Korean J Health Promot.  2018 Dec;18(4):159-168. 10.15384/kjhp.2018.18.4.159.

Health-Promoting Behavior and Quality of Life among Community-Dwelling, Middle-Aged Women: A Comparative Study between Overweight and Normal-Weight Groups

Affiliations
  • 1College of Nursing, Korea University, Seoul, Korea. jinachoo@korea.ac.kr

Abstract

BACKGROUND
Strategically improving health-related quality of life (HRQOL) should be discussed among overweight middle-aged women who are vulnerable to low HRQOL. We examined firstly if overweight middle-aged women would have significantly lower levels of HRQOL and health-promoting behaviors than normal-weight middle-aged women, and to examine secondly if health-promoting behaviors would be significantly associated with generic and obesity-specific HRQOLs within the overweight middle-aged women.
METHODS
We conducted a cross-sectional, comparative study. Participants were 119 women aged 30-49 years who were recruited from a community in Seoul, South Korea; 63 women for the overweight group who were recruited from a baseline sample of the Community-Based Heart and Weight Management Trial, while 56 for the normal-weight group who were recruited separetely. Health Promoting Lifestyle Profile II (HPLP II), World Health Organization Quality of Life-brief version (WHOQOL-BREF) of a generic HRQOL measure, and Impact of Weight on Quality of Life-Lite (IWQOL-Lite) of an obesity-specific HRQOL measure were used.
RESULTS
Compared to the normal-weight group, the overweight group showed significantly lower scores of total WHOQOL-BREF as well as some HPLP II subscales including stress management (P=0.029). Among the HPLP II subscales, stress management was significantly and positively associated with total WHOQOL-BREF (β=1.58, P=0.003) and self-esteem IWQOL-Lite (β=11.58, P=0.034) among the overweight group.
CONCLUSIONS
Among middle-aged overweight women, low levels of health-promoting behavior for stress management were shown, which should be strategically increased for improving their generic and obesity-specific HRQOLs.

Keyword

Obesity; Women; Health promotion; Quality of life; Community health

MeSH Terms

Female
Health Promotion
Heart
Humans
Korea
Life Style
Obesity
Overweight*
Quality of Life*
Seoul
World Health Organization

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Yun Mi Kim, Ju-Hee Nho
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Reference

