Personal factors associated with health-related quality of life in persons with morbid obesity on treatment waiting lists in Norway
To explore relationships of socio-demographic variables, health behaviours, environmental characteristics and personal factors, with physical and mental health variables in persons with morbid obesity, and to compare their health-related quality of life (HRQoL) scores with scores from the general population.
A cross-sectional correlation study design was used. Data were collected by self-reported questionnaire from adult patients within the first 2 days of commencement of a mandatory educational course. Of 185 course attendees, 142 (76.8%) volunteered to participate in the study. Valid responses on all items were recorded for 128 participants. HRQoL was measured with the Short Form 12v2 from which physical (PCS) and mental component summary (MCS) scores were computed. Other standardized instruments measured regular physical activity, social support, self-esteem, sense of coherence, self-efficacy and coping style.
Respondents scored lower on all the HRQoL sub-domains compared with norms. Linear regression analyses showed that personal factors that included self-esteem, self-efficacy, sense of coherence and coping style explained 3.6% of the variance in PCS scores and 41.6% in MCS scores.
Personal factors such as self-esteem, sense of coherence and a high approaching coping style are strongly related to mental health in obese persons.
- World Health Organization. (2010). Global database on body mass index. World Health Organization 2010 January 1. Available from: URL: http://apps.who.int/bmi/index.jsp.
- Sturm, R. (2007). Increases in morbid obesity in the USA: 2000–2005. Public Health, 121, 492–496. CrossRef
- James, W. P. (1998). What are the health risks? The medical consequences of obesity and its health risks. Experimental and Clinical Endocrinology and Diabetes, 106(Suppl 2), 1–6.
- National Task Force on the Prevention, Treatment of Obesity. (2000). Overweight, obesity, and health risk. Archives of Internal Medicine, 160, 898–904. CrossRef
- Dixon, J. B. (2010). The effect of obesity on health outcomes. Molecular and Cellular Endocrinology, 316, 104–108. CrossRef
- Abiles, V., Rodriguez-Ruiz, S., Abiles, J., Mellado, C., Garcia, A., de la Perez, C. A., et al. (2010). Psychological characteristics of morbidly obese candidates for bariatric surgery. Obesity Surgery, 20, 161–167. CrossRef
- de Zwaan, M., Petersen, I., Kaerber, M., Burgmer, R., Nolting, B., Legenbauer, T., et al. (2009). Obesity and quality of life: A controlled study of normal-weight and obese individuals. Psychosomatics, 50, 474–482. CrossRef
- Andersen, J. R., Aasprang, A., Bergsholm, P., Sletteskog, N., Vage, V., & Natvig, G. K. (2009). Predictors for health-related quality of life in patients accepted for bariatric surgery. Surgery for Obesity and Related Diseases, 5, 329–333. CrossRef
- Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. Journal of the American Medical Association, 273, 59–65. CrossRef
- Fontaine, K. R., & Barofsky, I. (2001). Obesity and health-related quality of life. Obesity Reviews, 2, 173–182. CrossRef
- Loge, J. H., Kaasa, S., Hjermstad, M. J., & Kvien, T. K. (1998). Translation and performance of the Norwegian SF-36 Health Survey in patients with rheumatoid arthritis. I. Data quality, scaling assumptions, reliability, and construct validity. Journal of Clinical Epidemiology, 51, 1069–1076. CrossRef
- Ware, J. E., Kosinski, M. A., Turner-Bowker, D. M., & Gandek, B. (2005). How to score: Version 2 of the SF–12v2 Health Survey. Lincoln, RI: Quality Metric.
- Ware, J., Jr., Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220–233. CrossRef
- Holmen, J., Midthjell, K., Krüger, O., Langhammer, A., Holmen, T. L., Bratberg, G. H., et al. (2003). The Nord-Trondelag Health Study 1995–97 (HUNT 2): Objectives contents, methods and participation. Norsk Epidemiologi, 13, 19–32.
- Thorsen, L., Nystad, W., Stigum, H., Dahl, O., Klepp, O., Bremnes, R. M., et al. (2005). The association between self-reported physical activity and prevalence of depression and anxiety disorder in long-term survivors of testicular cancer and men in a general population sample. Supportive Care in Cancer, 13, 637–646. CrossRef
- Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
- Rosenberg, M. (1979). Conceiving the self. New York: Basic Books.
