Sağlıkla İlgili Yaşam Kalitesini Değerlendirmek için Vücut Kitle İndeksi ve Bel Çevresinin Karşılaştırılması

Yıl 2021, Cilt: 15 Sayı: 2, 230 - 235, 20.06.2021

İbrahim Başhan , Mustafa Bakman

https://doi.org/10.21763/tjfmpc.825838

Öz

Giriş: Yalnızca vücut kitle indeksine dayalı olarak yapılan sağlıkla ilgili yaşam kalitesi çalışmaları, özellikle fazla kilolu bireylerde net sonuçlar vermemektedir. Vücut kitle indeksi ve bel çevresi ölçümlerinin birlikte değerlendirilmesi, bu alanda daha iyi fikir verebilir. Yöntem: SF-36 Yaşam Kalitesi Ölçeği 18 yaş ve üstü 398 kadına uygulandı. Katılımcılar vücut kitle indekslerine göre gruplandırıldı ve fazla kilolu bireyler ayrıca bel çevresi ölçümlerine göre gruplara ayrıldı. Her bir alt ölçeği karşılaştırmak için Kruskal-Wallis One- way ANOVA istatistiksel analizleri kullanılmıştır. Bulgular: Normal ağırlıktan sınıf III obeziteye kadar tüm fiziksel ve mental alt ölçeklerdeki skorlar fazla kilolu grup dışında düşme eğilimindeydi. Normal kilolu bireylerle karşılaştırıldığında, fazla kilolu katılımcıların mental alt ölçeklerindeki skorların arttığı ancak bunun diğer bulgulardan farklı olarak istatistiksel olarak anlamlı olmadığı saptandı. Fazla kilolu grup bel çevresi ölçümlerine göre ayrı ayrı incelendiğinde; risk grupları arasında istatistiksel olarak anlamlı farklılıklar tespit edildi. Mental skorların yüksek riskli grupta normal risk grubuna göre anlamlı olarak azaldığı görüldü. (p <0.05) Sonuç: Obezitenin yaşam kalitesine etkisi sadece vücut kitle indeksi ile değerlendirilirse karmaşık olabilir ve bu nedenle bel çevresi ölçümlerini vücut kitle indeksi ile birlikte değerlendiren çalışmalar bu alanda daha net sonuçlar verebilir.

Anahtar Kelimeler

Yaşam Kalitesi, Ölçek, Antropometrik yöntemler, Obezite

The Comparison of Body Mass Index and Waist Circumference to Assess Health-Related Quality of Life

Öz

Introduction: Health-related quality of life studies performed only based on body mass index does not provide clear results, especially in overweight individuals. The evaluation of body mass index and waist circumference measurements together can offer better insights in this area. Methods: The SF-36 Quality of Life Scale was applied to 398 women aged 18 years and over. The participants were grouped according to body mass index, and the overweight individuals were further divided into groups based on waist circumference measurements. To compare each sub-scale, the Kruskal-Wallis 1 - way ANOVA statistics were used. Results: From the normal weight to class III obesity, the scores in all physical and mental subscales tended to decline, except in the overweight group. Compared to the individuals with normal weight, the overweight participants’ scores in the mental subscales were increased but this was not statistically significant, unlike the other findings. We examined the overweight group separately according to the waist circumference measurements and detected statistically significant differences between the risk groups. The mental scores were significantly decreased in the high-risk group compared to the normal risk group (p<0.05). Conclusion: The effect of obesity on quality of life can be complex if evaluated only by body mass index, and therefore studies evaluating waist circumference measurements together with body mass index can provide clearer results in this area.

