在一个肥胖率很高的土耳其城市中,肥胖与女性健康相关生活质量之间的关系。

The relationship between obesity and health related quality of life of women in a Turkish city with a high prevalence of obesity.

作者信息

Dinç Gonul, Eser Erhan, Saatli Gül L, Cihan Umit Atman, Oral Ahmet, Baydur Hakan, Ozcan Cemil

机构信息

Celal Bayar University, Faculty of Medicine, Department of Public Health, Manisa, Turkey.

出版信息

Asia Pac J Clin Nutr. 2006;15(4):508-15.

DOI:
Abstract

The purpose of this study was to demonstrate the relationship between body weight and HRQOL in a representative sample of nonpregnant women in reproductive age period. The data of this cross-sectional study was extracted from a survey: Manisa Demographic and Health Survey (MDHS) conducted in Manisa city in 2000. The study population of MDHS is a representative sample of 1602 reproductive (15-49) age women. World Health Organization Quality of Life Questionnaire abbreviated version (WHOQOL-BREF), which was composed of four domain factors (physical, psychological, social relations and the environment), was used to assess HRQOL. Each of four domains had a possible score ranged between 0 (poor HRQOL) and 20 (excellent HRQOL). The mean age of the women was 35.29+/- 8.19 years. Among them, 35.8 % had normal weight (BMI 18.5 to 24.9), 32.3 % were overweight (BMI 25.0 to 29.9) while 31.9 % were moderate and 3.4% were morbidly obese. After adjusting for age, level of education and co-morbid illnesses, subjects with a BMI higher than normal value, had significantly lower HRQOL scores, compared to normal-weight individuals on each of the domains, except for the environmental domain. Our results suggested that the body weight alone could negatively affect HRQOL. In other words, obesity not only increased the risk of morbidity and mortality, but also affected the perceived health and life quality negatively. In conclusion, in addition to age, socioeconomic status and co-morbid illnesses, body weight should also be controlled in studies examining HRQOL.

摘要

本研究的目的是在具有代表性的育龄非孕妇女样本中,证明体重与健康相关生活质量(HRQOL)之间的关系。这项横断面研究的数据取自2000年在马尼萨市进行的一项调查:马尼萨人口与健康调查(MDHS)。MDHS的研究人群是1602名生殖期(15 - 49岁)妇女的代表性样本。采用世界卫生组织生活质量问卷简版(WHOQOL - BREF)进行HRQOL评估,该问卷由四个领域因素(生理、心理、社会关系和环境)组成。四个领域的每个领域得分范围为0(HRQOL差)至20(HRQOL优)。这些妇女的平均年龄为35.29±8.19岁。其中,35.8%体重正常(BMI为18.5至24.9);32.3%超重(BMI为25.0至29.9);31.9%为中度肥胖;3.4%为病态肥胖。在对年龄、教育水平和合并疾病进行校正后,与体重正常者相比,BMI高于正常值者在除环境领域外的每个领域的HRQOL得分均显著较低。我们的结果表明,仅体重就可能对HRQOL产生负面影响。换句话说,肥胖不仅增加了发病和死亡风险,还对感知健康和生活质量产生负面影响。总之,在研究HRQOL时,除了年龄、社会经济地位和合并疾病外,体重也应加以控制。

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