Research Article

Body Mass Index and Health Related Quality of Life Using EQ-5D-5L: A Study among Reproductive Age Group Women of Urban Bhubaneswar

Adrija Roy
All India Institute of Medical Sciences, India
Ipsa Mohapatra
Kalinga Institute of Medical Sciences, India
* Corresponding author
O.P. Panigrahi
Kalinga Institute of Medical Sciences, India
DOI icon 10.24018/ejmed.2020.2.4.386

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Submitted 2020-07-04
Published 2020-07-18

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Background: The National Family Health Survey (NFHS-4) reported that in India there are 22.9% underweight and 20.6 % overweight and obese women. Considering only urban areas, the proportions are 15.5% and 31.3% respectively. Not only does having an abnormal BMI affect the health, but also has a negative impact on their overall wellbeing. In this study, we aimed to find out the BMI and Health-related quality of life and the association between them.

Methods: A community-based cross-sectional study was conducted among 210 reproductive age-group women residing in urban Bhubaneswar using a predesigned, pretested, semi-structured questionnaire. Data on socio-demographic characteristics, marital status, height, weight, BMI, Waist-Hip ratio (WHR) and Health related quality of life (HRQOL) was collected. Chi-square & F-test, wherever appropriate were applied to find out the associations and a p-value of <0.05 was considered significant.

Results: 62.9% of respondents were within normal-BMI range, 12.4% obese,9.5% overweight,9%  underweight and 6.2% in pre-obese BMI category.WHR was found to be greater than 0.80 signifying moderate to high health risk in 63.3 % women.64.8% women indicated “no problems” and 35.2% indicated “problems” in their HRQOL. A statistically significant association (p<0.05) was found between HRQOL and age group, literacy, age at marriage, parity and BMI. A highly significant statistical (P<0.0001) association was reported between HRQOL and WHR. The women reported most problems in the Anxiety and depression dimension of the HRQOL.

Conclusions: There was a high prevalence of abnormal BMI among women. The reported HRQOL also indicated problems in its domains. A statistically significant association between BMI, WHR and HRQOL could be established. Targeted promotive and preventive strategies by IEC activities on lifestyle modification and proper nutrition are necessary to bring about a positive change in health and wellness.

Keywords: Body Mass Index Health Related Quality of Life Reproductive age group women Obesity

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