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Published in: Health and Quality of Life Outcomes 1/2017

Open Access 01-01-2017 | Research

Validation of the Italian version of the Laval questionnaire: health-related quality of life in subjects with obesity

Authors: Lorenzo Maria Donini, Aldo Rosano, Luca Di Lazzaro, Eleonora Poggiogalle, Carla Lubrano, Silvia Migliaccio, Mariagrazia Carbonelli, Alessandro Pinto, Andrea Lenzi

Published in: Health and Quality of Life Outcomes | Issue 1/2017

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Abstract

Background

Obesity is associated to increased risk of metabolic comorbidity as well as increased mortality. Notably, obesity is also associated to the impairment of the psychological status and of quality of life.
Only three questionnaires are available in the Italian language evaluating the health-related quality of life in subjects with obesity.
The aim of the present study was to test the validity and reliability of the Italian version of the Laval Questionnaire.

Methods

The original French version was translated into Italian and back-translated by a French native speaker. 273 subjects with obesity (Body Mass Index ≥ 30 kg/m2) were enrolled; the Italian version of the Laval Questionnaire and the O.R.Well-97 questionnaire were administered in order to assess health- related quality of life. The Laval questionnaire consists of 44 items distributed in 6 domains (symptoms, activity/mobility, personal hygiene/clothing, emotions, social interaction, sexual life). Disability and overall psychopathology levels were assessed through the TSD-OC test (SIO test for obesity correlated disabilities) and the SCL-90 (Symptom Checklist-90) questionnaire, respectively. To verify the validity of the Italian version, the analysis of internal consistency, test-retest reliability, and construct validity were performed.

Results

The observed proportion of agreement concordance of results was 50.2% with Cohen’s K = 0.336 (CI 95%: 0.267–0.404), indicating a fair agreement between the two tests.
Test-retest correlation was statistically significant (ρ = 0.82; p < 0.01); validity (standardized Chronbach’s alpha) was considered reliable (α > 0.70). The analysis of construct validity showed a statistically significant association in terms of both total score (ρ = −0.66) and scores at each single domain (p < 0.01). A high correlation (p < 0.01) was observed between Laval questionnaire total and single domain scores and other related measures (Body Mass Index, TSD-OC scores, SCL-90 global severity index), revealing a high construct validity of the test.

