DOI QR코드

DOI QR Code

Influencing Factors on Health-related Quality of Life According to Body Mass Index in Middle Age People

중년의 체질량지수에 따른 건강관련 삶의 질 영향요인

  • Received : 2022.01.09
  • Accepted : 2022.02.17
  • Published : 2022.02.28

Abstract

Purpose: The purpose of this study was to investigate the influencing factors on health-related quality of life according to body mass index (BMI) in middle age people. Methods: Using the 2017 Korea Health Panel Data, a total of 4,711 subjects age 40-64 were selected and classified into four groups based on BMI levels (underweight, normal weight, overweight, obese). Influencing factors according to BMI in middle age people was analyzed using multiple regression. Results: Activity limited was the most influential factor for health-related quality of life in middle age people. Walking and stress were factors influencing health-related quality of life in all weight groups. In the overweight and obese group, suicidal impulse was a significant influencing factor on health-related quality of life. Conclusion: To improve the health-related quality of life of middle age people, effective walking and stress management for maintaining and managing health, as well as managing suicide risk in the overweight group and obese group are required.

Keywords

Acknowledgement

본 연구는 2020년도 국립목포대학교 교내 연구비지원에 의해 수행되었음(No. 2020-0150).

References

  1. World Health Organization. World Health Statistics Report [Internet]. Geneva: World health Statistics; 2020. Dec [cited 2022 Jan 10]. Available from: https://www.who.int/data/gho/data/indicators/indicator-details/GHO/gho-ghe-halehealthy-life-expectancy-at-birth
  2. Chang HK. Influencing factors on health related quality of life in middle age. Korean Journal of Adult Nursing. 2012;24(4):339-347. http://dx.doi.org/10.7475/kjan.2012.24.4.339
  3. Kim HK. Comparison of physical, psychosocial and cognitive factors, and depression between middle-aged women and middle-aged men. Korean Journal of Adult Nursing. 2006;18(3):446-456.
  4. DeLateur BJ. Quality of life: A patient-centered outcome. Achieves of Physical Medicine and Rehabilitation. 1997;78(3):237-239. https://doi.org/10.1016/S0003-9993(97)90026-5
  5. EuroQoL Group. A new facility for the measurement of health-related quality of life. Health Policy. 1990;16(3):199-208. https://doi.org/10.1016/0168-8510(90)90421-9
  6. Yeom J, Kim JK, Crimmins EM. Factors associated with body mass index (BMI) among older adults: A comparison study of the U.S., Japan, and Korea. Journal of Korean Gerontological Society. 2009;29(4):1477-1498.
  7. Lee YJ, Lee JA, Kim SH, Lim JS, Park HS. The relationship between body mass index and health-related quality of life in Korean. Korean Journal of Family Practice. 2017;7(5):794-798. https://doi.org/10.21215/kjfp.2017.7.5.794
  8. Smith KB, Smith MS. Obesity statistics. Primary Care: Clinics in Office Practice. 2016;43(1):121-135. http://dx.doi.org/10.1016/j.pop.2015.10.001
  9. McLaughlin L, Hinyard LJ. The relationship between health-related quality of life and body mass index. Western Journal of Nursing Research. 2014;36(8):989-1001. http://dx.doi.org/10.1177/0193945913520415
  10. Holmgren M, Lindgren A, de Munter J, Rasmussen F, Ahlstrom G. Impacts of mobility disability and high and increasing body mass index on health related quality of life and participation in society: a population-based cohort study from Sweden. BMC Public Health 2014;14(1):381. http://dx.doi.org/10.1186/1471-2458-14-381
  11. Shin JH, Yoon YS, Yang YJ, Lee ES, Lee JH, Kwak HL, et al. The relationship between obesity and health-related quality of life in Koreans. Korean Journal of Family Practice. 2011;1(2):101-110.
