Korean Journal of Family Medicine (가정의학회지)

The Korean Academy of Family Medicine (대한가정의학회)
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Obesity Indices and Obesity-Related Quality of Life in Adults 65 Years and Older

65세 이상의 노인에서 체질량지수와 비만 관련 삶의 질의 연관성: 서울 2개 노인복지관을 이용하는 노인을 대상으로

  • Chae, Kyu-Hee (365mc Obesity Clinic) ;
  • Won, Chang-Won (Department of Family Medicine, Kyung Hee University College of Medicine) ;
  • Choi, Hyun-Rim (Department of Family Medicine, Kyung Hee University College of Medicine) ;
  • Kim, Byung-Sung (Department of Family Medicine, Kyung Hee University College of Medicine)
  • 채규희 (365mc 비만클리닉) ;
  • 원장원 (경희대학교 의과대학 가정의학교실) ;
  • 최현림 (경희대학교 의과대학 가정의학교실) ;
  • 김병성 (경희대학교 의과대학 가정의학교실)
  • Received : 2004.08.31
  • Accepted : 2010.06.15
  • Published : 2010.07.20
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Abstract

Background: Obesity is known to influence on physical, mental, functional health problems but there have been no study of relationship between body mass index (BMI) and quality of life (QOL) in Korean elderly. Methods: A total of 216 elderly who had been attending two geriatric welfare facilities in Seoul answered the Korean version of obesity-related quality of life (KOQOL) questionnaire. Height, weight, waist circumference were measured. Body fat (%) was measured with HTM20 by impedance technique. Sociodemographic and medical factors were interviewed. QOL was assessed using KOQOL (ver.1) after excluding two sexual life related questions and one work related question. The total score is 48 points. The higher is the score, the poorer is the QOL. Results: In multivariable analysis, BMI, age, history of diabetes mellitus, history of osteoarthritis were associated with KOQOL score. Especially, BMI was significantly associated with KOQOL score after adjusting for waist circumference, body fat (%) (P = 0.002). Conclusion: The more BMI increases, the worse the obesity related QOL is in Korean ambulatory elderly.

연구배경: 비만환자는 신체적, 정신적, 기능적 건강 문제가 흔하며 삶의 질이 낮다고 알려져 있으나 한국에서 노인을 대상으로 비만도 지수와 삶의 질의 연관성에 대한 연구결과가 발표된 바 없다. 이에 저자들은 만 65세 이상의 노인을 대상으로 비만도 지수와 삶의 질에 대해 한국형 비만 관련 삶의 질 측정 도구를 이용하여 조사하고자 하였다. 방법: 서울시에 있는 두 곳의 노인복지관을 이용하는 만 65세 이상의 노인 216명을 대상으로 키와 몸무게, 체지방률, 허리둘레를 측정하였으며 흡연, 음주량, 교육정도, 동거가족의 유무, 용돈, 당뇨, 고혈압, 퇴행성관절염 등의 만성 질환의 유무와 삶 의 질에 대해 개별적으로 설문조사를 시행하였다. 삶의 질에 대해서는 총 15문항으로 구성된 한국형 비만 관련 삶의 질 측정도구(KOQOL) 제1판을 이용하였으며, 그 중 노인에게 적합하지 않다고 판단된 성생활 관련 2개 문항과 직장 및 가사업무 관련 1개 문항은 제외한 후 조사하였다. 결과: 다변량분석에서 비만관련 삶의 질은 체질량이 증가할수록, 연령이 증가할수록, 당뇨병이나 골관절염이 있을수록 감소하였다(P<0.05). 특히, 체질량지수는 교육정도, 당뇨병 유무, 퇴행성 관절 유무뿐 아니라 허리둘레, 체지방 등을 통제하고도 '비만관련 삶의 질'과 유의한 상관관계를 보였다(P=0.002). 결론: 65세 이상의 노인에서 체질량지수가 증가할수록 '비만 관련 삶의 질'은 감소하였다.

Keywords

References

  1. World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO consultation on obesity. Geneva: World Health Organization; 1998.
  2. Must A, Spadano J, Coakley EH, Field AE, Colditz G, Dietz WH. The disease burden associated with overweight and obesity. JAMA 1999;282:1523-9. https://doi.org/10.1001/jama.282.16.1523
  3. Saracci R. The World Health Organisation needs to reconsider its denition of health. BMJ 1997;314:1409-10. https://doi.org/10.1136/bmj.314.7091.1409
  4. Testa MA, Simonson DC. Assesment of quality-of-life outcomes. N Engl J Med 1996;334:835-40. https://doi.org/10.1056/NEJM199603283341306
  5. Doll HA, Petersen SE, Stewart-Brown SL. Obesity and physical and emotional well-being: associations between body mass index, chronic illness, and the physical and mental components of the SF-36 questionnaire. Obes Res 2000;8:160-70. https://doi.org/10.1038/oby.2000.17
  6. Le Pen C, Levy E, Loos F, Banzet MN, Basdevant A. "Specic" scale compared with "generic" scale: a double measurement of the quality of life in a French community sample of obese subjects. J Epidemiol Community Health 1998;52:445-50. https://doi.org/10.1136/jech.52.7.445
  7. Groessl EJ, Kaplan RM, Barrett-Connor E, Ganiats TG. Body mass index and quality of well-being in a community of older adults. Am J Prev Med 2004;26:126-9. https://doi.org/10.1016/j.amepre.2003.10.007
  8. Yan LL, Daviglus ML, Liu K, Pirzada A, Garside DB, Schiffer L, et al. BMI and health-related quality of life in adults 65 years and older. Obes Res 2004;12:69-76. https://doi.org/10.1038/oby.2004.10
  9. Park YW, Shin HC, Kim CH. Health-related quality of life in people with overweigh and large waist circumference. J Korean Acad Fam Med 2000;21:753-61.
  10. Park HS, Sun WS, Ou SW, Lee KY, Kim BS, Han JH, et al. Development of Korean version of obesity-related quality of life scale. J Korean Soc Study Obes 2003;12:280-92.
  11. Lopez-Garcia E, Banegas Banegas JR, Gutierrez-Fisac JL, Perez- Regadera AG, Ganan LD, Rodriguez-Artalejo F. Relation between body weight and health-related quality of life among the elderly in Spain. Int J Obes Relat Metab Disord 2003;27:701-9. https://doi.org/10.1038/sj.ijo.0802275
  12. Dhaliwal SS, Welborn TA. Central obesity and multivariable cardiovascular risk as assessed by the Framingham prediction scores. Am J Cardiol 2009;103:1403-7. https://doi.org/10.1016/j.amjcard.2008.12.048
  13. Sternfeld B, Ngo L, Satariano WA, Tager IB. Associations of body composition with physical performance and self-reported functional limitation in elderly men and women. Am J Epidemiol 2002;156:110-21. https://doi.org/10.1093/aje/kwf023
  14. Kushner RF, Kunigk A, Alspaugh M, Andronis PT, Leitch CA, Schoeller DA. Validation of bioelectrical-impedance analysis as a measurement of change in body composition in obesity. Am J Clin Nutr 1990;52:219-23. https://doi.org/10.1093/ajcn/52.2.219

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