Conclusions

The Italian version of the Laval Questionnaire is a valid and reliable measure to assess the health-related quality of life in subjects with obesity.
Literature
1.
go back to reference Allison DB, Downey M, Atkinson RL, Billington CJ, Bray GA, et al. Obesity as a disease: a white paper on evidence and arguments commissioned by the Council of the Obesity Society. Obesity. 2008;16:1161–77.CrossRefPubMed Allison DB, Downey M, Atkinson RL, Billington CJ, Bray GA, et al. Obesity as a disease: a white paper on evidence and arguments commissioned by the Council of the Obesity Society. Obesity. 2008;16:1161–77.CrossRefPubMed
2.
go back to reference Viña J, Borras C, Gomez-Cabrera MC. Overweight, obesity, and all-cause mortality. JAMA. 2013;309(24):1679.CrossRefPubMed Viña J, Borras C, Gomez-Cabrera MC. Overweight, obesity, and all-cause mortality. JAMA. 2013;309(24):1679.CrossRefPubMed
3.
go back to reference Doak CM, Wijnhoven TM, Schokker DF, Visscher TL, Seidell JC. Age standardization in mapping adult overweight and obesity trends in the WHO European Region. Obes Rev. 2012;13:174–91.CrossRefPubMed Doak CM, Wijnhoven TM, Schokker DF, Visscher TL, Seidell JC. Age standardization in mapping adult overweight and obesity trends in the WHO European Region. Obes Rev. 2012;13:174–91.CrossRefPubMed
4.
go back to reference World Health Organization. “Obesity and Overweight”. 2012. [http://www.who.int/mediacentre/factsheets/fs311/en/index.html]. World Health Organization. “Obesity and Overweight”. 2012. [http://​www.​who.​int/​mediacentre/​factsheets/​fs311/​en/​index.​html].
5.
go back to reference Capodaglio P, Liuzzi A. Obesity: a disabling disease or a condition favoring disability? Eur J Phys Rehabil Med. 2013;49:395–8.PubMed Capodaglio P, Liuzzi A. Obesity: a disabling disease or a condition favoring disability? Eur J Phys Rehabil Med. 2013;49:395–8.PubMed
6.
go back to reference Armour BS, Courtney-Long EA, Campbell VA, Wethington HR. Disability prevalence among healthy weight, overweight, and obese adults. Obesity. 2013;21:852–5.CrossRefPubMed Armour BS, Courtney-Long EA, Campbell VA, Wethington HR. Disability prevalence among healthy weight, overweight, and obese adults. Obesity. 2013;21:852–5.CrossRefPubMed
7.
go back to reference Forhan M, Gill SV. Obesity, functional mobility and quality of life. Best Pract Res Clin Endocrinol Metab. 2013;27:129–37.CrossRefPubMed Forhan M, Gill SV. Obesity, functional mobility and quality of life. Best Pract Res Clin Endocrinol Metab. 2013;27:129–37.CrossRefPubMed
8.
go back to reference Centers for Disease Control and Prevention. Measuring Healthy Days. Atlanta: CDC; 2000. Centers for Disease Control and Prevention. Measuring Healthy Days. Atlanta: CDC; 2000.
9.
go back to reference Mathias SD, Williamson CL, Colwell HH, Cisternas MG, Pasta DJ, Stolshek BS, Patrick DL. Assessing health-related quality-of-life and health state preference in person with obesity: a validation study. Qual Life Res. 1997;6:311–22.CrossRefPubMed Mathias SD, Williamson CL, Colwell HH, Cisternas MG, Pasta DJ, Stolshek BS, Patrick DL. Assessing health-related quality-of-life and health state preference in person with obesity: a validation study. Qual Life Res. 1997;6:311–22.CrossRefPubMed
10.
go back to reference Sullivan M, Karlsson J, Sjöström L, Backman L, Bengtsson C, Bouchard C, Dahlgren S, Jonsson E, Larsson B, Lindstedt S, et al. Swedish obese subjects (SOS)--an intervention study of obesity. Baseline evaluation of health and psychosocial functioning in the first 1743 subjects examined. Int J Obes Relat Metab Disord. 1993;17:503–12.PubMed Sullivan M, Karlsson J, Sjöström L, Backman L, Bengtsson C, Bouchard C, Dahlgren S, Jonsson E, Larsson B, Lindstedt S, et al. Swedish obese subjects (SOS)--an intervention study of obesity. Baseline evaluation of health and psychosocial functioning in the first 1743 subjects examined. Int J Obes Relat Metab Disord. 1993;17:503–12.PubMed