1. World Health Organization. Obesity and overweight [Internet]. Geneva: World Health Organization;2018. Accessed Apr 20, 2018. Available from: http://www.who.int/mediacentre/factsheets/fs311/en/.
2. Choo J, Jeon S, Lee J. Gender differences in health-related quality of life associated with abdominal obesity in a Korean population. BMJ Open. 2014; 4(1):e003954.
Article
3. Pender NJ. Health promotion in nursing practice. 3rd Ed. Stamford: Appleton & Lange;1996. p. 51–75.
4. Kwon S, Mohammad J, Samuel I. Physical activity patterns in morbidly obese and normal-weight women. Am J Health Behav. 2011; 35(2):155–161.
Article
5. Laessle RG, Lehrke S, Dückers S. Laboratory eating behavior in obesity. Appetite. 2007; 49(2):399–404.
Article
6. Nies MA, Buffington C, Cowan G, Hepworth JT. Comparison of lifestyles among obese and nonobese African American and European American women in the community. Nurs Res. 1998; 47(4):251–257.
Article
7. Taechaboonsermsak P, Kaewkungwal J, Singhasivanon P, Fungladda W, Wilailak S. Causal relationship between health promoting behavior and quality of life in cervical cancer patients undergoing radiotherapy. Southeast Asian J Trop Med Public Health. 2005; 36(6):1568–1575.
8. Stuifbergen AK, Seraphine A, Harrison T, Adachi E. An explanatory model of health promotion and quality of life for persons with post-polio syndrome. Soc Sci Med. 2005; 60(2):383–393.
Article
9. Amirabadizadeh Z, Sharifzadeh G, Moodi M. Middle-aged women's quality of life and health-promoting lifestyle. Modern Care Journal. 2016; 13(3):e11597.
Article
10. Heath GW, Brown DW. Recommended levels of physical activity and health-related quality of life among overweight and obese adults in the United States, 2005. J Phys Act Health. 2009; 6(4):403–411.
Article
11. Jepsen R, Aadland E, Andersen JR, Natvig GK. Associations between physical activity and quality of life outcomes in adults with severe obesity: a cross-sectional study prior to the beginning of a lifestyle intervention. Health Qual Life Outcomes. 2013; 11:187.
Article
12. The U.S. Department of Health and Human Services. Health-related quality of life and well-being [Internet]. Washington DC: Department of Health and Human Services;2014. Accessed Mar 20, 2018. Available from: https://www.healthypeople.gov/2020/about/foundation-health-measures/Health-Related-Quality-of-Life-and-Well-Being.
13. The World Health Organization Quality of Life Assessment (WHOQOL): development and general psychometric properties. Soc Sci Med. 1998; 46(12):1569–1585.
14. Guyatt GH, King DR, Feeny DH, Stubbing D, Goldstein RS. Generic and specific measurement of health-related quality of life in a clinical trial of respiratory rehabilitation. J Clin Epidemiol. 1999; 52(3):187–192.
Article
15. Kolotkin RL, Crosby RD, Kosloski KD, Williams GR. Development of a brief measure to assess quality of life in obesity. Obes Res. 2001; 9(2):102–111.
Article
16. World Health Organization. Global database on body mass index: BMI classification [Internet]. Geneva: World Health Organization;2008. Accessed Apr 23, 2018. Available from: http://www.who.int/bmi/index.jsp?introPage=intro_3.html.
17. World Health Organization. Moderate and severe thinness, underweight, overweight, obesity [Internet]. Geneva: World Health Organization;2017. Accessed Oct 2, 2018. Available from: http://apps.who.int/nutrition/landscape/help.aspx?menu=0&helpid=392&lang=EN.
18. Choo J, Lee J, Cho JH, Burke LE, Sekikawa A, Jae SY. Effects of weight management by exercise modes on markers of subclinical atherosclerosis and cardiometabolic profile among women with abdominal obesity: a randomized controlled trial. BMC Cardiovasc Disord. 2014; 14:82.
Article
19. Choo J, Kang H. Predictors of initial weight loss among women with abdominal obesity: a path model using self-efficacy and health-promoting behaviour. J Adv Nurs. 2015; 71(5):1087–1097.
Article
20. Cho JH, Jae SY, Choo IL, Choo J. Health-promoting behaviour among women with abdominal obesity: a conceptual link to social support and perceived stress. J Adv Nurs. 2014; 70(6):1381–1390.
Article
21. Choo J, Turk MT, Jae SY, Choo IH. Factors associated with health-related quality of life among overweight and obese Korean women. Women Health. 2015; 55(2):152–166.
Article
22. Walker SN, Hill-Polerecky DM. Psychometric evaluation of the health-promoting lifestyle profile II. University of Nebraska Medical Center;1996. p. 120–126. Unpublished Manuscript.
23. World Health Organization. The World Health Organization quality of life [Internet]. Geneva: World Health Organization;2018. Accessed Jun 12, 2018. Available from: http://www.who.int/mental_health/publications/whoqol/en/.
24. Skevington SM, Lotfy M, O'Connell KA. WHOQOL Group. The World Health Organization's WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res. 2004; 13(2):299–310.
Article
25. Kolotkin RL, Crosby RD, Williams GR. Health-related quality of life varies among obese subgroups. Obes Res. 2002; 10(8):748–756.
Article
26. The World's Trusted Currency Authority. Universial currency converter 2018 [Internet]. Bracknell: XE.com;2018. Accessed Apr 20, 2018. Available from: https://www.xe.com/currencyconverter/convert/?Amount=1&From=KRW&To=USD.
27. Dinç G, Eser E, Saatli GL, Cihan UA, Oral A, Baydur H, et al. The relationship between obesity and health related quality of life of women in a Turkish city with a high prevalence of obesity. Asia Pac J Clin Nutr. 2006; 15(4):508–515.
28. Lee C, Chan-Olmsted SM. Competitive advantage of broadband Internet: a comparative study between South Korea and the United States. Telecomm Policy. 2004; 28(9-10):649–677.
Article
29. Lee K, Jung WS, Park JS, Choi MY. Statistical analysis of the metropolitan seoul subway system: network structure and passenger flows. Physica A. 2008; 387(24):6231–6234.
Article
30. Song YJ. The South Korean health care system. Japan Med Assoc J. 2009; 52(3):206–209.
31. Kolotkin RL, Crosby RD. Psychometric evaluation of the impact of weight on quality of life-lite questionnaire (IWQOL-lite) in a community sample. Qual Life Res. 2002; 11(2):157–171.
32. Caixàs A, Lecube A, Morales MJ, Calañas A, Moreiro J, Cordido F, et al. Weight-related quality of life in Spanish obese subjects suitable for bariatric surgery is lower than in their North American counterparts: a case-control study. Obes Surg. 2013; 23(4):509–514.
Article
33. Wang J, Sereika SM, Styn MA, Burke LE. Factors associated with health-related quality of life among overweight or obese adults. J Clin Nurs. 2013; 22(15-16):2172–2182.
Article
34. Wu YP, Reiter-Purtill J, Zeller MH. The role of social support for promoting quality of life among persistently obese adolescents: importance of support in schools. J Sch Health. 2014; 84(2):99–105.
Article
35. Saffari M, Pakpour AH, Naderi MK, Koenig HG, Baldacchino DR, Piper CN. Spiritual coping, religiosity and quality of life: a study on Muslim patients undergoing haemodialysis. Nephrology (Carlton). 2013; 18(4):269–275.
Article
36. Jafari N, Farajzadegan Z, Zamani A, Bahrami F, Emami H, Loghmani A. Spiritual well-being and quality of life in Iranian women with breast cancer undergoing radiation therapy. Support Care Cancer. 2013; 21(5):1219–1225.
Article
37. Kuczmarski MF, Kuczmarski RJ, Najjar M. Effects of age on validity of self-reported height, weight, and body mass index: findings from the third national health and nutrition examination survey, 1988-1994. J Am Diet Assoc. 2001; 101(1):28–34.
38. Community Health Statistics. 2013 community health statistics [Internet]. Cheongju: Korea Centers for Disease Control and Prevention;2013. Accessed Apr 26, 2018. Available from: https://chs.cdc.go.kr/chs/sub03/sub03_03.do;jsessionid=mWAGj915FrgRACLJGV0ZCvoi13DiYDhnprSbbTrtZSzk1wZqMlQ63oIRjAaTgYxp.KCDCWAS02_servlet_PUB2.
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