Obesity is a multifactorial chronic condition associated with genetic, behavioral and environmental factors. Understanding the role of the built and social environment in Quality of Life (QOL) is critical to reducing the negative impacts of the environment on health. To estimate the built and social environmental and individual factors that influence the QOL of adults who underwent bariatric surgery. A prospective cohort study conducted with adults who underwent bariatric surgery. Using longitudinal linear regression analysis, we verified the association between the domains of World Health Organization Quality of Life in version bref (WHOQOL-Bref) – General QOL and domains psychological, physical health, social relations and environment – and possible influencing factors. The increase in Body Mass Index (BMI) reduces on average 0.47 points in physical domain assessment score. The increase of healthy establishments within the buffer increases on average 0.52 points in the physical domain score. Being female reduces, on average, 5.35 points in the psychological domain evaluation score. Adults who practiced less than 150 min a week of leisure-time physical activity had a 3.27 point average reduction in the social relations domain assessment score. The increase in the number of Supermarkets and Hypermarkets in the buffer increases on average 2.18 points from the Social Relations domain score. Individual and contextual factors were associated with the QOL of adults who underwent bariatric surgery. Although the surgery yields positive results, the maintenance of same is strongly related to changes in lifestyle, the built environment and multi-professional guidance.

中文翻译：

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与接受减肥手术的成年人的生活质量相关的环境和个人因素：一项队列研究。

肥胖是一种与遗传、行为和环境因素相关的多因素慢性疾病。了解建筑和社会环境在生活质量 (QOL) 中的作用对于减少环境对健康的负面影响至关重要。评估影响接受减肥手术的成年人生活质量的建筑、社会环境和个人因素。对接受减肥手术的成年人进行的一项前瞻性队列研究。使用纵向线性回归分析，我们验证了世界卫生组织 bref 版生活质量 (WHOQOL-Bref) 中的一般 QOL 与心理、身体健康、社会关系和环境领域以及可能的影响因素之间的关联。身体质量指数 (BMI) 的增加在身体领域评估分数中平均降低 0.47 分。缓冲区内健康设施的增加使物理域得分平均增加 0.52 分。女性的心理领域评估分数平均降低 5.35 分。每周休闲体育活动时间少于 150 分钟的成年人，其社会关系领域评估得分平均降低 3.27 分。缓冲区中超级市场和大卖场数量的增加使社会关系领域得分平均提高了 2.18 分。个体和背景因素与接受减肥手术的成年人的生活质量相关。虽然手术取得了积极的效果，但其维持与生活方式的改变、建筑环境和多专业指导密切相关。