11.
go back to reference Le Pen C, Lévy E, Loos F, Banzet MN, Basdevant A. “Specific scale” compared with “generic scale”: a double measurement of the quality of life in a French community sample of obese subjects. J Epidemiol Community Health. 1998;52:445–50.CrossRefPubMedPubMedCentral Le Pen C, Lévy E, Loos F, Banzet MN, Basdevant A. “Specific scale” compared with “generic scale”: a double measurement of the quality of life in a French community sample of obese subjects. J Epidemiol Community Health. 1998;52:445–50.CrossRefPubMedPubMedCentral
12.
go back to reference Butler GS, Vallis TM, Perey B, van Zanten SJ V, MacDonald AS, Konok G. The obesity adjustment survey: development of a scale to asses psychological adjustment to morbid obesity. Int J Obes Relat Metab Disord. 1999;23:505–11.CrossRefPubMed Butler GS, Vallis TM, Perey B, van Zanten SJ V, MacDonald AS, Konok G. The obesity adjustment survey: development of a scale to asses psychological adjustment to morbid obesity. Int J Obes Relat Metab Disord. 1999;23:505–11.CrossRefPubMed
13.
go back to reference Moorehead MK, Ardelt-Gattinger E, Lechner H, Oria HE. The validation of the moorehead-ardelt quality of life questionnaire II. Obes Surg. 2003;13:684–92.CrossRefPubMed Moorehead MK, Ardelt-Gattinger E, Lechner H, Oria HE. The validation of the moorehead-ardelt quality of life questionnaire II. Obes Surg. 2003;13:684–92.CrossRefPubMed
14.
go back to reference Kolotkin RL, Crosby RD, Kosloski KD, Williams GR. Development of a brief measure to assess quality of life in obesity. Obes Res. 2001;9:102–11.CrossRefPubMed Kolotkin RL, Crosby RD, Kosloski KD, Williams GR. Development of a brief measure to assess quality of life in obesity. Obes Res. 2001;9:102–11.CrossRefPubMed
15.
go back to reference Kolotkin RL, Crosby RD. Psychometric evaluation of the impact of weight on quality of life-lite questionnaire (IWQOL-lite) in a community sample. Qual Life Res. 2002;11:157–71.CrossRefPubMed Kolotkin RL, Crosby RD. Psychometric evaluation of the impact of weight on quality of life-lite questionnaire (IWQOL-lite) in a community sample. Qual Life Res. 2002;11:157–71.CrossRefPubMed
16.
go back to reference Therrien F, Marceau P, Turgeon N, Biron S, Richard D, Lacasse Y. The Laval questionnaire: a new instrument to measure quality of life in morbid obesity. Health Qual Life Outcomes. 2011;9:66.CrossRefPubMedPubMedCentral Therrien F, Marceau P, Turgeon N, Biron S, Richard D, Lacasse Y. The Laval questionnaire: a new instrument to measure quality of life in morbid obesity. Health Qual Life Outcomes. 2011;9:66.CrossRefPubMedPubMedCentral
17.
go back to reference Mannucci E, Ricca V, Barciulli E, et al. Quality of life and overweight: the obesity related well-being (Orwell 97) questionnaire. Addict Behav. 1999;24:345–57.CrossRefPubMed Mannucci E, Ricca V, Barciulli E, et al. Quality of life and overweight: the obesity related well-being (Orwell 97) questionnaire. Addict Behav. 1999;24:345–57.CrossRefPubMed
18.
go back to reference Bowling A. Measuring disease a review of disease-specific quality of life measurement scales. Buckingham Philadelphia: Open University Press; 2001. p. 18. Bowling A. Measuring disease a review of disease-specific quality of life measurement scales. Buckingham Philadelphia: Open University Press; 2001. p. 18.
20.
go back to reference Gilson BS, Gilson JS, Bergner M, Bobbit RA, Kressel S, Pollard WE, Vesselago M. The sickness impact profile: conceptual formulation and methodology for the development of a health status measure. Int J Health Serv. 1976;3:393–415. Gilson BS, Gilson JS, Bergner M, Bobbit RA, Kressel S, Pollard WE, Vesselago M. The sickness impact profile: conceptual formulation and methodology for the development of a health status measure. Int J Health Serv. 1976;3:393–415.
