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.

中文翻译：

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体力活动和高体重指数对代谢综合征患者健康相关生活质量的影响。


本研究的主要目的是检查参加 Predimed-Plus 的代谢综合征 (MetS) 个体的体力活动水平 (PA) 和肥胖程度与健康相关生活质量 (HRQoL) 之间的关系学习。共有 6875 名年龄在 55 至 75 岁之间的 MetS 受试者在 23 个西班牙中心被随机选择。受试者根据体重指数（BMI）类别进行分类。 PA 使用经过验证的 Registre Gironí del Cor (REGICOR) 问卷进行测量，并根据受试者的 PA 水平（轻度、中度、剧烈）进行分类，并使用经过验证的简式 36 (SF-36) 问卷测量 HRQoL。通过使用 ANOVA 模型，我们发现 PA 水平与 HRQoL（总体身体和心理维度p < 0.001）之间存在统计学上显着的正相关关系，但与总体身体维度中较高的 BMI 呈负相关（p < 0.001）。此外，女性在 SF-36 的所有领域得分均低于男性，多出 5 分。因此，有必要从初级保健咨询中促进 PA 和体重控制，以提高 HRQoL，特别关注性别差异。