- Ystgaard, M. (1993). Sårbar ungdom og sosial støtte. Rapport nr. 1/93. Oslo, Norway: Senter for sosialt nettverk og helse.
- Tambs, K. (2004). Moderate effects of hearing loss on mental health and subjective well-being: Results from the Nord-Trondelag Hearing Loss Study. Psychosomatic Medicine, 66, 776–782. CrossRef
- Schwarzer, R., & Jerusalem, M. (1995). Generalized self-efficacy scale. In J. Weinman, S. Wright, & M. Johnston (Eds.), Measures in health psychology: A user’s portfolio (pp. 35–37). Winsor, UK: Nfer-Nelson.
- Antonovsky, A. (1987). Unravelling the mystery of health. San Francisco: Jossey-Bass.
- Eriksson, M., & Lindstrom, B. (2005). Validity of Antonovsky’s sense of coherence scale: A systematic review. Journal of Epidemiology and Community Health, 59, 460–466. CrossRef
- Finset, A., Steine, S., Haugli, L., Steen, E., & Laerum, E. (2002). The brief approach/avoidance coping questionnaire: Development and validation. Psychology, Health & Medicine, 7, 75–85. CrossRef
- Cronbach, L. J. (1990). Essentials of psychological testing (5th ed.). New York: Harper & Row.
- Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159. CrossRef
- Cohen, J. (1988). Statistical power analysis for the behavioural sciences (2nd ed.). Hillsdale NJ: Lawrence Earlbaum Associates.
- Martyn-Nemeth, P., Penckofer, S., Gulanick, M., Velsor-Friedrich, B., & Bryant, F. B. (2009). The relationships among self-esteem, stress, coping, eating behaviour, and depressive mood in adolescents. Research in Nursing and Health, 32, 96–109. CrossRef
- Kolotkin, R. L., Crosby, R. D., Kosloski, K. D., & Williams, G. R. (2001). Development of a brief measure to assess quality of life in obesity. Obesity Research, 9, 102–111. CrossRef
- Miller, C. T., & Downey, K. T. (1999). A meta-analysis of heavyweight and self-esteem. Personality and Social Psychology Review, 3, 68–84. CrossRef
- Crocker, J., & Wolfe, C. T. (2001). Contingencies of self-worth. Psychological Review, 108, 593–623. CrossRef
- Gordijn, E. H. (2010). When thinking that you are fat makes you feel worthless: Activation and applicaton of meta-stereopypes when appearance matter. Social Cognition, 28, 20–39. CrossRef
- Bandura, A. (2004). Health promotion by social cognitive means. Health Education and Behaviour, 31, 143–164. CrossRef
- von Gruenigen, V. E., Gibbons, H. E., Kavanagh, M. B., Janata, J. W., Lerner, E., & Courneya, K. S. (2009). A randomized trial of a lifestyle intervention in obese endometrial cancer survivors: Quality of life outcomes and mediators of behavior change. Health and Quality of Life Outcomes, 7, 17. CrossRef
- Gibbons, L. M., Sarwer, D. B., Crerand, C. E., Fabricatore, A. N., Kuehnel, R. H., Lipschutz, P. E., et al. (2006). Previous weight loss experiences of bariatric surgery candidates: How much have patients dieted prior to surgery? Obesity, 14(Suppl 2), 70S–76S. CrossRef
- Baumeister, R. F., & Scher, S. J. (1988). Self-defeating behavior patterns among normal individuals: Review and analysis of common self-destructive tendencies. Psychological Bulletin, 104, 3–22. CrossRef
- Swann, W. B., Jr., Chang-Schneider, C., & Larsen, M. K. (2007). Do people’s self-views matter? Self-concept and self-esteem in everyday life. American Psychologist, 62, 84–94. CrossRef
- Bandura, A. (1989). Human agency in social cognitive theory. American Psychologist, 44, 1175–1184. CrossRef
- Motzer, S. U., & Stewart, B. J. (1996). Sense of coherence as a predictor of quality of life in persons with coronary heart disease surviving cardiac arrest. Research in Nursing and Health, 19, 287–298. CrossRef
- von Lengerke, T., Janssen, C., & John, J. (2007). Sense of coherence, health locus of control, and quality of life in obese adults: Physical limitations and psychological normalcies. International Journal of Public Health, 52, 16–26. CrossRef
- Poppius, E., Tenkanen, L., Kalimo, R., & Heinsalmi, P. (1999). The sense of coherence, occupation and the risk of coronary heart disease in the Helsinki Heart Study. Social Science and Medicine, 49, 109–120. CrossRef
- Kattainen, E., Merilainen, P., & Sintonen, H. (2006). Sense of coherence and health-related quality of life among patients undergoing coronary artery bypass grafting or angioplasty. European Journal of Cardiovascular Nursing, 5, 21–30. CrossRef
- Larsson, G., & Kjellberg, K. O. (1996). Sense of coherence, socio-economic conditions and health. European Journal of Public Health, 6, 175–180. CrossRef
- Neovius, K., Johansson, K., Rossner, S., & Neovius, M. (2008). Disability pension, employment and obesity status: A systematic review. Obesity Reviews, 9, 572–581. CrossRef
- Andersen J. R., Aasprang, A., Bergsholm, P., Sletteskog, N., Vage, V., & Karin, N. G. (2010). Health-related quality of life and paid work participation after Duodenal Switch. Obesity Surgery, 20, 340–345.
