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

García-Mendizábal, María José; Carrasco, José Miguel; Pérez-Gómez, Beatriz; Aragonés, Nuria; Guallar-Castillón, Pilar; Rodríguez-Artalejo, Fernando; López-Abente, Gonzalo; Pollán, Marina
January 2009
BMC Public Health;2009, Vol. 9 Issue 1, p1
Academic Journal
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: 1.22-3.18); Role-physical (OR: 1.81; 95%CI: 1.04-3.14); General health (OR: 1.76; 95%CI: 1.10- 2.81); and Role-emotional (OR: 2.52; 95%CI: 1.27-5.03). In women with higher education, physical functioning was the only dimension associated with obesity (OR: 2.02: 95%CI 0.83-4.97). 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.


Related Articles

  • Obesity Prevalence in Gaziantep, Turkey. Ozcirpici, Birgul; Coskun, Ferhat; Sahinoz, Saime; Ozgur, Servet; Bozkurt, Ali Ihsan // Indian Journal of Community Medicine;Jan2009, Vol. 34 Issue 1, p29 

    Background: Obesity is associated with reduced quality of life, development of serious chronic conditions such as heart disease and diabetes, increased medical care costs, and premature death. Environmental effects, especially feeding habits may cause hyperinsulinemia and obesity. A Healthy...

  • Changes of overweight and obesity in the adult Swiss population according to educational level, from 1992 to 2007. Marques-Vidal, Pedro; Bovet, Pascal; Paccaud, Fred; Chiolero, Arnaud // BMC Public Health;2010, Vol. 10 Issue 1, p87 

    Background: In many high income developed countries, obesity is inversely associated with educational level. In some countries, a widening gap of obesity between educational groups has been reported. The aim of this study was to assess trends in body mass index (BMI) and in prevalence of...

  • Neuropathic pain adversely affects functional status, quality of life and depression in patients with knee osteoarthritis. Koçyiğit, Burhan Fatih; Koca, Tuba Tulay // Ortadogu Medical Journal / Ortadogu Tip Dergisi;2019, Vol. 11 Issue 1, p15 

    Aim: The aim of our study was to determine the existence of neuropathic pain (NP) in knee OA and its association with risk factors, functional status, quality of life, and depression. Material and Methods: This was a descriptive study. A total of 100 patients (90 female, 10 male) with knee OA...

  • Body Mass Index and Quality of Life in a Survey of Primary Care Patients. Finkelstein, Murray M. // Journal of Family Practice;Aug2000, Vol. 49 Issue 8, p734 

    BACKGROUND: The prevalence of overweight and obesity is increasing and contributes to the burden of ill health in the community. The impact of obesity on health-related quality of life has been less well studied than how it affects physical morbidity and mortality. METHODS: A survey of...

  • Metabolic syndrome, psychological status and quality of life in obesity: the QUOVADIS Study. Corica, F.; Corsonello, A.; Apolone, G.; Mannucci, E.; Lucchetti, M.; Bonfiglio, C.; Melchionda, N.; Marchesini, G. // International Journal of Obesity;Jan2008, Vol. 32 Issue 1, p185 

    Objective:We aimed to investigate the association of the clinical variables of the metabolic syndrome (MS) and psychological parameters on health-related quality of life (HRQL) in obesity. In particular, our aim was to investigate the relative impact of physical symptoms, somatic diseases and...

  • Qualily of life and alteration in comorbidily following laparoscopic adjustable gastric banding. Titi, M.; Jenkins, J. I.; Modak, P.; Galloway, D. J. // Postgraduate Medical Journal;Jul2007, Vol. 83 Issue 981, p487 

    Objectives: Obesity is an increasing problem in the UK and bariatric surgery is likely to increase in volume in the future. While substantial weight loss is the primary outcome following bariatric surgery, the effect on obesity-related morbidity, mortality and quality of life (QOL) is equally...

  • Poursuite de l'irresistible ascension de la chirurgie bariatrique. BASDEVANT, Arnaud // Médecine & Nutrition;2012, Vol. 48 Issue 3, p21 

    Weight loss surgery, after a long period of precaution -- some say reluctance -- from numerous doctors and patient associations, has inally earned a place of importance. Now indicated for the treatment in cases of morbid obesity that have been resistant to ongoing, multi-focal medical care, it...

  • Quality of life of diabetic patients with medical or surgical treatment. Weiner, S.; Neugehauer, E. A. M. // Nutricion Hospitalaria;mar/abr suplemento 2, Vol. 28, p66 

    Introduction: In general, most of the studies agree in that the quality of life (QoL) of patients with diabetes is worse than that of the general population. Furthermore, these same studies have also described very positive effects on quality of life after bariatric surgery. The aim of this...

  • The influence of obesity on falls and quality of life. Fjeldstad, Cecilie; Fjeldstad, Anette S.; Acree, Luke S.; Nickel, Kevin J.; Gardner, Andrew W. // Dynamic Medicine;2008, Vol. 7, Special section p1 

    Objective: To determine (1) whether obese older adults had higher prevalence of falls and ambulatory stumbling, impaired balance and lower health-related quality of life (HRQL) than their normal weight counterparts, and (2) whether the falls and balance measures were associated with HRQL in...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics