Choo Jina, Turk Melanie T, Jae Sae Young, Choo Il Han
a Department of Community Health Nursing, College of Nursing , Korea University , Seoul , South Korea.
Women Health. 2015;55(2):152-66. doi: 10.1080/03630242.2014.979966. Epub 2015 Feb 23.
Health-related quality of life (HRQOL) tends to be lower among individuals who are overweight and obese than those of normal weight, and women may be more vulnerable to lower HRQOL associated with obesity than men. Identifying factors associated with HRQOL may be crucial for improving HRQOL for overweight/obese women. We aimed to determine the factors associated with obesity-specific HRQOL among overweight/obese Korean women. A cross-sectional study was conducted with 125 women aged 20-64 years, who comprised a baseline sample in the Community-based Heart and Weight Management Trial. The data were collected from September 2010 to November 2011. The Weight Efficacy Lifestyle, Beck Depression Inventory-II, Interpersonal Social Evaluation List, and Impact of Weight on Quality of Life (IWQOL)-Lite scales were used to measure self-efficacy for weight control, depressive symptoms, social support, and HRQOL, respectively. Increased body mass index, lower self-efficacy for weight control, and higher levels of depressive symptoms were significantly associated with greater impairment in total IWQOL in the regression models. However, social support was not significantly associated with IWQOL. Along with weight loss strategies, other strategies for improving self-efficacy and alleviating depressive symptoms may be essential for improving HRQOL among overweight and obese women.
与健康相关的生活质量(HRQOL)在超重和肥胖个体中往往低于正常体重者,而且女性可能比男性更容易因肥胖而出现较低的HRQOL。识别与HRQOL相关的因素对于改善超重/肥胖女性的HRQOL可能至关重要。我们旨在确定韩国超重/肥胖女性中与肥胖特异性HRQOL相关的因素。对125名年龄在20 - 64岁的女性进行了一项横断面研究,她们是基于社区的心脏与体重管理试验中的基线样本。数据收集于2010年9月至2011年11月。分别使用体重效能生活方式量表、贝克抑郁量表第二版、人际社会评价量表和体重对生活质量的影响(IWQOL)-精简版量表来测量体重控制自我效能、抑郁症状、社会支持和HRQOL。在回归模型中,体重指数增加、体重控制自我效能降低和抑郁症状水平较高与IWQOL总分的更大损害显著相关。然而,社会支持与IWQOL没有显著关联。除了减肥策略外,其他提高自我效能和减轻抑郁症状的策略对于改善超重和肥胖女性的HRQOL可能至关重要。