Anahtar Kelimeler

Quality of life, Questionaire, Anthropometric methods, Obesity

Kaynakça

• 1. Mannucci E, Petroni ML, Villanova N, Rotella CM, Apolene G, Marchesini G. Clinical and psychological correlates of health-related quality of life in obese patients. Health Qual Life Outcomes 2010;8(1):90. doi: 10.1186/1477-7525-8-90
• 2. Wang Z, Ma J, Si D. Optimal cut-off values and population means of waist circumference in different populations. Nutr Res Rev 2010;23(2):191–199. doi: 10.1017/S0954422410000120
• 3. Moyer VA. Screening for and management of obesity in adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2012;57(5):373-378. doi: 10.7326/0003-4819-157-5-201209040-00475
• 4. Romero-Corral A, Somers VK, Sierra-Johnson J, Thomas RJ, Collazo-Clavell ML, Korinek J, et al. Accuracy of body mass index in diagnosing obesity in the adult general population. Int J Obes (Lond) 2008;32(6):959-966. doi: 10.1038/ijo.2008.11
• 5. Schneider HJ, Glaesmer H, Klotsche J, Böhler S, Lehnert H, Zeiher AM, et al. Accuracy of anthropometric indicators of obesity to predict cardiovascular risk. J Clin Endocrinol Metab 2007; 92(2):589-594. doi: 10.1210/jc.2006-0254
• 6. Afman L, Müler M. Nutrigenomics: From molecular nutrition to prevention of disease. J Am Diet Assoc 2006;106(4):569-576. doi: 10.1016/j.jada.2006.01.001
• 7. Kussmann M, Affolter M. Proteomics at the center of nutrigenomics: Comprehensive molecular understanding of dietary health effects. Nutrition 2009;25(11-12):1085-1093. doi: 10.1016/j.nut.2009.05.022
• 8. Friedman MA, Brownell KD. Psychological correlates of obesity: moving to the next research generation. Psychol Bull 1995;117(1):3-20. doi: 10.1037/0033-2909.117.1.3
• 9. Fontaine KR, Barofsky I. Obesity and health-related quality of life. Obes Rev 2001;2(3):173-182. doi: 10.1046/j.1467-789x.2001.00032.x
• 10. Apple R, Samuels LR, Fonnesbeck C, Schlundt D, Mulvaney S, Hargreaves M, et al. Body mass index and health-related quality of life. Obes Sci Pract 2018;4(5):417-426. doi: 10.1002/osp4.292
• 11. Fontaine KR, Barofsky I, Cheskin LJ. Predictors of quality of life for obese persons. J Nerv Ment Dis 1997;185(2):120–122. doi: 10.1097/00005053-199702000-00011. 12. 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(3):417–424. doi: 10.1038/sj.ijo.0801919.
• 13. Ul-Haq Z, Mackay DF, Fenwick E, Pell JP. Impact of metabolic comorbidity on the association between body mass index and health-related quality of life: A Scotland-wide cross-sectional study of 5,608 participants. BMC Public Health 2012;12:143. doi: 10.1186/1471-2458-12-143.
• 14. de Zwaan M, Petersen I, Kaerber M, Burgmer R, Nolting B, Legenbauer T, et al. Obesity and quality of life: A controlled study of normal-weight and obese individuals. Psychosomatics 2009;50(5):474–482. doi: 10.1176/appi.psy.50.5.474
• 15. Fontaine KR, Bartlett SJ, Barofsky I. Health-related quality of life among obese persons seeking and not currently seeking treatment. Int J Eat Disorder 2000;27(1):101–105. doi: 10.1002/(sici)1098-108x(200001)27:1<101::aid-eat12>3.0.co;2-d
• 16. Bentley TG, Palta M, Paulsen AJ, Cherepanov D, Dunham NC, Feeny D, et al. Race and gender associations between obesity and nine health-related quality-of-life measures. Qual Life Res 2011;20(5):665–674. doi: 10.1007/s11136-011-9878-7
• 17. Wang R, Wu MJ, Ma XQ, Zhao YF, Yan XY, Gao QB, et al. Body mass index and health-related quality of life in adults: A population based study in five cities of China. Eur J Public Health 2012;22(4):497–502. doi: 10.1093/eurpub/ckr080
• 18. Kearns B, Ara R, Young T, Relton C. Association between body mass index and health-related quality of life, and the impact of self-reported long-term conditions – cross-sectional study from the south Yorkshire cohort dataset. BMC Public Health 2013;13:1009. doi: 10.1186/1471-2458-13-1009
• 19. Milder IE, de Hollander EL, Picavet HS, Verschuren WM, de Groot LC, Bemelmans WJ. Changes in weight and health-related quality of life. The Doetinchem cohort study. J Epidemiol Community Health 2014;68(5):471–477. doi: 10.1136/jech-2013-203127
• 20. Kocyigit H, Gülseren S, Erol A, Hizli N, Memis A. The reliability and validity of the Turkish version of Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO). Clin Rheumatol 2003;22(1):18–23. doi: 10.1007/s10067-002-0653-6
• 21. World Health Organization. WHO fact sheet on overweight and obesity. Updated on March 3, 2020. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. Accessed April 22, 2020.
• 22. Hopman WM, Berger C, Joseph L, Barr SI, Gao Y, Prior JC, et al. The association between body mass index and health-related quality of life: Data from CaMos, a stratified population study. Qual Life Res 2007;16(10):1595-1603. doi: 10.1007/s11136-007-9273-6.