1. The Effect of Physical Activity and High Body Mass Index on Health-Related Quality of Life in Individuals with Metabolic Syndrome
- Author
-
J. Alfredo Martínez, Jordi Salas-Salvadó, J. LLuís Serra-Majem, Olga Castañer, Carolina Sorto-Sánchez, Josep Vidal, Tania Fernández-Villa, Rosa Casas, Francisco J. Tinahones, Jessica Vaquero-Luna, Miguel Ángel Martínez-González, Carolina Ortega-Azorín, Jose Lopez-Miranda, Miguel Delgado-Rodríguez, Karla Alejandra Pérez-Vega, Estefanía Toledo, Nerea Becerra-Tomás, Aina M. Galmes-Panades, Ramon Estruch, Dora Romaguera, Clotilde Vázquez, Antonio Garcia-Rios, Dolores Corella, José Lapetra, Ignacio M. Gimenez-Alba, Itziar Abete, Lidia Daimiel, Antoni Palau-Galindo, María Dolores Zomeño, José A. de Paz, Vicente Martín, Zenaida Vázquez-Ruiz, Josep A. Tur, Pilar Matía-Martín, Iñigo Galilea-Zabalza, Jessica Pérez-López, Xavier Pintó, Laura García-Molina, Alba Marcos-Delgado, Ángel M. Alonso-Gómez, Júlia Muñoz-Martínez, José Manuel Santos-Lozano, Julia Wärnberg, Jesús Vioque, María Rosa Bernal-López, Ana Pastor-Morel, M A Zulet, Nancy Babio, Emilio Ros, European Commission, Instituto de Salud Carlos III, European Research Council, Junta de Andalucía, Generalitat Valenciana, Generalitat de Catalunya, Ministerio de Ciencia, Innovación y Universidades (España), [Marcos-Delgado,A, Fernández-Villa,T, de Paz,A, Martín,V] Institute of Biomedicine (IBIOMED), University of León, León, Spain. [Martínez-González,MÁ, Salas-Salvadó,J, Corella,D, Castañer,O, Martínez,JA, Alonso-Gómez,ÁM, Wärnberg,J, Romaguera,D, López-Miranda,J, Estruch,R, Tinahones,FJ, Lapetra,J, Serra-Majem,JL, Tur,JA, Pintó,X, Vázquez,C, Ros,E, Babio,N, Gimenez-Alba,IM, Toledo,E, Pérez-López,J, Galmes-Panades,AM, García-Rios,A, Casas,R, Bernal-López,MR, Santos-Lozano,JM, Becerra-Tomás,N, Ortega-Azorín,C, Vázquez-Ruiz,Z, Palau-Galindo,A, Galilea-Zabala,I] Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición. [Martínez-González,MÁ, Vázquez-Ruiz,Z] Department of Preventive Medicine and Public Health, IdiSNA, University of Navarra, Pamplona, Spain. [Martínez-González,MÁ] Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA. [Salas-Salvadó,J, Palau-Galindo,A] Departament de Bioquímica i Biotecnologia, Unitat de Nutrició, Universitat Rovira i Virgili, Reus, Spain. [Salas-Salvadó,J] Nutrition Unit, University Hospital of Sant Joan de Reus, Reus, Spain. [Salas-Salvadó,J, Palau-Galindo,A] Institut d’Investigació Sanitària Pere Virgili (IISPV), Reus, Spain. [Corella,D, Ortega-Azorin,C] Department of Preventive Medicine, University of Valencia, Valencia, Spain. [Castañer,O, Zomeño,MD, Pérez-Vega,KA, Muñoz-Martínez,J] Unit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de Investigaciones Médicas Municipal d’Investigació Médica (IMIM), Barcelona, Spain. [Martínez,JA, Zulet,MA, Abete,I] Department of Nutrition, Food Sciences, and Physiology, Center for Nutrition Research, University of Navarra, Pamplona, Spain. [Martínez,JA] Precision Nutrition and Cardiometabolic Health Program, IMDEA Food, CEI UAM + CSIC, Madrid, Spain. [Alonso-Gómez,ÁM, Vaquero-Luna,J, Sorto-Sánchez,C] Bioaraba Health Research Institute, Cardiovascular, Respiratory and Metabolic Area, Osakidetza Basque Health Service, Araba University Hospital, University of the Basque Country UPV/EHU, Vitoria-Gasteiz, Spain. [Wärnberg,J, Pérez-López,J] Department of Nursing, Institute of Biomedical Research in Malaga (IBIMA), University of Málaga, Málaga, Spain. [Vioque,J, García-Molina,L, Martín,V] CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain. [Vioque,J] Instituto de Investigación Sanitaria y Biomédica de Alicante, ISABIAL, Alicante, Spain. [Romaguera,D, Galmes-Panades,AM] Health Research Institute of the Balearic Islands (IdISBa), University Hospital Son Espases, Palma de Mallorca, Spain. [López-Miranda,J, García-Rios,A] Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain. [Estruch,R, Casas,R] Department of Internal Medicine, Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, Barcelona, Spain. [Tinahones,FJ] Virgen de la Victoria Hospital, Department of Endocrinology, Instituto de Investigación Biomédica de Málaga (IBIMA), University of Málaga,Málaga, Spain. [Lapetra,J, Santos-Lozano,JM] Department of Family Medicine, Research Unit, Distrito Sanitario Atención