Applied Research in Quality of Life

, Volume 7, Issue 3, pp 309–322 | Cite as

Examining the Association Between Body Mass Index and Weight Related Quality of Life in Black and White Women

  • Tiffany L. Cox
  • Jamy D. Ard
  • T. Mark Beasley
  • Jose R. Fernandez
  • Virginia J. Howard
  • Ronnete L. Kolotkin
  • Ross D. Crosby
  • Olivia Affuso
Article

Abstract

Obesity not only increases risk for morbidity/mortality, but also impacts the quality of life of obese individuals. In the United States, black women have the highest prevalence of obesity of any other group with approximately 80% of black women over age 20 having a body mass index (BMI) ≥ 25 kg/m2. We aimed to examine the association between BMI and quality of life in this high risk population compared to this association in white women, using the Impact of Weight on Quality of Life (IWQOL)-Lite questionnaire. Data from 172 black women (mean BMI = 35.7; age = 40.5) and 171 white women (mean BMI = 35.5; age = 40.4) were collected between 2000 and 2010 analyzed in 2010. The mean IWQOL-Lite total score was 81.6 for black women compared to 66.9 for white women, a statistically significant difference. Hierarchical linear regression models revealed a significant BMI-by-race interaction indicating that the relationship between BMI and IWQOL-Lite score was moderated by race. Our findings suggest notable differences in weight-related quality of life in black and white women. At similar BMIs, black women consistently reported better quality of life than white women on all IWQOL-Lite subscales. The greatest difference in IWQOL-Lite scores between black and white women was seen in the self-esteem subscale. Additional research is needed to understand how to incorporate the weight perspectives of black women into weight management messages and interventions.

Keywords

Quality of life Women Black Weight 

References

  1. Altabe, M. (1998). Ethnicity and body image: quantitative and qualitative analysis. International Journal of Eating Disorders, 23(2), 153–159.CrossRefGoogle Scholar
  2. Averett, S., & Korenman, S. (1999). Black-white differences in social and economic consequences of obesity. International Journal of Obesity, 23(2), 166–173.CrossRefGoogle Scholar
  3. Baskin, M. L., Ard, J., Franklin, F., & Allison, D. B. (2005). Prevalence of obesity in the United States. Obesity Reviews, 6, 5–7.CrossRefGoogle Scholar
  4. Baturka, N., Hornsby, P. P., & Schorling, J. N. (2000). Clinical implications of body image among rural African American women. Journal of General Internal Medicine, 15, 235–241.CrossRefGoogle Scholar
  5. Bhuiyan, A. R., Gustat, J. R. S. S., & Berenson, G. S. (2003). Differences in body shape representations among young adults from a biracial (black-white), semirural community: the Bogalusa Heart Study. American Journal of Epidemiology, 158, 792–797.CrossRefGoogle Scholar
  6. Coakley, E. H., Kawachi, I., Manson, J. E., Speizer, F. E., Willett, W. C., & Colditz, G. A. (1998). Lower levels of physical functioning are associated with higher body weight among middle-aged and older women. International Journal of Obesity and Related Metabolic Disorders, 22(10), 958–965.CrossRefGoogle Scholar
  7. Colditz, G. A., Willett, W. C., Stampfer, M. J., Manson, J. E., Hennekens, C. H., Arky, R. A., et al. (1990). Weight as a risk factor for clinical diabetes in women. American Journal of Epidemiology, 132, 501–513.Google Scholar
  8. Cox, T., Zunker, C., Wingo, B., Thomas, D., & Ard, J. (2010). Body image and quality of life in a group of African American women. Social Indicators Research, 99, 531–540.CrossRefGoogle Scholar
  9. Cox, T. L., Ard, J. D., Beasley, T. M., Fernandez, J. R., Howard, V. J., & Affuso, O. (2011). Body image as a mediator of the relationship between body mass index and weight-related quality of life in black women. Journal of Womens Health, 20(10).Google Scholar
  10. Derenne, J. L., & Beresin, E. V. (2006). Body image, media, and eating disorders. Academic Psychiatry, 30, 257–261.CrossRefGoogle Scholar
  11. Field, A. E., Coakley, E. H., Must, A., Spadano, J. L., Laird, N., Dietz, W., et al. (2001). Impact of overweight on the risk of developing common chronic diseases during a 10-year period. Archives of Internal Medicine, 161, 1581–1586.CrossRefGoogle Scholar
  12. Finkelstein, E. A., Fiebelkorn, I. C., & Wang, G. (2004). State-level estimates of annual medical expenditures attributable to obesity. Obesity Research, 12, 18–24.CrossRefGoogle Scholar
  13. Fitzgibbon, M. L., & Stolley, M. R. (1993). Obese people who seek treatment have different characteristics than those who do not seek treatment. Health Psychology, 12, 342–345.CrossRefGoogle Scholar
  14. Fitzgibbon, M. L., Blackman, L. F., & Avellone, M. E. (2000). The relationship between body image discrepancy and body mass index across ethnic groups. Obesity Research, 8(8), 582–589.CrossRefGoogle Scholar
  15. Flegal, K. M., Carrol, M. D., Ogden, C. L., & Johnson, C. C. (2002). Prevalence and trends in obesity among US adults, 1999–2000. Journal of the American Medical Association, 288, 1723–1727.CrossRefGoogle Scholar
  16. Flegal, K. M., Carrol, M. D., Ogden, C. L., & Curtin, L. R. (2010). Prevalence and trends in obesity among US adults, 1999–2008. Journal of the American Medical Association, 303(3), 235–241.CrossRefGoogle Scholar
  17. Fontaine, K. R., & Barofsky, I. (2001). Obesity and health-related quality of life. Obesity Reviews, 2(3), 173–182.CrossRefGoogle Scholar
  18. Fontaine, K. R., & Bartlett, S. J. (1998). Estimating health-related quality of life in obese individuals. Disease Management Health Outcomes, 3, 61–70.CrossRefGoogle Scholar
  19. Gluck, M. E., & Geliebter, A. (2002). Racial/ethnic differences in body image and eating behaviors. Eating Behaviors, 3, 143–151.CrossRefGoogle Scholar
  20. Hebl, M. R., & Heatherton, T. F. (1998). The stigma of obesity in women: the difference is black and white. Personality and Social Psychology Bulletin, 24(4), 417–426.CrossRefGoogle Scholar
  21. Kemper, K. A., Sargent, R. G., Drane, J. W., Valois, R. F., & Hussey, J. R. (1994). Black and white females' perceptions of ideal body size and social norms. Obesity Research, 2(2), 117–126.Google Scholar
  22. Kleges, R. C., DeBon, M., & Meyers, A. W. Obesity in black women: Epidemiology, determinants, and treatment issues In J. K. Thompson (Ed.), Body image, eating disorders and obesity: An integrative guide for assessment and treatment (pp. 461–477). Washington DC: American Psychological Association.Google Scholar
  23. Kolotkin, R. L., & Crosby, R. D. (2002). Psychometric evaluation of the Impact of Weight on Quality of Life-Lite (IWQOL-Lite) in a community sample. Quality of Life Research, 11(2), 157–171.CrossRefGoogle Scholar
  24. Kolotkin, R. L., & Crosby, R. D. (2008). Manual for the Impact of Weight on Quality of Life Measure (IWQOL and IWQOL-Lite). Durham: Obesity and Quality of Life Consulting.Google Scholar
  25. Kolotkin, R. L., Crosby, R. D., Kosloski, K. D., & Williams, G. R. (2001). Development of a brief measure to assess quality of life and obesity. Obesity Research, 9(2), 102–112.CrossRefGoogle Scholar
  26. Kolotkin, R. L., Crosby, R. D., & Williams, G. R. (2002). Health-related quality of life varies among obese subgroups. Obesity Research, 10, 748–756.CrossRefGoogle Scholar
  27. Kumanyika, S. K., Wilson, J. F., & Guilford-Davenport, M. (1993). Weight-related attitudes and behaviors of black women. Journal of the American Dietetics Association, 93, 416–422.CrossRefGoogle Scholar
  28. Lynch, E., Liu, K., Spring, B., Hankinson, A., Wei, G., & Greenland, P. (2007). Association of ethnicity and socioeconomic status with judgements of body size: the Coronary Artery Risk Development in Young Adults (CARDIA) study. American Journal of Epidemiology, 165(9), 1055–1062.CrossRefGoogle Scholar
  29. Ogden, C., Curtin, L., McDowell, M., Tabak, C., & Flegal, K. (2006). Prevalence of overweight and obesity in the United States, 1999–2004. Journal of the American Medical Association, 295, 1549–1555.CrossRefGoogle Scholar
  30. Paeratakul, S., White, M. A., Williamson, D. A., Ryan, D. H., & Bray, G. A. (2002). Sex, race/ethnicity, socioeconomic status, and BMI in relation to self-perception of overweight. Obesity Research, 10(5), 345–350.CrossRefGoogle Scholar
  31. Pan, L., Galuska, D. A., Sherry, B., Hunter, A. S., Rutledge, G. E., Dietz, W. H., et al. (2009). Differences in prevalence of obesity among black, white, and Hispanic adults-United States, 2006–2008. Morbidity and Mortality Weekly Report, 8(27), 740–744.Google Scholar
  32. Perez, M., & Warren, C. S. (2011). The relationship between quality of life, binge-eating disorder, and obesity status in an ethnically diverse sample. Obesity. doi:10.1038/oby.2011.89.10.1038/oby.2011.89.
  33. Schooler, D., Ward, M., Merriwether, A., & Caruthers, A. (2004). Who's that girl: television's role in the body image development of young white and black women. Psychology of Women Quarterly, 28, 38–47.CrossRefGoogle Scholar
  34. Striegel-Moore, R. H., Wilfley, D. E., Caldwell, M. B., Needham, M. L., & Brownell, K. D. (1996). Weight-related attitudes and behaviors of women who diet to lose weight: a comparison of black dieters and white dieters. Obesity Research, 4, 109–116.Google Scholar
  35. Testa, M. A., & Simonson, D. C. (1996). Assessment of quality of life outcomes. The New England Journal of Medicine, 334, 833–840.CrossRefGoogle Scholar
  36. Thesander, M. (1997). The feminine ideal. London: Reaktion Books.Google Scholar
  37. Wang, Y., Beydoun, M. A., Liang, L., Caballero, B., & Kumanyika, S. K. (2008). Will all Americans become overweight or obese? Estimating the progression and cost of the US obesity epidemic. Obesity, 16(10), 2323–2330.CrossRefGoogle Scholar
  38. White, M. A., O’Neil, P. M., Kolotkin, R. L., & Byrne, T. K. (2004). Gender, race, and obesity-related quality of life at extreme levels of obesity. Obesity Research, 10, 748–756.Google Scholar
  39. Winer, B. J. (1971). Statistical principles in experimental design (2nd ed.). New York: McGraw-Hill.Google Scholar

Copyright information

© Springer Science+Business Media B.V./The International Society for Quality-of-Life Studies (ISQOLS) 2011

Authors and Affiliations

  • Tiffany L. Cox
    • 1
  • Jamy D. Ard
    • 2
  • T. Mark Beasley
    • 3
  • Jose R. Fernandez
    • 2
  • Virginia J. Howard
    • 4
  • Ronnete L. Kolotkin
    • 5
    • 6
  • Ross D. Crosby
    • 7
    • 8
  • Olivia Affuso
    • 4
  1. 1.Department of Health Education and Health BehaviorUniversity of Arkansas for Medical SciencesLittle RockUSA
  2. 2.Department of Nutrition SciencesUniversity of Alabama at BirminghamBirminghamUSA
  3. 3.Department of BiostatisticsUniversity of Alabama at BirminghamBirminghamUSA
  4. 4.Department of EpidemiologyUniversity of Alabama at BirminghamBirminghamUSA
  5. 5.Obesity and Quality of Life ConsultingDurhamUSA
  6. 6.Department of Community and Family MedicineDuke University Medical CenterDurhamUSA
  7. 7.Neuropsychiatric Research InstituteFargoUSA
  8. 8.Department of Clinical NeuroscienceUniversity of North Dakota School of Medicine and Health SciencesFargoUSA

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