  12. Park MJ, Suh EE, Chung MY. Health-related quality of life and its influencing factors according to gender in baby boomers Korean. Korean Journal of Adult Nursing. 2015;27(3):314-324. https://doi.org/10.7475/kjan.2015.27.3.314
  13. Lee EJ, Ma RW. A comparison of factors influencing health-related quality of life by obesity among middle-aged women. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2018;8(10):691-702. http://dx.doi.org/10.35873/ajmahs.2018.8.10.068
  14. Jia H, Lubetkin EI. The impact of obesity on health-related quality-of-life in the general adult US population. Journal of Public Health. 2005;27(2):156-164. https://doi.org/10.1093/pubmed/fdi025
  15. Sach TH, Barton GR, Doherty M, Muir KR, Jenkinson C, Avery AJ. The relationship between body mass index and health-related quality of life: comparing the EQ-5D, EuroQol VAS and SF-6D. International Journal of Obesity. 2007;31(1):189-196. http://dx.doi.org/10.1038/sj.ijo.0803365
  16. Korea National Health and Nutrition Examination Survey[Internet]. Cheongju: Ministry of Health and Welfare; 2019. [cited 2022 Jan 5]. Available from: https://www.index.go.kr/unify/idx-info.do?idxCd=8021
  17. Kim AS, Bea HJ. Impact of body mass index, depression and physical activity on the health related quality of life according to the level of stress in the middle-aged women by based on the Korea National Health and Nutrition Examination Survey (KNHANES VII). Journal of the Korea Academia-Industrial cooperation Society. 2021;22(8):566-575. https://doi.org/10.5762/KAIS.2021.22.8.566
  18. Jeon YK, Cho WJ. Analysis of the metabolic syndrome factors and health-related quality of life by menopausal status with physical activity level in middle-aged women. The Korean Society of Sports Science. 2016;25(5):1173-1184.
  19. Lee EJ. Factors influencing health-related quality of life in middle-aged women : the sixth Korean National Health and Nutrition Examination Survey. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2017;7(2):659-670. http://dx.doi.org/10.35873/ajmahs.2017.7.2.063
  20. Kim MA, Choi SE, Moon JH. Effect of health behavior, physical health and mental health on health-related quality of life in middle aged women : By using the 2014 Korea Health Panel Data. Journal of Korean Academic Society of Home Health Care Nursing. 2019;26(1):72-80.http://dx.doi.org/10.22705/jkashcn.2019.26.1.72
  21. Cho YS, Yeum DM. Latent class analysis for health-related quality of life in the middle-aged male in South Korea. Journal of Korean Academy of Nursing. 2019;49(1):104-112. https://doi.org/10.4040/jkan.2019.49.1.104
  22. Yom YH, Chang HK. Factors affecting quality of life according to BMI of women college students. Journal of Korean Academy Fundamental Nursing. 2013;.20(2):168-176. http://dx.doi.org/10.7739/jkafn.2013.20.2.168
  23. Dutton GR, Bodell LP, Smith AR, Joiner TE. Examination of the relationship between obesity and suicidal ideation. International Journal of Obesity. 2013;37(9):1282-1286. https://doi.org/10.1038/ijo.2012.224
  24. Perera S, Eisen R, Bawor M, Dennis B, de Souza R, Thabane L, et al. Association between body mass index and suicidal behaviors: A systematic review protocol. Systematic Reviews. 2015;19(4):52. http://doi.org/10.1186/s13643-015-0038-y
  25. Shin SH. The influence of health promoting behaviors on quality of sleep and fatigue among rotating shift-nurses [master's thesis]. Daegu: Kyungpook National University; 2013. p. 48.
  26. Kim JH, Jung IK. Relationship among physical activities, nutrient intake, and health-related factors in menopausal women: Based on 6th(2014) Korean national health and nutrition examination survey (KNHANES). Journal of Korean Physical Education Association for Girls and Women. 2016;.30(2):237-252. https://doi.org/10.16915/jkapesgw.2016.06.30.2.237