21.
go back to reference Hunt SM, McKenna SP, McEwen J, Williams J, Papp E. The Nottingham health profile: subjective health status and medical consultations. Soc Sci Med. 1981;15:221–9. Hunt SM, McKenna SP, McEwen J, Williams J, Papp E. The Nottingham health profile: subjective health status and medical consultations. Soc Sci Med. 1981;15:221–9.
22.
go back to reference Chambers LW. The McMaster Health Index Questionnaire: An update. In Walker SR, Rosser RM (eds): Quality of Life Assessment: Key Issues in the 1990's. 1993. p. 131–149. Chambers LW. The McMaster Health Index Questionnaire: An update. In Walker SR, Rosser RM (eds): Quality of Life Assessment: Key Issues in the 1990's. 1993. p. 131–149.
23.
go back to reference Ramada-Rodilla JM, Serra-Pujadas C, Delclós-Clanchet GL. Cross-cultural adaptation and health questionnaires validation: revision and methodological recommendations. Salud Publica Mex. 2013;55:57–66.CrossRefPubMed Ramada-Rodilla JM, Serra-Pujadas C, Delclós-Clanchet GL. Cross-cultural adaptation and health questionnaires validation: revision and methodological recommendations. Salud Publica Mex. 2013;55:57–66.CrossRefPubMed
24.
go back to reference Lohman TG, Roche AF, Martorell R. Anthropometric standardization reference manual. Milan (Italy): EDRA; 1992. Lohman TG, Roche AF, Martorell R. Anthropometric standardization reference manual. Milan (Italy): EDRA; 1992.
25.
go back to reference Donini LM, Brunani A, Sirtori A, Savina C, Tempera S, Cuzzolaro M, Spera G, Cimolin V, Precilios H, Raggi A, Capodaglio P. SIO-SISDCA task force. Assessing disability in morbidly obese individuals: the Italian society of obesity test for obesity-related disabilities. Disabil Rehabil. 2011;33:2509–18.CrossRefPubMed Donini LM, Brunani A, Sirtori A, Savina C, Tempera S, Cuzzolaro M, Spera G, Cimolin V, Precilios H, Raggi A, Capodaglio P. SIO-SISDCA task force. Assessing disability in morbidly obese individuals: the Italian society of obesity test for obesity-related disabilities. Disabil Rehabil. 2011;33:2509–18.CrossRefPubMed
26.
go back to reference Derogatis LR, Savitz KL. The SCL-90-R and the brief symptom inventory (BSI) in primary care. In: Maruish ME, editor. Handbook of psychological assessment in primary care settings, vol. 236. Mahwah, NJ: Lawrence Erlbaum Associates; 2000. p. 297–334. Derogatis LR, Savitz KL. The SCL-90-R and the brief symptom inventory (BSI) in primary care. In: Maruish ME, editor. Handbook of psychological assessment in primary care settings, vol. 236. Mahwah, NJ: Lawrence Erlbaum Associates; 2000. p. 297–334.
27.
go back to reference McHugh M. Interrater reliability: the kappa statistic. Biochem Med (Zagreb). 2012;22(3):276–82.CrossRef McHugh M. Interrater reliability: the kappa statistic. Biochem Med (Zagreb). 2012;22(3):276–82.CrossRef
28.
go back to reference Cronbach LJ, Meehl PE. Construct validity in psychological tests. Psychol Bull. 1955;52(4):281–302.CrossRefPubMed Cronbach LJ, Meehl PE. Construct validity in psychological tests. Psychol Bull. 1955;52(4):281–302.CrossRefPubMed
29.
go back to reference Kim JY, Oh DJ, Yoon TY, Choi JM, Choe BK. The impacts of obesity on psychological well-being: a cross-sectional study about depressive mood and quality of life. J Prev Med Public Health. 2007;40:191–5.CrossRefPubMed Kim JY, Oh DJ, Yoon TY, Choi JM, Choe BK. The impacts of obesity on psychological well-being: a cross-sectional study about depressive mood and quality of life. J Prev Med Public Health. 2007;40:191–5.CrossRefPubMed
30.