Primaria Sevilla, Sevilla, Spain. [Serra-Majem,JL] 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, Las Palmas de Gran Canaria, Spain. [García-Molina,L] Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain. [Tur,JA] Research Group on Community Nutrition & Oxidative Stress, University of Balearic Islands, Palma de Mallorca, Spain. [Pintó,X] Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain. [Delgado-Rodríguez,M] Nutritional Genomics and Epigenomics Group, IMDEA Food, CEI UAM + CSIC, 28049 Madrid, Spain. [Delgado-Rodríguez,M] Division of Preventive Medicine, Faculty of Medicine, University of Jaén, Jaén, Spain. [Matía-Martín,P] Department of Endocrinology and Nutrition, Instituto de Investigación Sanitaria Hospital Clínico San Carlos (IdISSC), Madrid, Spain. [Vidal,J] CIBER Diabetes y Enfermedades Metabólicas (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Madrid, Spain. [Vidal,J] Department of Endocrinology, Institut d’Investigacions Biomédiques August Pi Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, Barcelona, Spain. [Vázquez,C] Department of Endocrinology and Nutrition, Hospital Fundación Jimenez Díaz, Instituto de Investigaciones Biomédicas IISFJD, University Autonoma, Madrid, Spain. [Daimiel,L] Nutritional Control of the Epigenome Group, Precision Nutrition and Obesity Program, IMDEA Food, CEI UAM + CSIC, Madrid, Spain. [Ros,E] Lipid Clinic, Department of Endocrinology and Nutrition, Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clínic, Barcelona, Spain. [Pastor-Morel,A] Centro de Salud Cabo Huertas, Alicante, Spain. [Bernal-López.MR] Departament of Internal Medicine, Regional University Hospital of Malaga, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain., The Predimed-Plus trial was supported by the Spanish government’s official funding agency for biomedical research, ISCIII, through the Fondo de Investigación para la Salud (FIS), which is co-funded by the European Regional Development Fund (three coordinated FIS projects led by Jordi Salas-Salvadó and Josep Vidal, including the following projects: PI13/00673, PI13/00492, PI13/00272, PI13/01123, PI13/00462, PI13/00233, PI13/02184, PI13/00728, PI13/01090, PI13/01056, PI14/01722, PI14/0147, PI14/00636, PI14/00972, PI14/00618, PI14/00696, PI14/01206, PI14/01919, PI14/00853, PI14/01374, PI16/00473, PI16/00662, PI16/01873, PI16/01094, PI16/00501, PI16/00533, PI16/00381, PI16/00366, PI16/01522, PI16/01120, PI17/00764, PI17/01183, PI17/00855, PI17/01347, PI17/00525, PI17/01827, PI17/00532, PI17/00215, PI17/01441, PI17/00508, PI17/01732, PI17/00926, PI19/00957, PI19/00386, PI19/00309, PI19/01032, PI19/00576, PI19/00017, PI19/01226, PI19/00781, PI19/01560, PI19/01,332), the Special Action Project entitled: Implementación y evaluación de una intervención intensiva sobre la actividad física Cohorte PREDIMED-PLUS grant to Jordi Salas-Salvadó, the European Research Council (Advanced Research Grant 2013–2018, 340918) grant to Miguel Ángel Martínez-Gonzalez, the Recercaixa grant to Jordi Salas-Salvadó (2013ACUP00194), grants from the Consejería de Salud de la Junta de Andalucía (PI0458/2013, PS0358/2016, PI0137/2018), the PROMETEO/2017/017 grant from the Generalitat Valenciana, the SEMERGEN grant and FEDER funds (CB06/03 and CB12/03), Olga Castaner is funded by the JR17/00,022 grant, ISCIII. Christopher Papandreou is supported by a postdoctoral fellowship granted by the Autonomous Government of Catalonia (PERIS 2016–2020 Incorporació de Científics i Tecnòlegs, SLT002/0016/00,428). María Rosa Bernal-Lopez was supported by 'Miguel Servet Type I' program (CP15/00028) from the ISCIII-Madrid (Spain), cofinanced by the Fondo Europeo de Desarrollo Regional-FEDER, Ignacio M.Giménez-Alba is supported by a FPU predoctoral contract (reference FPU18/01703) from the Ministerio de Ciencia, Innovación y Universidades, Spain., and European Commision
- Subjects
