Role of educational level in the relationship between Body Mass Index (BMI) and health-related quality of life (HRQL) among rural Spanish women

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• 作者：María José García-Mendizábal (1) (2)
  José Miguel Carrasco (1) (3)
  Beatriz Pérez-Gómez (1) (2)
  Nuria Aragonés (1) (2)
  Pilar Guallar-Castillón (2) (4)
  Fernando Rodríguez-Artalejo (2) (4)
  Gonzalo López-Abente (1) (2)
  Marina Pollán (1) (2)
  
• 刊名：BMC Public Health
• 出版年：2009
• 出版时间：December 2009
• 年：2009
• 卷：9
• 期：1
• 全文大小：561KB
• 参考文献：1. WHO/FAO: / Joint WHO/FAO Expert Consultation on diet, nutrition and the prevention of chronic diseases, diet, nutrition and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation Geneve: WHO 2003.
  2. Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM: Prevalence of overweight and obesity in the United States, 1999-004. / JAMA 2006, 295: 1549-555. CrossRef
  3. Hauner H, Bramlage P, Losch C, Steinhagen-Thiessen E, Schunkert H, Wasem J, / et al.: Prevalence of obesity in primary care using different anthropometric measures -results of the German Metabolic and Cardiovascular Risk Project (GEMCAS). / BMC Public Health 2008, 8: 282. CrossRef
  4. Gutierrez-Fisac JL, Angel Royo-Bordonada M, Rodriguez-Artalejo F: [Health-risks associated with western diet and sedentariness: the obesity epidemia]. / Gac Sanit 2006, 20 (Suppl 1) : 48-4. CrossRef
  5. Regidor E, Gutierrez-Fisac JL: La salud de la población espa?ola en el contexto europeo y del Sistema Nacional de Salud. Indicadores de salud. Madrid: Ministerio de Sanidad y Consumo 2005.
  6. Ball K, Mishra GD, Crawford D: Social factors and obesity: an investigation of the role of health behaviours. / Int J Obes Relat Metab Disord 2003, 27: 394-03. CrossRef
  7. Ball K, Crawford D: Socioeconomic status and weight change in adults: a review. / Soc Sci Med 2005, 60: 1987-010. CrossRef
  8. Gutierrez-Fisac JL, Regidor E, Banegas B Jr, Rodriguez AF: The size of obesity differences associated with educational level in Spain, 1987 and 1995/97. / J Epidemiol Community Health 2002, 56: 457-60. CrossRef
  9. Wardle J, Waller J, Jarvis MJ: Sex differences in the association of socioeconomic status with obesity. / Am J Public Health 2002, 92: 1299-304. CrossRef
  10. Dallongeville J, Bringer J, Bruckert E, Charbonnel B, Dievart F, Komajda M, / et al.: Abdominal obesity is associated with ineffective control of cardiovascular risk factors in primary care in France. / Diabetes Metab 2008, 34: 606-11. CrossRef
  11. Zalesin KC, Franklin BA, Miller WM, Peterson ED, McCullough PA: Impact of obesity on cardiovascular disease. / Endocrinol Metab Clin North Am 2008, 37: 663-4. ix CrossRef
  12. Phillips LK, Prins JB: The link between abdominal obesity and the metabolic syndrome. / Curr Hypertens Rep 2008, 10: 156-64. CrossRef
  13. Calle EE, Thun MJ: Obesity and cancer. / Oncogene 2004, 23: 6365-378. CrossRef
  14. Li Z, Bowerman S, Heber D: Health ramifications of the obesity epidemic. / Surg Clin North Am 2005, 85: 681-01. CrossRef
  15. Kolotkin RL, Meter K, Williams GR: Quality of life and obesity. / Obes Rev 2001, 2: 219-29. CrossRef
  16. Lean ME, Han TS, Seidell JC: Impairment of health and quality of life using new US federal guidelines for the identification of obesity. / Arch Intern Med 1999, 159: 837-43. CrossRef
  17. Gutierrez-Fisac JL: [Obesity: an ongoing epidemics]. / Med Clin (Barc) 1998, 111: 456-58.
  18. Corica F, Corsonello A, Apolone G, Lucchetti M, Melchionda N, Marchesini G: Construct validity of the Short Form-36 Health Survey and its relationship with BMI in obese outpatients. / Obesity (Silver Spring) 2006, 14: 1429-437. CrossRef
  19. Jia H, Lubetkin EI: The impact of obesity on health-related quality-of-life in the general adult US population. / J Public Health (Oxf) 2005, 27: 156-64. CrossRef
  20. Guallar-Castillon P, Lopez GE, Lozano PL, Gutierrez-Fisac JL, Banegas B Jr, Lafuente Urdinguio PJ, / et al.: The relationship of overweight and obesity with subjective health and use of health-care services among Spanish women. / Int J Obes Relat Metab Disord 2002, 26: 247-52. CrossRef
  21. Brown WJ, Mishra G, Kenardy J, Dobson A: Relationships between body mass index and well-being in young Australian women. / Int J Obes Relat Metab Disord 2000, 24: 1360-368. CrossRef
  22. Doll HA, Petersen SE, Stewart-Brown SL: Obesity and physical and emotional well-being: associations between body mass index, chronic illness, and the physical and mental components of the SF-36 questionnaire. / Obes Res 2000, 8: 160-70. CrossRef
  23. Kushner RF, Foster GD: Obesity and quality of life. / Nutrition 2000, 16: 947-52. CrossRef
  24. Larsson U, Karlsson J, Sullivan M: Impact of overweight and obesity on health-related quality of life -a Swedish population study. / Int J Obes Relat Metab Disord 2002, 26: 417-24. CrossRef