go back to reference Kostka T, Bogus K. Independent contribution of overweight/obesity and physical inactivity to lower health-related quality of life in community-dwelling older subjects. Z Gerontol Geriatr. 2007;40:43–51.CrossRefPubMed Kostka T, Bogus K. Independent contribution of overweight/obesity and physical inactivity to lower health-related quality of life in community-dwelling older subjects. Z Gerontol Geriatr. 2007;40:43–51.CrossRefPubMed
31.
go back to reference Lidstone JS, Ells LJ, Finn P, Whittaker VJ, Wilkinson JR, Summerbell CD. Independent associations between weight status and disability in adults: results from the health survey for England. Public Health. 2006;120:412–7.CrossRefPubMed Lidstone JS, Ells LJ, Finn P, Whittaker VJ, Wilkinson JR, Summerbell CD. Independent associations between weight status and disability in adults: results from the health survey for England. Public Health. 2006;120:412–7.CrossRefPubMed
32.
go back to reference World Health Organization. The global burden of disease: 2004 update. Geneva: WHO; 2008. World Health Organization. The global burden of disease: 2004 update. Geneva: WHO; 2008.
33.
go back to reference Peeters A, Bonneux L, Nusselder WJ, De Laet C, Barendregt JJ. Adult obesity and the burden of disability throughout life. Obes Res. 2004;12:1145–51.CrossRefPubMed Peeters A, Bonneux L, Nusselder WJ, De Laet C, Barendregt JJ. Adult obesity and the burden of disability throughout life. Obes Res. 2004;12:1145–51.CrossRefPubMed
34.
go back to reference Menegoni F, Galli M, Tacchini E, Vismara L, Cavigioli M, Capodaglio P. Gender-specific effect of obesity on balance. Obesity (Silver Spring). 2009;17:1951–6.CrossRef Menegoni F, Galli M, Tacchini E, Vismara L, Cavigioli M, Capodaglio P. Gender-specific effect of obesity on balance. Obesity (Silver Spring). 2009;17:1951–6.CrossRef
35.
go back to reference Xu X, Mirka GA, Hsiang SM. The effects of obesity on lifting performance. Appl Ergon. 2008;39:93–8.CrossRefPubMed Xu X, Mirka GA, Hsiang SM. The effects of obesity on lifting performance. Appl Ergon. 2008;39:93–8.CrossRefPubMed
36.
go back to reference Capodaglio P, Castelnuovo G, Brunani A, Vismara L, Villa V, Capodaglio EM. Functional limitations and occupational issues in obesity. Int J Occup Saf Ergon. 2010;16:507–23.CrossRefPubMed Capodaglio P, Castelnuovo G, Brunani A, Vismara L, Villa V, Capodaglio EM. Functional limitations and occupational issues in obesity. Int J Occup Saf Ergon. 2010;16:507–23.CrossRefPubMed
37.
go back to reference Finkelstein EA, Chen H, Prabhu M, Trogdon JG, Corso PS. The relationship between obesity and injuries among U.S. adults. Am J Health Promot. 2007;21:460–8.CrossRefPubMed Finkelstein EA, Chen H, Prabhu M, Trogdon JG, Corso PS. The relationship between obesity and injuries among U.S. adults. Am J Health Promot. 2007;21:460–8.CrossRefPubMed
38.
go back to reference Schmier JK, Jones ML, Halpern MT. Cost of obesity in the workplace. Scand J Work Environ Health. 2006;32:5–11.CrossRefPubMed Schmier JK, Jones ML, Halpern MT. Cost of obesity in the workplace. Scand J Work Environ Health. 2006;32:5–11.CrossRefPubMed
39.
go back to reference Armour BS, Courtney-Long E, Campbell VA, Wethington HR. Estimating disability prevalence among adults by body mass index: 2003–2009 national health interview survey. Prev Chronic Dis. 2012;9:E178.CrossRefPubMedPubMedCentral Armour BS, Courtney-Long E, Campbell VA, Wethington HR. Estimating disability prevalence among adults by body mass index: 2003–2009 national health interview survey. Prev Chronic Dis. 2012;9:E178.CrossRefPubMedPubMedCentral
40.
go back to reference Wong E, Stevenson C, Backholer K, Mannan H, Pasupathi K, Hodge A, Freak-Poli R, Peeters A. Adiposity measures as predictors of long-term physical disability. Ann Epidemiol. 2012;22:710–6.CrossRefPubMed Wong E, Stevenson C, Backholer K, Mannan H, Pasupathi K, Hodge A, Freak-Poli R, Peeters A. Adiposity measures as predictors of long-term physical disability. Ann Epidemiol. 2012;22:710–6.CrossRefPubMed
