Korean J Fam Pract. 2017; 7(4): 605-609  https://doi.org/10.21215/kjfp.2017.7.4.605
Association between Weight and Health-Related Quality of Life in the Elderly Women: Korean National Health and Nutrition Examination Survey (KNHANES) 2010–2011
Bo Kyung Goo, Yeon Pyo Kim*, Kyung Eun Kaang, Mi Jin Lim
Department of Family Medicine, Chonnam National University Hwasun Hospital, Hwasun, Korea
Yeon Pyo Kim
Tel: +82-61-379-7290, Fax: +82-61-379-7289
E-mail: ypkim@jnu.ac.kr
Received: March 28, 2016; Revised: July 4, 2016; Accepted: July 22, 2016; Published online: August 20, 2017.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: Currently, obesity is a major public health concern. The proportion of elderly in South Korea has increased gradually, and the prevalence of obesity among the elderly has also increased. Obese elderly are more prone to illnesses, which can negatively affect their quality of life. However, there have not been many studies about the relationship between weight and health-related quality of life (HRQoL) among elderly Korean women. This research aimed to identify how weight influences quality of life of women over 65 years of age in Korea by analyzing the relationship between weight and HRQoL.
Methods: This study used data from the 2010–2011 Korean National Health and Nutrition Examination Survey. EuroQol five dimensions questionnaire (EQ-5D) index scores were classified as satisfactory or unsatisfactory based on the median value. Univariate and multivariate logistic regression analyses were then used to assess the influence of weight on HRQoL with consideration for socioeconomic and pathologic variables in subjects.
Results: In the analysis, valid body weight measurements and EQ-5D index scores from 1,607 female subjects aged 65 years or older were selected. Higher body weight did not appear to be associated with lower HRQoL according to the univariate logistic regression. In addition, weight had little influence on HRQoL according to the multivariate logistic regression with adjustments for covariates.
Conclusion: There is no meaningful association between weight and HRQoL in elderly Korean women.
Keywords: Body Weight; Life Quality; Women’s Group; Elderly
  1. Kim JY, Lee SG, Lee SK. The relationship between health behaviors, health status, activities of daily living and health-related quality of life in the elderly. J Korean Gerontol Soc 2010; 30: 471-84.
  2. Fontaine KR, Cheskin LJ, Barofsky I. Health-related quality of life in obese persons seeking treatment. J Fam Pract 1996; 43: 265-70.
  3. Sarlio-Lähteenkorva S, Stunkard A, Rissanen A. Psychosocial factors and quality of life in obesity. Int J Obes Relat Metab Disord 1995; 19 Suppl 6: S15.
  4. Lee YH, Choi JS, Rhee JA, Ryu SY, Shin MH, Kim JH. A study on the application of the Korean valuation weights for EuroQoL-5 dimension. J Korean Soc Health Educ Promot 2009; 26: 1-13.
  5. Ock MS, Jo MW, Lee SI. Measuring health related quality of life using EQ5D in South Korea. J Health Tech Assess 2013; 1: 103-11.
  6. Giuli C, Papa R, Bevilacqua R, Felici E, Gagliardi C, Marcellini F, et al. Correlates of perceived health related quality of life in obese, overweight and normal weight older adults: an observational study. BMC Public Health 2014;14: 35.
    Pubmed KoreaMed CrossRef
  7. Fontaine KR, Barofsky I. Obesity and health-related quality of life. Obes Rev 2001; 2: 173-82.
  8. Garner RE, Feeny DH, Thompson A, Bernier J, McFarland BH, Huguet N, et al. Bodyweight, gender, and quality of life: a population-based longitudinal study. Qual Life Res 2012; 21: 813-25.
    Pubmed KoreaMed CrossRef
  9. Ford ES, Moriarty DG, Zack MM, Mokdad AH, Chapman DP. Self-reported body mass index and health-related quality of life: findings from the Behavioral Risk Factor Surveillance System. Obes Res 2001; 9: 21-31.
    Pubmed CrossRef
  10. Larsson U, Karlsson J, Sullivan M. Impact of overweight and obesity on health-related quality of life--a Swedish population study. Int J Obes Relat Metab Disord 2002; 26: 417-24.
    Pubmed CrossRef
  11. León-Muñoz LM, Guallar-Castillón P, Banegas JR, Gutiérrez-Fisac JL, López-García E, Jiménez FJ, et al. Changes in body weight and health-related quality-of-life in the older adult population. Int J Obes (Lond) 2005; 29:1385-91.
    Pubmed CrossRef
  12. Søltoft F, Hammer M, Kragh N. 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 2009; 18: 1293-9.
    Pubmed KoreaMed CrossRef
  13. Gallagher D, Visser M, Sepúlveda D, Pierson RN, Harris T, Heymsfield SB. How useful is body mass index for comparison of body fatness across age, sex, and ethnic groups? Am J Epidemiol 1996; 143: 228-39.
    Pubmed CrossRef
  14. Rothman KJ. BMI-related errors in the measurement of obesity. Int J Obes (Lond) 2008; 32 Suppl 3: S56-9.
    Pubmed CrossRef
  15. Obesity prevention source, obesity definition [Internet]. Boston: Harvard T.H. Chan School of Public Health [cited 2016 Feb 4].
  16. Huang IC, Frangakis C, Wu AW. The relationship of excess body weight and health-related quality of life: evidence from a population study in Taiwan. Int J Obes (Lond) 2006; 30: 1250-9.
    Pubmed CrossRef
  17. Jia H, Lubetkin EI. The impact of obesity on health-related quality-of-life in the general adult US population. J Public Health (Oxf) 2005; 27: 156-64.
    Pubmed CrossRef
  18. Theodoropoulou E, Karteroliotis K, Koskolou M, Nassis G. The association of total and abdominal obesity with health-related quality of life in a sample of Greek healthy adults. Epidemiol Biostat Public Health 2013; 10: 8842-50.

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