  27. Bang SY, Do YS. Health-related quality of life of physical and mental health in middle-aged women. Journal of the Korea Academia-Industrial Cooperation Society. 2020;21(6):161-169. https://doi.org/10.5762/KAIS.2020.21.6.161
  28. Korea Health Panel Survey [Internet]. Sejong: Korea Institute for Health and Social Affairs; 2016. [cited 2022 Jan 8]. Available from: https://www.khp.re.kr:444/web/survey/sampling.do
  29. Park SY, Lee ES, Yang YJ, Yoon YS, Lee JH, Huh Y, et al. Risk of hospitalization by multimorbidity in middle-aged adults using the 2013-2015 Korea National Health and Nutrition Examination Survey. Korean Journal of Family Practice. 2021;11(1):22-28. https://doi.org/10.21215/kjfp.2021.11.1.22
  30. Hwang JM.Verification on obesity explanation model based on physical activity and mental health level of the public. Journal of Sport and Leisure Studies. 2016;63(2):345-356. https://doi.org/10.51979/KSSLS.2016.02.63.345
  31. World Health Organization Western Pacific Region. The Asia-Pacific Perspective: Redefining obesity and its treatment. Report. Sydney: Health Communications (Australia), World Health Organization Western Pacific Regional Office; 2000 Feb. https://apps.who.int/iris/handle/10665/206936
  32. Lee YK, Nam HS, Chuang LH, Kim KY, Yang HK, Kwon IS, et al. South Korean time trade-off values for EQ-5D health states: Modeling with observed values for 101 health states. Value In Health. 2009;12(8):1187-1193. http://dx.doi.org/10.1111/j.1524-4733.2009.00579.x
  33. An HM. Factors of health related quality of life of Korea male and female adults according to life cycle: By using 4th National Health and Nutritional Examination Survey. [master's thesis]. Seoul: Yonsei University; 2010. p. 51.
  34. Shin EH. A structural model for health related quality of life in middle aged women [dissertation]. Kongju: Kongju University; 2017. p. 144.
  35. Park MJ, Choi SE. The effects of health behavior and health status on health-related quality of life in older people: Gender analysis by using the 2012 Korea Health Panel Data. Journal of Korean Academy of Community Health Nursing. 2017;28(2):118-128. http://dx.doi.org/10.12799/jkachn.2017.28.2.118
  36. Jang YH, Kim SH, Kim YS, Jung SH, Park J. The Relationship between walking exercise and quality of life for Korean adults. Journal of Digital Convergence. 2013;11(5):325-334. http://dx.doi.org/10.14400/JDPM.2013.11.5.325
  37. Liu X, Miller YD, Burton NW, Brown WJ. A preliminary study of the effects of Tai Chi and Qigong medical exercise on indicators of metabolic syndrome, glycaemic control, health-related quality of life, and psychological health in adults with elevated blood glucose. British Journal of Sports Medicine. 2010;44(10):704-709. http://dx.doi.org/10.1136/bjsm.2008.051144
  38. Jekal YS, Lee MK, Kim ES, Park JH, Lee HJ, Han SJ, et al. Effects of walking and physical activity on glucose regulation among type 2 diabetics. Korean Diabetes Journal. 2008;32(1):60-67. http://dx.doi.org/10.4093/kdj.2008.32.1.60
  39. Bang SY. Factors influencing suicidal ideation by life cycle of Korean adults. Journal of the Korea Academia-Industrial cooperation Society. 2021;22(5): 60-70. https://doi.org/10.5762/KAIS.2021.22.5.60
  40. Park SK, Lee SW, Park YJ. Depression experience and suicidal behavior among menopausal middle-aged women in Korea: Mediating effects of health related quality of life and moderating effects of income. Journal of the Korea Contents Association. 2017;17(11):110-122. http://www.dbpia.co.kr/Article/NODE07271341 https://doi.org/10.5392/JKCA.2017.17.11.110