  25. Carpenter KM, Hasin DS, Allison DB, Faith MS: Relationships between obesity and DSM-IV major depressive disorder, suicide ideation, and suicide attempts: results from a general population study. / Am J Public Health 2000, 90: 251-57. CrossRef
  26. Windt DA, Dunn KM, Spies-Dorgelo MN, Mallen CD, Blankenstein AH, Stalman WA: Impact of physical symptoms on perceived health in the community. / J Psychosom Res 2008, 64: 265-74. CrossRef
  27. Goz F, Karaoz S, Goz M, Ekiz S, Cetin I: Effects of the diabetic patients' perceived social support on their quality-of-life. / J Clin Nurs 2007, 16: 1353-360. CrossRef
  28. Aranceta J, Perez RC, Serra ML, Ribas BL, Quiles IJ, Vioque J, / et al.: [Prevalence of obesity in Spain: results of the SEEDO 2000 study]. / Med Clin (Barc) 2003, 120: 608-12. CrossRef
  29. Carrasco JM, Perez-Gomez B, Garcia-Mendizabal MJ, Lope V, Aragones N, Forjaz MJ, / et al.: Health-related quality of life and mental health in the medium-term aftermath of the Prestige oil spill in Galiza (Spain): a cross-sectional study. / BMC Public Health 2007, 7: 245. CrossRef
  30. McHorney CA, Ware JE Jr, Raczek AE: The MOS 36-Item Short-Form Health Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. / Med Care 1993, 31: 247-63. CrossRef
  31. Alonso J, Prieto L, Anto JM: [The Spanish version of the SF-36 Health Survey (the SF-36 health questionnaire): an instrument for measuring clinical results]. / Med Clin (Barc) 1995, 104: 771-76.
  32. Alonso J, Regidor E, Barrio G, Prieto L, Rodriguez C, de la FL: [Population reference values of the Spanish version of the Health Questionnaire SF-36]. / Med Clin (Barc) 1998, 111: 410-16.
  33. Unitat de Re?erca en Serveis Sanitaris: / Manual de puntuación de la versión espa?ola del cuestionario de salud SF-36 Barcelona: Institut Municipal d'Investigació Mèdica 2000.
  34. World Health Organization: / World health report-life in the 21st century: A vision for all Geneva: WHO 1998.
  35. Hill A, Roberts J: Body mass index: a comparison between self-reported and measured height and weight. / J Public Health Med 1998, 20: 206-10.
  36. Quiles IJ, Vioque J: [Validity of notified anthropometric data for determining the prevalence of obesity]. / Med Clin (Barc) 1996, 106: 725-29.
  37. Jeffery RW: Bias in reported body weight as a function of education, occupation, health and weight concern. / Addict Behav 1996, 21: 217-22. CrossRef
  38. Nieto-Garcia FJ, Bush TL, Keyl PM: Body mass definitions of obesity: sensitivity and specificity using self-reported weight and height. / Epidemiology 1990, 1: 146-52. CrossRef
  39. Rowland ML: Self-reported weight and height. / Am J Clin Nutr 1990, 52: 1125-133.
  40. Cuijpers P, Smit F, ten Have M, de Graaf R: Smoking is associated with first-ever incidence of mental disorders: a prospective population-based study. / Addiction 2007, 102: 1303-309. CrossRef
  41. Katz DA, McHorney CA: The relationship between insomnia and health-related quality of life in patients with chronic illness. / J Fam Pract 2002, 51: 229-35.
  42. Crespo CJ, Ainsworth BE, Keteyian SJ, Heath GW, Smit E: Prevalence of physical inactivity and its relation to social class in U.S. adults: results from the Third National Health and Nutrition Examination Survey, 1988-994. / Med Sci Sports Exerc 1999, 31: 1821-827. CrossRef
  43. Castelo-Branco C, Palacios S, Ferrer-Barriendos J, Cancelo MJ, Quereda F, Alberich X: Impact of anthropometric parameters on quality of life during menopause. / Fertil Steril 2008, / in press.
  44. Llaneza P, Inarrea J, Gonzalez C, Alonso A, Arnott I, Ferrer-Barriendos J: Differences in health related quality of life in a sample of Spanish menopausal women with and without obesity. / Maturitas 2007, 58: 387-94. CrossRef
  45. Regidor E, Martinez D, Astasio P, Ortega P, Calle ME, Dominguez V: Trends of socioeconomic inequalities and socioeconomic inequalities in self-perceived health in Spain. / Gac Sanit 2006, 20: 178-82.
  46. Ware JE, Snow KK, Kosinski M, Gandek B: / SF-36 health survey. Manual and interpretation guide Boston: The Health Institute, New England Medical Center 1993.
  47. Friedman MA, Brownell KD: Psychological correlates of obesity: moving to the next research generation. / Psychol Bull 1995, 117: 3-0. CrossRef
  48. Corica F, Corsonello A, Apolone G, Mannucci E, Lucchetti M, Bonfiglio C, / et al.: Metabolic syndrome, psychological status and quality of life in obesity: the QUOVADIS Study. / Int J Obes (Lond) 2008, 32: 185-91. CrossRef
  49. Gortmaker SL, Must A, Perrin JM, Sobol AM, Dietz WH: Social and economic consequences of overweight in adolescence and young adulthood. / N Engl J Med 1993, 329: 1008-012. CrossRef
  50. Gutierrez-Fisac JL: [Obesity and socioeconomic status]. / Med Clin (Barc) 1998, 110: 347-55.
  51. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/9/120/prepub
  
