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. 2017 Oct 10;15(1):197.
doi: 10.1186/s12955-017-0773-y.

The impact of obesity on health-related quality of life in Spain

Rafael Busutil  1 , Olga Espallardo  1 , Antonio Torres  2 , Lucía Martínez-Galdeano  3 , Néboa Zozaya  4 , Álvaro Hidalgo-Vega  5
Affiliations

The impact of obesity on health-related quality of life in Spain

Rafael Busutil et al. Health Qual Life Outcomes. .

Abstract

Background: It is well documented that obesity is strongly associated with mortality and morbidity, but less is known about its impact on functional status and health-related quality of life (HRQOL). The purpose of this study was to calculate the impact of the Body Mass Index (BMI) on the HRQOL of the Spanish adult population, with special emphasis on BMI ≥ 35.

Methods: We used the Spanish National Health Survey (SNHS) 2011-2012 to assess the statistical association between HRQOL, measured through the EuroQol-5D-5L questionnaire, and the BMI. We conducted linear regression analysis for the EuroQol-5D-5L Visual Analogue Scale (VAS) and probit regressions for each of the five dimensions of the EuroQol-5D-5L.

Results: Self-perceived problems in the five dimensions of the EuroQol-5D-5L increased along the BMI, especially in the mobility and pain/discomfort dimensions. Having a BMI ≥ 35 reduced HRQOL even in the absence of chronic diseases. After controlling for comorbidities, severe obesity decreased the VAS score by an average of 1.9 points and increased the probability of reporting any HRQOL problem in mobility (11.8%), self-care (2.2%), usual activities (4.3%) and pain/discomfort (7.4%). No association was found between obesity and mental problems. All the parameters analysed suggest that HRQOL in women and people aged 65 years and over was significantly worse than average.

Conclusions: BMI is an explanatory factor of self-perceived quality of life. Obesity is associated with a worse HRQOL, especially in women and people aged over 64 years. These results may be useful for designing prevention or treatment health policies to target obesity among the Spanish population.

Keywords: BMI; HRQOL; Obesity; Quality of life; Spain.

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The authors declare that they have no competing interests.

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Figures

Fig. 1
Fig. 1
Distribution histograms of QALYs and VAS scores derived from the SNHS
Fig. 2
Fig. 2
Prevalence of self-reported problems at the five dimensions of the EQ-5D-5L, according to BMI
See this image and copyright information in PMC

References

    1. WHO. Diet, nutrition and the prevention of chronic diseases. World Health Organ Tech Rep Ser. 2003;916:i–viii, 1-149. - PubMed
    1. James PT, Rigby N, Leach R, International Obesity Task Force. The obesity epidemic, metabolic syndrome and future prevention strategies. Eur J Cardiovasc Prev Rehabil. Off. J. Eur. Soc. Cardiol. Work. Groups Epidemiol. Prev. Card. Rehabil. Exerc. Physiol 2004;11:3–8. - PubMed
    1. Aranceta-Bartrina J, Serra-Majem L, Foz-Sala M, Moreno-Esteban B, SEEDO GC Prevalence of obesity in Spain. Med Clin Barc. 2005;125:460–466. doi: 10.1157/13079612. - DOI - PubMed
    1. Rodríguez Artalejo F, López García E, Gutiérrez-Fisac JL, Banegas Banegas JR, Lafuente Urdinguio PJ, Domínguez Rojas V. Changes in the prevalence of overweight and obesity and their risk factors in Spain, 1987-1997. Prev Med. 2002;34:72–81. doi: 10.1006/pmed.2001.0962. - DOI - PubMed
    1. Costa-Font J, Gil J. Obesity and the incidence of chronic diseases in Spain: a seemingly unrelated probit approach. Econ Hum Biol. 2005;3:188–214. doi: 10.1016/j.ehb.2005.05.004. - DOI - PubMed