decreased heart rate variability as a predictor for sudden death was known in China in the third century A.D. Eur Heart J 2000 Dec; 21(24):2081-2. https://doi.org/10.1053/euhj.2000.2232
Myocardial infarction redefined--a consensus do-cument of The Joint European Society of Cardiology/American College of Cardiology Committee for the redefinition of myocardial infarction. Eur Heart J 2000 Sep;21(18):1502-13. https://doi.org/10.1053/euhj.2000.2305
Hennersdorf M, Niebch V, Holz B, Perings C, Vester EG, Strauer BE. [Heart rate variability and che-moreflex sensitivity. Proved and new methods in risk prediction of malignant arrhythmias]. Z Kardiol 2000;89 Suppl 3:51-6. https://doi.org/10.1007/s003920070083
Hombach V, Osterhues HH, Hoher M, Scharf B, Kochs M. [Risk stratification after myocardial in-farct]. Z Kardiol 2000;89 Suppl 3:75-86. https://doi.org/10.1007/s003920070088
Lombardi F. Chaos theory, heart rate variability, and arrhythmic mortality 1. Circulation 2000 Jan 4; 101(1):8-10. https://doi.org/10.1161/01.CIR.101.1.8
Moss AJ, Bigger JT, Jr., Odoroff CL. Postinfarct risk stratification. Prog Cardiovasc Dis 1987 May; 29(6):389-412. https://doi.org/10.1016/0033-0620(87)90014-4
Sleight P. Non-invasive baroreflex testing should be used to assess prognosis 1. Eur Heart J 2000 Sep;21(18):1494-5. https://doi.org/10.1053/euhj.2000.2196
Kleiger RE, Stein PK, Bosner MS, Rottman JN. Time domain measurements of heart rate variability. Cardiol Clin 1992 Aug;10(3):487-98. https://doi.org/10.1016/S0733-8651(18)30230-3
Huikuri HV, Makikallio TH. Heart rate variability in ischemic heart disease. Auton Neurosci 2001 Jul 20;90(1-2):95-101. https://doi.org/10.1016/S1566-0702(01)00273-9
Kornitzer M. Predictive value of electrocardiographic markers for autonomic nervous system dysfunction in healthy populations: more studies needed. Eur Heart J 2001 Jan;22(2 https://doi.org/10.1053/euhj.2000.2375
Krittayaphong R, Veerakul G, Bhuripanyo K, Jirasirirojanakorn K, Nademanee K. Heart rate variability in patients with sudden unexpected cardiac arrest in Thailand. Am J Cardiol 2003 Jan 1;91(1):77-81. https://doi.org/10.1016/S0002-9149(02)03003-5
La Rovere MT, Schwartz PJ. Counting heart beats: a peephole into prediction of sudden and nonsudden cardiac death 1. J Cardiovasc Electrophysiol 2003 Feb;14(2):174-5. https://doi.org/10.1046/j.1540-8167.2003.02570.x
Schwab JO, Eichner G, Schmitt H, Weber S, Coch M, Waldecker B. The relative contribution of the sinus and AV node to heart rate variability. Heart 2003 Mar;89(3):337-8. https://doi.org/10.1136/heart.89.3.337
Stauss HM. Heart rate variability. Am J Physiol Regul Integr Comp Physiol 2003 Nov;285(5):R927-R931. https://doi.org/10.1152/ajpregu.00452.2003
Zareba W, Moss AJ. Noninvasive risk stratification in postinfarction patients with severe left ventricular dysfunction and methodology of the MADIT II noninvasive electrocardiology substudy. J Electrocardiol 2003;36 Suppl:101-8. https://doi.org/10.1016/j.jelectrocard.2003.09.022
Watanabe MA, Guzik P. Letter regarding article by Wichterle et al, Prevalent low-frequency oscillation of heart rate: novel predictor of mortality after myocardial infarction. Circulation 2005 Apr 12;111(14):e180-e181. https://doi.org/10.1161/01.CIR.0000160856.09169.80
Rueda-Ochoa OL, Vargas CA, López EJ, Delgado MB, Morillo CA. Mi primer Meta- análisis. Variabilidad de la Frecuencia Cardiaca como factor pronostico de mortalidad del infarto del miocardio: Revisión Sistemática de Estudios Observacionales. División Editorial y de Publicaciones UIS. 2008. ISBN 978-958-44-2696-3.
Rodríguez Lady, Gamarra G., Bautista L. Infarto Agudo del Miocardio en el Hospital Ramón González Valencia. Tesis de grado para optar por el título de especialista en medicina interna, Universidad Industrial de Santander UIS. 2002. 1. Haslam DW, James WPT. Obesity. Lancet 2005; 366: 1197-209"