Original Article

Gender Differences in Health-Related Quality of Life (HRQL) of Overweight and Obese Adults in a Representative Sample of Greek Urban Population

Abstract

Background: The main objective was to investigate the relationship between Health-Related Quality of Life (HRQL) and Body Mass Index (BMI) status according to gender in a representative sample of Greek urban population.

Methods: In this cross-sectional study, data were collected from 1060 participants (mean age 47.10 yr, 95%CI 46.09–48.07, 52.7% females) in a stratified sample of representative urban population during 1-20 Apr 2016 in Athens, Greece. Socio-demographic characteristics and medical history were involved. BMI (kg/m2) was calculated, based on reported height and weight. HRQL was assessed by using the Greek version of SF36. Parametric tests and multiple logistic regression analysis were applied to identify whether socio-demographic characteristics differed across BMI groups. Mann–Whitney test was used to detect significant differences in SF36 scales between men and women across different BMI and age groups. Μultivariate stepwise linear regression analyses were performed to investigate the influence of sociodemographic variables on HRQL.

Results: The effect of being overweight or obese differs by age and gender and that this negative impact in HRQL was greater in women than in men. More vulnerable were overweight young and obese middle-aged woman both in terms of physical and mental health. On the other hand, HRQL of normal weight men and women did not differ in almost all age groups.

Conclusion: Gender differences on HRQL observed in the general population were mediated by the different way that the two genders affected by increases in body weight.

1. Muennig P, Lubetkin E, Jia H et al (2006). Gender and the burden of disease at-tributable to obesity. Am J Public Health, 96 (9): 1662-8.
2. Hopman WM, Berger C, Joseph L et al (2007). The association between body mass index and health-related quality of life: data from CaMos, a stratified popu-lation study. Qual Life Res, 16 (10): 1595-603.
3. Kortt MA, Clarke PM (2005). Estimating utility values for health states of over-weight and obese individuals using the SF-36. Qual Life Res, 14 (10): 2177-85.
4. Soltoft F, Hammer M, Kragh N (2009). The association of body mass index and health-related quality of life in the general population: data from the 2003 Health Survey of England. Qual Life Res, 18 (10): 1293-9.
5. Audureau E, Pouchot J, Coste J (2016). Gender-Related Differential Effects of Obesity on Health-Related Quality of Life via Obesity-Related Comorbidities: A Mediation Analysis of a French Nation-wide Survey. Circ Cardiovasc Qual Outcomes, 9 (3): 246-56.
6. Jalali-Farahani S, Chin YS, Amiri P, et al (2014). Body mass index (BMI)-for-age and health-related quality of life (HRQOL) among high school students in Tehran. Child Care Health Dev, 40 (5): 731-9.
7. Boodai SA, Reilly JJ (2013). Health related quality of life of obese adolescents in Kuwait. BMC Pediatr, 13: 105.
8. Pimenta FB, Bertrand E, Mograbi DC, et al (2015). The relationship between obesity and quality of life in Brazilian adults. Front Psychol, 6: 966.
9. Wanat KA, Kovarik CL, Shuman S, et al (2014). The association between obesity and health-related quality of life among urban Latinos. Ethn Dis, 24 (1): 14-8.
10. López-García E, Banegas Banegas JR, Gutiérrez-Fisac JL, et al (2003). Relation between body weight and health-related quality of life among the elderly in Spain. Int J Obes Relat Metab Disord, 27 (6): 701-9.
11. Curtis JP, Selter JG, Wang Y, et al (2005). The obesity paradox: body mass index and outcomes in patients with heart fail-ure. Arch Intern Med, 165 (1): 55-61.
12. Tsai WL, Yang CY, Lin SF, et al (2004). Im-pact of obesity on medical problems and quality of life in Taiwan. Am J Epidemiol, 160 (6): 557-65.
13. Zhang J, Xu L, Li J, et al (2019). Gender dif-ferences in the association between body mass index and health-related quality of life among adults:a cross-sectional study in Shandong, China. BMC Public Health, 19 (1): 1021.
14. Anagnostopoulos F, Niakas D, Pappa E (2005). Construct validation of the Greek SF- 36 Health Survey. Qual Life Res, 14 (8): 1959-65.
15. Pappa E, Kontodimopoulos N, Niakas D (2005). Validating and norming of the Greek SF-36 Health Survey. Qual Life Res, 14 (5): 1433-8.
16. Pappa E, Kontodimopoulos N, Papa-dopoulos A, Niakas D (2009). Assessing the Socio-Economic and Demographic Impact on Health-Related Quality of Life: Evidence From Greece. Int J Public Health, 54 (4): 241-9.
17. Papadopoulos A, Kontodimopoulos N, Frydas A, Ikonomakis E, Niakas D (2007). Predictors of Health-Related Quality of Life in Type II Diabetic Pa-tients in Greece. BMC Public Health, 7:186.
18. Hesse-Biber S, Leavy P, Quinn CE, et al (2006). The mass marketing of disor-dered eating and Eating Disorders: The social psychology of women, thinness and culture. Womens Stud Int Forum, 29 (2): 208-24.
19. Apolone G, Mosconi P (1998). The Italian SF-36 Health Survey: Translation, valida-tion and norming. J Clin Epidemiol, 51 (11): 1025-36.
20. Brazier JE, Harper R, Jones NM, et al (1992). Validating the SF-36 health survey questionnaire: New outcome measure for primary care. BMedJ, 305 (6846): 160-4.
21. Taft C, Karlsson J, Sullivan M (2004). Per-formance of the Swedish SF-36 version 2. Qual Life Res, 13 (1): 251-6.
22. Leplege A, Ecosse E, Verdier A, et al (1998). The French SF-36 Health Survey: Trans-lation, cultural adaptation and preliminary psychometric evaluation. J Clin Epidemiol, 51 (11): 1013-23.
23. Garratt AM, Ruta DA, Abdalla MI, et al (1993). The SF36 health survey question-naire: an outcome measure suitable for routine use within the NHS? BMJ, 306 (6890): 1440-4.
24. Jenkinson C, Coulter A, Wright L (1993). Short Form 36 (SF36) health survey ques-tionnaire: Normative data for adults of working age. BMJ, 306 (6890): 1437-40.
25. Palta M, Prineas RJ, Berman R, et al (1982). Comparison of self-reported and meas-ured height and weight. Am J Epidemiol, 115 (2): 223-30.
26. Strauss RS (1999). Comparison of measured and self reported weight and height in a cross-sectional sample of young adoles-cents. Int J Obes Relat Metab Disord, 23 (8): 904-8.
27. Larsson U, Karlsson J, Sullivan M (2002). Impact of overweight and obesity on health-related quality of life--a Swedish population study. Int J Obes Relat Metab Disord, 26 (3): 417-24.
28. Schlenk EA, Erlen JA, Dunbar-Jacob J, et al (1998). Health related quality of life in chronic disorders: a comparison across studies using the MOS SF- 36. Qual Life Res, 7 (1): 57–65.
29. Alonso J, Ferrer M, Gandek B, et al (2004). Health related quality of life associated with chronic conditions in eight coun-tries: results from the international quality of life assessment (IQOLA) project. Qual Life Res, 13 (2): 283–98.
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IssueVol 50 No 10 (2021) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v50i10.7504
Keywords
Gender Health-related quality of life Obesity Overweight
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How to Cite
1.
Vrettos I, Voukelatou P, Pappa E, Beletsioti C, Niakas D. Gender Differences in Health-Related Quality of Life (HRQL) of Overweight and Obese Adults in a Representative Sample of Greek Urban Population. Iran J Public Health. 2021;50(10):2038-2045.