Síndrome metabólico ,Male ,Síndrome metabòlica ,obesity ,Calidad de vida ,Health, Toxicology and Mutagenesis ,humanos ,Obesidad ,lcsh:Medicine ,physical activity ,ejercicio físico ,Índice de masa corporal ,Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] ,0302 clinical medicine ,Quality of life ,Medicine ,030212 general & internal medicine ,mediana edad ,Persons::Persons::Age Groups::Adult::Aged [Medical Subject Headings] ,2. Zero hunger ,Metabolic Syndrome ,anciano ,Middle Aged ,Ejercicio físico ,Health Care::Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Care [Medical Subject Headings] ,3. Good health ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cross-Sectional Studies [Medical Subject Headings] ,health-related quality of life ,Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Quality of Life [Medical Subject Headings] ,Obesitat ,Female ,Analysis of variance ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Anthropometry::Body Weights and Measures::Body Mass Index [Medical Subject Headings] ,Diseases::Nutritional and Metabolic Diseases::Metabolic Diseases::Glucose Metabolism Disorders::Hyperinsulinism::Insulin Resistance::Metabolic Syndrome X [Medical Subject Headings] ,Physical activity ,Check Tags::Male [Medical Subject Headings] ,Dietética y nutrición ,030209 endocrinology & metabolism ,body mass index ,Health Care::Health Services Administration::Organization and Administration::Professional Practice::Referral and Consultation [Medical Subject Headings] ,Article ,metabolic syndrome ,03 medical and health sciences ,Humans ,High body mass index ,Exercise ,Aged ,Geographical Locations::Geographic Locations::Europe::Spain [Medical Subject Headings] ,Health related quality of life ,business.industry ,índice de masa corporal ,lcsh:R ,Public Health, Environmental and Occupational Health ,Persons::Persons::Age Groups::Adult::Middle Aged [Medical Subject Headings] ,Physical fitness ,medicine.disease ,Obesity ,Diseases::Nutritional and Metabolic Diseases::Nutrition Disorders::Overnutrition::Obesity [Medical Subject Headings] ,Cross-Sectional Studies ,Check Tags::Female [Medical Subject Headings] ,Phenomena and Processes::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Musculoskeletal Physiological Processes::Movement::Motor Activity::Exercise [Medical Subject Headings] ,calidad de vida ,Quality of Life ,Metabolic syndrome ,business ,Body mass index ,estudios transversales ,Demography ,Condició física - Abstract
© 2020 by the authors., 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, The Predimed-Plus trial was supported by the Spanish government’s official funding agency for biomedical research, ISCIII, through the Fondo de Investigación para la Salud (FIS), which is co-funded by the European Regional Development Fund (three coordinated FIS projects led by Jordi Salas-Salvadó and Josep Vidal, including the following projects: PI13/00673, PI13/00492, PI13/00272, PI13/01123, PI13/00462, PI13/00233, PI13/02184, PI13/00728, PI13/01090, PI13/01056, PI14/01722, PI14/0147, PI14/00636, PI14/00972, PI14/00618, PI14/00696, PI14/01206, PI14/01919, PI14/00853, PI14/01374, PI16/00473, PI16/00662, PI16/01873, PI16/01094, PI16/00501, PI16/00533, PI16/00381, PI16/00366, PI16/01522, PI16/01120, PI17/00764, PI17/01183, PI17/00855, PI17/01347, PI17/00525, PI17/01827, PI17/00532, PI17/00215, PI17/01441, PI17/00508, PI17/01732, PI17/00926, PI19/00957, PI19/00386, PI19/00309, PI19/01032, PI19/00576, PI19/00017, PI19/01226, PI19/00781, PI19/01560, PI19/01,332), the Special Action Project entitled: Implementación y evaluación de una intervención intensiva sobre la actividad física Cohorte PREDIMED-PLUS grant to Jordi Salas-Salvadó, the European Research Council (Advanced Research Grant 2013–2018; 340918) grant to Miguel Ángel Martínez-Gonzalez, the Recercaixa grant to Jordi Salas-Salvadó (2013ACUP00194), grants from the Consejería de Salud de la Junta de Andalucía (PI0458/2013; PS0358/2016; PI0137/2018), the PROMETEO/2017/017 grant from the Generalitat Valenciana, the SEMERGEN grant and FEDER funds (CB06/03 and CB12/03), Olga Castaner is funded by the JR17/00,022 grant, ISCIII. Christopher Papandreou is supported by a postdoctoral fellowship granted by the Autonomous Government of Catalonia (PERIS 2016–2020 Incorporació de Científics i Tecnòlegs, SLT002/0016/00,428). María Rosa Bernal-Lopez was supported by “Miguel Servet Type I” program (CP15/00028) from the ISCIII-Madrid (Spain), cofinanced by the Fondo Europeo de Desarrollo Regional-FEDER, Ignacio M.Giménez-Alba is supported by a FPU predoctoral contract (reference FPU18/01703) from the Ministerio de Ciencia, Innovación y Universidades, Spain.
- Published
- 2020