- Larsson, U., Karlsson, J., & Sullivan, M. (2002). Impact of overweight and obesity on health-related quality of life—a Swedish population study. International Journal of Obesity and Related Metabolic Disorders, 26, 417–424. CrossRef
- Kolotkin, R. L., Meter, K., & Williams, G. R. (2001). Quality of life and obesity. Obesity Reviews, 2, 219–229. CrossRef
- Anandacoomarasamy, A., Caterson, I. D., Leibman, S., Smith, G. S., Sambrook, P. N., Fransen, M., et al. (2009). Influence of BMI on health-related quality of life: Comparison between an obese adult cohort and age-matched population norms. Obesity, 17, 2114–2118. CrossRef
- Dixon, J. B., Dixon, M. E., & O’Brien, P. E. (2001). Quality of life after lap-band placement: Influence of time, weight loss, and comorbidities. Obesity Research, 9, 713–721. CrossRef
- Moum, T. (1998). Mode of administration and interviewer effects in self-reported symptoms of anxiety and depression. Social Indicators Research, 45, 279–318. CrossRef
- Goldfield, G. S., Moore, C., Henderson, K., Buchholz, A., Obeid, N., & Flament, M. F. (2010). Body dissatisfaction, dietary restraint, depression, and weight status in adolescents. Journal of School Health, 80, 186–192. CrossRef
- Bowles, S. V., Picano, J., Epperly, T., & Myer, S. (2006). The LIFE program: A wellness approach to weight loss. Military Medicine, 171, 1089–1094.
- Thomas, S. L., Hyde, J., Karunaratne, A., Herbert, D., & Komesaroff, P. A. (2008). Being ‘fat’ in today’s world: A qualitative study of the lived experiences of people with obesity in Australia. Health Expectations, 11, 321–330. CrossRef
- Ciliska, D. (1998). Evaluation of two nondieting interventions for obese women. Western Journal of Nursing Research, 20, 119–135. CrossRef
- Personal factors associated with health-related quality of life in persons with morbid obesity on treatment waiting lists in Norway
- Open Access
- Available under Open Access This content is freely available online to anyone, anywhere at any time.
Quality of Life Research
Volume 20, Issue 8 , pp 1187-1196
- Cover Date
- Print ISSN
- Online ISSN
- Springer Netherlands
- Additional Links
- Health-related quality of life
- Personal factors
- Sense of coherence
- Patient education
- Industry Sectors
- Author Affiliations
- 1. Division of Medicine, Section of Gastroenterology, Oslo University Hospital, Aker, Trondheimsveien 235, 0514, Oslo, Norway
- 2. Centre for Clinical Nursing Research, Lovisenberg Deaconal University College, Oslo, Norway
- 3. Faculty of Nursing, Oslo University College, Oslo, Norway
- 4. Learning Resource Center, Oslo University Hospital, Aker, Oslo, Norway
- 5. Faculty of Health Sciences, Oslo University College, Oslo, Norway
- 6. Diakonhjemmet University College, Oslo, Norway
- 7. Buskerud University College, Drammen, Norway
- 8. Glitreklinikken, Hakadal, Norway
- 9. Institute of Health and Society, University of Oslo, Oslo, Norway