• 作者单位：María José García-Mendizábal (1) (2)
  José Miguel Carrasco (1) (3)
  Beatriz Pérez-Gómez (1) (2)
  Nuria Aragonés (1) (2)
  Pilar Guallar-Castillón (2) (4)
  Fernando Rodríguez-Artalejo (2) (4)
  Gonzalo López-Abente (1) (2)
  Marina Pollán (1) (2)
  
  1. Department of Environmental Epidemiology and Cancer, National Centre for Epidemiology, Carlos III Institute of Health, Madrid, Spain
  2. Consortium for Biomedical Research in Epidemiology & Public Health (CIBER en Epidemiología y Salud Pública -CIBERESP -), Spain
  3. Aragon Health Sciences Institute, Zaragoza, Spain
  4. Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain
  
• ISSN：1471-2458

文摘

Background The impact of obesity on health-related quality of life (HRQL) has been little explored in rural areas. The goal of this study is to ascertain the association between obesity and HRQL among Spanish women living in a rural area, and the influence of their educational level. Methods Cross-sectional study with personal interview of 1298 women (aged 18 to 60) randomly selected from the electoral rolls of 14 towns in Galicia, a region in the north-west of Spain. HRQL was assessed using the SF-36 questionnaire. The association between body mass index (BMI) and suboptimal scores in the different HRQL dimensions was summarised using odds ratios (ORs), obtained from multivariate logistic regression models. Separate analyses were conducted for women who had finished their education younger than 16 years old and women with secondary education to assess differences in the relationship between BMI and HRQL according to educational level. Results Among women with primary or lower education, obesity was associated with a higher prevalence of suboptimal values in the following dimensions: Physical functioning (OR: 1.97; 95%CI: 1.22-.18); Role-physical (OR: 1.81; 95%CI: 1.04-.14); General health (OR: 1.76; 95%CI: 1.10-.81); and Role-emotional (OR: 2.52; 95%CI: 1.27-.03). In women with higher education, physical functioning was the only dimension associated with obesity (OR: 2.02: 95%CI 0.83-.97). Conclusion The impact of obesity on women's HRQL is greater among those with a lower educational level. This group registered higher prevalence of obesity and poorer self-perceived health.