Employment Is Associated with the Health-Related Quality of Life of Morbidly Obese Persons
We aimed to investigate whether employment status was associated with health-related quality of life (HRQoL) in a population of morbidly obese subjects.
A total of 143 treatment-seeking morbidly obese patients completed the Medical Outcome Study 36-Item Short-Form Health Survey (SF-36) and the Obesity and Weight-Loss Quality of Life (OWLQOL) questionnaires. The former (SF-36) is a generic measure of physical and mental health status and the latter (OWLQOL) an obesity-specific measure of emotional status. Multiple linear regression analyses included various measures of the HRQoL as dependent variables and employment status, education, marital status, gender, age, body mass index (BMI), type 2 diabetes, hypertension, obstructive sleep apnea, and treatment choice as independent variables.
The patients (74% women, 56% employed) had a mean (SD, range) age of 44 (11, 19–66) years and a mean BMI of 44.3 (5.4) kg/m2. The employed patients reported significantly higher HRQoL scores within all eight subscales of SF-36, while the OWLQOL scores were comparable between the two groups. Multiple linear regression confirmed that employment was a strong independent predictor of HRQoL according to the SF-36. Based on part correlation coefficients, employment explained 16% of the variation in the physical and 9% in the mental component summaries of SF-36, while gender explained 22% of the variation in the OWLQOL scores.
Employment is associated with the physical and mental HRQoL of morbidly obese subjects, but is not associated with the emotional aspects of quality of life.
- Garratt, A, Schmidt, L, Mackintosh, A (2002) Quality of life measurement: bibliographic study of patient assessed health outcome measures. BMJ 324: pp. 1417 CrossRef
- Jia, H, Lubetkin, EI (2005) The impact of obesity on health-related quality-of-life in the general adult US population. J Public Health (Oxf) 27: pp. 156-164 CrossRef
- Sach, TH, Barton, GR, Doherty, M (2007) The relationship between body mass index and health-related quality of life: comparing the EQ-5D, EuroQol VAS and SF-6D. Int J Obes (Lond) 31: pp. 189-196 CrossRef
- O'Brien, PE, Dixon, JB, Laurie, C (2006) Treatment of mild to moderate obesity with laparoscopic adjustable gastric banding or an intensive medical program: a randomized trial. Ann Intern Med 144: pp. 625-633
- Choban, PS, Onyejekwe, J, Burge, JC (1999) A health status assessment of the impact of weight loss following Roux-en-Y gastric bypass for clinically severe obesity. J Am Coll Surg 188: pp. 491-497 CrossRef
- Andersen, JR, Aasprang, A, Bergsholm, P (2010) Anxiety and depression in association with morbid obesity: changes with improved physical health after duodenal switch. Health Qual Life Outcomes 8: pp. 52 CrossRef
- Rejeski, WJ, Lang, W, Neiberg, RH (2006) Correlates of health-related quality of life in overweight and obese adults with type 2 diabetes. Obesity (Silver Spring) 14: pp. 870-883 CrossRef
- Sendi, P, Brunotte, R, Potoczna, N (2005) Health-related quality of life in patients with class II and class III obesity. Obes Surg 15: pp. 1070-1076 CrossRef
- Duval, K, Marceau, P, Lescelleur, O (2006) Health-related quality of life in morbid obesity. Obes Surg 16: pp. 574-579 CrossRef
- Kolotkin, RL, Crosby, RD, Williams, GR (2002) Health-related quality of life varies among obese subgroups. Obes Res 10: pp. 748-756 CrossRef
- White, MA, O’Neil, PM, Kolotkin, RL (2004) Gender, race, and obesity-related quality of life at extreme levels of obesity. Obes Res 12: pp. 949-955 CrossRef
- Nunen, AM, Wouters, EJ, Vingerhoets, AJ (2007) The health-related quality of life of obese persons seeking or not seeking surgical or non-surgical treatment: a meta-analysis. Obes Surg 17: pp. 1357-1366 CrossRef
- Hofso, D, Ueland, T, Hager, H (2009) Inflammatory mediators in morbidly obese subjects; associations with glucose abnormalities and changes after oral glucose. Eur J Endocrinol 161: pp. 451-458 CrossRef
- Ware, JE, Kosinski, M (2001) SF-36 physical and mental health summary scales: a manual for users of version 1. Quality Metric Incorporated, Lincoln
- Ware, JE, Sherbourne, CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30: pp. 473-483 CrossRef
- Niero, M, Martin, M, Finger, T (2002) A new approach to multicultural item generation in the development of two obesity-specific measures: the obesity and weight loss quality of life (OWLQOL) questionnaire and the weight-related symptom measure (WRSM). Clin Ther 24: pp. 690-700 CrossRef
- Patrick, DL, Bushnell, DM, Rothman, M (2004) Performance of two self-report measures for evaluating obesity and weight loss. Obes Res 12: pp. 48-57 CrossRef
- Dingli, K, Coleman, EL, Vennelle, M (2003) Evaluation of a portable device for diagnosing the sleep apnoea/hypopnoea syndrome. Eur Respir J 21: pp. 253-259 CrossRef
- Andersen, LF, Solvoll, K, Johansson, LR (1999) Evaluation of a food frequency questionnaire with weighed records, fatty acids, and alpha-tocopherol in adipose tissue and serum. Am J Epidemiol 150: pp. 75-87
- Jiang, Y, Hesser, JE (2006) Associations between health-related quality of life and demographics and health risks. Results from Rhode Island's 2002 behavioral risk factor survey. Health Qual Life Outcomes 4: pp. 14 CrossRef
- Bernklev, T, Jahnsen, J, Henriksen, M (2006) Relationship between sick leave, unemployment, disability, and health-related quality of life in patients with inflammatory bowel disease. Inflamm Bowel Dis 12: pp. 402-412 CrossRef
- Social support and health-related quality of life among older adults—Missouri, 2000. Morb Mortal Wkly Rep 2005: pp. 433-437
- Sultan, S, Fisher, DA, Voils, CI (2004) Impact of functional support on health-related quality of life in patients with colorectal cancer. Cancer 101: pp. 2737-2743 CrossRef
- Fabricatore, AN, Wadden, TA (2003) Psychological functioning of obese individuals. Diabetes Spectr 16: pp. 245-252 CrossRef
- Statistics Norway. Workforce, Norway, Population aged 15–74 by labour force status (LFS) and sex. Per cent. http://www.ssb.no/english/subjects/06/01/aku_en/tab-2010-08-05-02-en.html. Access date: 9 Feb 2010.
- Kolotkin, RL, Crosby, RD, Pendleton, R (2003) Health-related quality of life in patients seeking gastric bypass surgery vs non-treatment-seeking controls. Obes Surg 13: pp. 371-377 CrossRef
- Steenland, K, Pinkerton, LE (2008) Mortality patterns following downsizing at pan american world airways. Am J Epidemiol 167: pp. 1-6 CrossRef
- Employment Is Associated with the Health-Related Quality of Life of Morbidly Obese Persons
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Volume 21, Issue 11 , pp 1704-1709
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- Health-related quality of life
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- Author Affiliations
- 1. Morbid Obesity Centre, Vestfold Hospital Trust, Boks 2168, 3103, Tønsberg, Norway
- 2. Evjeklinikken, 4735, Evje, Norway
- 3. Department of Psychosocial Health, Faculty of Health and Sports Sciences, University of Agder, Agder, Norway
- 4. Department of Biostatistics, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway