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The Effect of Physical Activity and High Body Mass Index on Health-Related Quality of Life in Individuals with Metabolic Syndrome

Author

Listed:
  • Alba Marcos-Delgado

    (Institute of Biomedicine (IBIOMED), University of León, 24071 León, Spain)

  • Tania Fernández-Villa

    (Institute of Biomedicine (IBIOMED), University of León, 24071 León, Spain)

  • Miguel Ángel Martínez-González

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Department of Preventive Medicine and Public Health, IdiSNA, University of Navarra, 31008 Pamplona, Spain
    Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA)

  • Jordi Salas-Salvadó

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Departament de Bioquímica i Biotecnologia, Unitat de Nutrició, Universitat Rovira i Virgili, 43201 Reus, Spain
    Nutrition Unit, University Hospital of Sant Joan de Reus, 43204 Reus, Spain
    Institut d’Investigació Sanitària Pere Virgili (IISPV), 43204 Reus, Spain)

  • Dolores Corella

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Department of Preventive Medicine, University of Valencia, 46010 Valencia, Spain)

  • Olga Castañer

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Unit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de Investigaciones Médicas Municipal d’Investigació Médica (IMIM), 08003 Barcelona, Spain)

  • J. Alfredo Martínez

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Department of Nutrition, Food Sciences, and Physiology, Center for Nutrition Research, University of Navarra, 31009 Pamplona, Spain
    Precision Nutrition and Cardiometabolic Health Program, IMDEA Food, CEI UAM + CSIC, 28049 Madrid, Spain)

  • Ángel M. Alonso-Gómez

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Bioaraba Health Research Institute, Cardiovascular, Respiratory and Metabolic Area, Osakidetza Basque Health Service, Araba University Hospital, University of the Basque Country UPV/EHU, 48940 Vitoria-Gasteiz, Spain)

  • Julia Wärnberg

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Department of Nursing, Institute of Biomedical Research in Malaga (IBIMA), University of Málaga, 29010 Málaga, Spain)

  • Jesús Vioque

    (CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, 28029 Madrid, Spain
    Instituto de Investigación Sanitaria y Biomédica de Alicante, ISABIAL, 03010 Alicante, Spain)

  • Dora Romaguera

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Health Research Institute of the Balearic Islands (IdISBa), University Hospital Son Espases, 07120 Palma de Mallorca, Spain)

  • José López-Miranda

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, 14004 Cordoba, Spain)

  • Ramon Estruch

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Department of Internal Medicine, Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, 08036 Barcelona, Spain)

  • Francisco J Tinahones

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Virgen de la Victoria Hospital, Department of Endocrinology, Instituto de Investigación Biomédica de Málaga (IBIMA), University of Málaga, 29010 Málaga, Spain)

  • José Lapetra

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Department of Family Medicine, Research Unit, Distrito Sanitario Atención Primaria Sevilla, 29009 Sevilla, Spain)

  • J. LLuís Serra-Majem

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria & Centro Hospitalario Universitario Insular Materno Infantil (CHUIMI), Canarian Health Service, 35016 Las Palmas de Gran Canaria, Spain)

  • Laura García-Molina

    (CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, 28029 Madrid, Spain
    Department of Preventive Medicine and Public Health, University of Granada, 18010 Granada, Spain)

  • Josep A. Tur

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Health Research Institute of the Balearic Islands (IdISBa), University Hospital Son Espases, 07120 Palma de Mallorca, Spain
    Research Group on Community Nutrition & Oxidative Stress, University of Balearic Islands, 07122 Palma de Mallorca, Spain)

  • José Antonio de Paz

    (Institute of Biomedicine (IBIOMED), University of León, 24071 León, Spain)

  • Xavier Pintó

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, 08907 Barcelona, Spain)

  • Miguel Delgado-Rodríguez

    (Nutritional Genomics and Epigenomics Group, IMDEA Food, CEI UAM + CSIC, 28049 Madrid, Spain
    Division of Preventive Medicine, Faculty of Medicine, University of Jaén, 23071 Jaén, Spain)

  • Pilar Matía-Martín

    (Department of Endocrinology and Nutrition, Instituto de Investigación Sanitaria Hospital Clínico San Carlos (IdISSC), 28040 Madrid, Spain)

  • Josep Vidal

    (CIBER Diabetes y Enfermedades Metabólicas (CIBERDEM), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain
    Department of Endocrinology, Institut d’Investigacions Biomédiques August Pi Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, 08036 Barcelona, Spain)

  • Clotilde Vázquez

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Department of Endocrinology and Nutrition, Hospital Fundación Jimenez Díaz, Instituto de Investigaciones Biomédicas IISFJD, University Autonoma, 28040 Madrid, Spain)

  • Lidia Daimiel

    (Nutritional Control of the Epigenome Group, Precision Nutrition and Obesity Program, IMDEA Food, CEI UAM + CSIC, 28049 Madrid, Spain)

  • Emilio Ros

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Lipid Clinic, Department of Endocrinology and Nutrition, Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clínic, 08036 Barcelona, Spain)

  • Nancy Babio

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Departament de Bioquímica i Biotecnologia, Unitat de Nutrició, Universitat Rovira i Virgili, 43201 Reus, Spain
    Institut d’Investigació Sanitària Pere Virgili (IISPV), 43204 Reus, Spain)

  • Ignacio M Gimenez-Alba

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Department of Preventive Medicine, University of Valencia, 46010 Valencia, Spain)

  • Estefanía Toledo

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Department of Preventive Medicine and Public Health, IdiSNA, University of Navarra, 31008 Pamplona, Spain)

  • María Dolores Zomeño

    (Unit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de Investigaciones Médicas Municipal d’Investigació Médica (IMIM), 08003 Barcelona, Spain)

  • M. A. Zulet

    (Department of Nutrition, Food Sciences, and Physiology, Center for Nutrition Research, University of Navarra, 31009 Pamplona, Spain)

  • Jessica Vaquero-Luna

    (Bioaraba Health Research Institute, Cardiovascular, Respiratory and Metabolic Area, Osakidetza Basque Health Service, Araba University Hospital, University of the Basque Country UPV/EHU, 48940 Vitoria-Gasteiz, Spain)

  • Jessica Pérez-López

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Department of Nursing, Institute of Biomedical Research in Malaga (IBIMA), University of Málaga, 29010 Málaga, Spain)

  • Ana Pastor-Morel

    (Centro de Salud Cabo Huertas, 03540 Alicante, Spain)

  • Aina M Galmes-Panades

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Health Research Institute of the Balearic Islands (IdISBa), University Hospital Son Espases, 07120 Palma de Mallorca, Spain)

  • Antonio García-Rios

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, 14004 Cordoba, Spain)

  • Rosa Casas

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Department of Internal Medicine, Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, 08036 Barcelona, Spain)

  • María Rosa Bernal-López

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Departament of Internal Medicine, Regional University Hospital of Malaga, Instituto de Investigación Biomédica de Málaga (IBIMA), 29010 Málaga, Spain)

  • José Manuel Santos-Lozano

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Department of Family Medicine, Research Unit, Distrito Sanitario Atención Primaria Sevilla, 29009 Sevilla, Spain)

  • Nerea Becerra-Tomás

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Departament de Bioquímica i Biotecnologia, Unitat de Nutrició, Universitat Rovira i Virgili, 43201 Reus, Spain
    Institut d’Investigació Sanitària Pere Virgili (IISPV), 43204 Reus, Spain
    Department of Preventive Medicine, University of Valencia, 46010 Valencia, Spain)

  • Carolina Ortega-Azorin

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Department of Preventive Medicine, University of Valencia, 46010 Valencia, Spain)

  • Zenaida Vázquez-Ruiz

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Department of Preventive Medicine and Public Health, IdiSNA, University of Navarra, 31008 Pamplona, Spain)

  • Karla Alejandra Pérez-Vega

    (Unit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de Investigaciones Médicas Municipal d’Investigació Médica (IMIM), 08003 Barcelona, Spain)

  • Itziar Abete

    (Department of Nutrition, Food Sciences, and Physiology, Center for Nutrition Research, University of Navarra, 31009 Pamplona, Spain)

  • Carolina Sorto-Sánchez

    (Bioaraba Health Research Institute, Cardiovascular, Respiratory and Metabolic Area, Osakidetza Basque Health Service, Araba University Hospital, University of the Basque Country UPV/EHU, 48940 Vitoria-Gasteiz, Spain)

  • Antoni Palau-Galindo

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain
    Departament de Bioquímica i Biotecnologia, Unitat de Nutrició, Universitat Rovira i Virgili, 43201 Reus, Spain
    Institut d’Investigació Sanitària Pere Virgili (IISPV), 43204 Reus, Spain)

  • Iñigo Galilea-Zabalza

    (Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28040 Madrid, Spain)

  • Júlia Muñoz-Martínez

    (Unit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de Investigaciones Médicas Municipal d’Investigació Médica (IMIM), 08003 Barcelona, Spain)

  • Vicente Martín

    (Institute of Biomedicine (IBIOMED), University of León, 24071 León, Spain
    CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, 28029 Madrid, Spain
    PREDIMED-Plus study investigators.)

Abstract

The main objective of this study was to examine the relationship between the level of physical activity (PA) and the degree of obesity with health-related quality of life (HRQoL) in individuals with metabolic syndrome (MetS) who participated in the Predimed-Plus study. A total of 6875 subjects between 55 and 75 years of age with MetS were selected and randomized in 23 Spanish centers. Subjects were classified according to categories of body mass index (BMI). PA was measured with the validated Registre Gironí del Cor (REGICOR) questionnaire and subjects were classified according to their PA level (light, moderate, vigorous) and the HRQoL was measured with the validated short-form 36 (SF-36) questionnaire. By using the ANOVA model, we found a positive and statistically significant association between the level of PA and the HRQoL (aggregated physical and mental dimensions p < 0.001), but a negative association with higher BMI in aggregated physical dimensions p < 0.001. Furthermore, women obtained lower scores compared with men, more five points in all fields of SF-36. Therefore, it is essential to promote PA and body weight control from primary care consultations to improve HRQoL, paying special attention to the differences that sex incurs.

Suggested Citation

  • Alba Marcos-Delgado & Tania Fernández-Villa & Miguel Ángel Martínez-González & Jordi Salas-Salvadó & Dolores Corella & Olga Castañer & J. Alfredo Martínez & Ángel M. Alonso-Gómez & Julia Wärnberg & Je, 2020. "The Effect of Physical Activity and High Body Mass Index on Health-Related Quality of Life in Individuals with Metabolic Syndrome," IJERPH, MDPI, vol. 17(10), pages 1-19, May.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:10:p:3728-:d:362619
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    References listed on IDEAS

    as
    1. Gillison, Fiona Bridget & Skevington, Suzanne M. & Sato, Ayana & Standage, Martyn & Evangelidou, Stella, 2009. "The effects of exercise interventions on quality of life in clinical and healthy populations; a meta-analysis," Social Science & Medicine, Elsevier, vol. 68(9), pages 1700-1710, May.
    2. Mikyung Ryu & Sol Lee & Ho Kim & Weon-Chil Baek & Heejin Kimm, 2020. "Effect of Aerobic Physical Activity on Health-Related Quality of Life in Middle Aged Women with Osteoarthritis: Korea National Health and Nutrition Examination Survey (2016–2017)," IJERPH, MDPI, vol. 17(2), pages 1-11, January.
    3. Luis Molina & Manuel Sarmiento & Judith Peñafiel & David Donaire & Judith Garcia-Aymerich & Miquel Gomez & Mireia Ble & Sonia Ruiz & Albert Frances & Helmut Schröder & Jaume Marrugat & Roberto Elosua, 2017. "Validation of the Regicor Short Physical Activity Questionnaire for the Adult Population," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-14, January.
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