41.
go back to reference Ranavolo A, Donini LM, Mari S, Serrao M, Silvetti A, Iavicoli S, Cava E, Asprino R, Pinto A, Draicchio F. Lower-limb joint coordination pattern in obese subjects. Biomed Res Int. 2013;2013:142323.CrossRefPubMed Ranavolo A, Donini LM, Mari S, Serrao M, Silvetti A, Iavicoli S, Cava E, Asprino R, Pinto A, Draicchio F. Lower-limb joint coordination pattern in obese subjects. Biomed Res Int. 2013;2013:142323.CrossRefPubMed
42.
go back to reference Donini LM, Merola G, Poggiogalle E, Lubrano C, Gnessi L, Mariani S, Migliaccio S, Lenzi A. Disability, Physical Inactivity, and Impaired Health-Related Quality of Life Are Not Different in Metabolically Healthy vs. Unhealthy Obese Subjects. Nutrients. 2016;8(12). Donini LM, Merola G, Poggiogalle E, Lubrano C, Gnessi L, Mariani S, Migliaccio S, Lenzi A. Disability, Physical Inactivity, and Impaired Health-Related Quality of Life Are Not Different in Metabolically Healthy vs. Unhealthy Obese Subjects. Nutrients. 2016;8(12).
43.
go back to reference Donini LM, Poggiogalle E, Mosca V, Pinto A, Migliaccio S, Brunani A, Capodaglio P. Critical review of the equations predicting 6-minute walking distance in obese subjects. Monaldi Arch Chest Dis. 2016;81(1–2):745. doi:10.4081/monaldi.2015.745.PubMed Donini LM, Poggiogalle E, Mosca V, Pinto A, Migliaccio S, Brunani A, Capodaglio P. Critical review of the equations predicting 6-minute walking distance in obese subjects. Monaldi Arch Chest Dis. 2016;81(1–2):745. doi:10.​4081/​monaldi.​2015.​745.PubMed
44.
go back to reference Vancampfort D, De Herdt A, Vanderlinden J, Lannoo M, Soundy A, Pieters G, Adriaens A, De Hert M, Probst M. Health related quality of life, physical fitness and physical activity participation in treatment-seeking obese persons with and without binge eating disorder. Psychiatry Res. 2014;216(1):97–102. doi:10.1016/j.psychres.2014.01.015.CrossRefPubMed Vancampfort D, De Herdt A, Vanderlinden J, Lannoo M, Soundy A, Pieters G, Adriaens A, De Hert M, Probst M. Health related quality of life, physical fitness and physical activity participation in treatment-seeking obese persons with and without binge eating disorder. Psychiatry Res. 2014;216(1):97–102. doi:10.​1016/​j.​psychres.​2014.​01.​015.CrossRefPubMed
45.
go back to reference Buscemi S, Castellini G, Batsis JA, Ricca V, Sprini D, Galvano F, Grosso G, Rosafio G, Caravello M, Rini GB. Psychological and behavioural factors associated with long-term weight maintenance after a multidisciplinary treatment of uncomplicated obesity. Eat Weight Disord. 2013;18(4):351–8.CrossRefPubMed Buscemi S, Castellini G, Batsis JA, Ricca V, Sprini D, Galvano F, Grosso G, Rosafio G, Caravello M, Rini GB. Psychological and behavioural factors associated with long-term weight maintenance after a multidisciplinary treatment of uncomplicated obesity. Eat Weight Disord. 2013;18(4):351–8.CrossRefPubMed
46.
go back to reference Mannucci E, Petroni ML, Villanova N, Rotella CM, Apolone G, Marchesini G, QUOVADIS Study Group. Clinical and psychological correlates of health-related quality of life in obese patients. Health Qual Life Outcomes. 2010;23(8):90. doi:10.1186/1477-7525-8-90.CrossRef Mannucci E, Petroni ML, Villanova N, Rotella CM, Apolone G, Marchesini G, QUOVADIS Study Group. Clinical and psychological correlates of health-related quality of life in obese patients. Health Qual Life Outcomes. 2010;23(8):90. doi:10.​1186/​1477-7525-8-90.CrossRef
Metadata
Title
Validation of the Italian version of the Laval questionnaire: health-related quality of life in subjects with obesity
Authors
Lorenzo Maria Donini
Aldo Rosano
Luca Di Lazzaro
Eleonora Poggiogalle
Carla Lubrano
Silvia Migliaccio
Mariagrazia Carbonelli
Alessandro Pinto
Andrea Lenzi
Publication date
01-01-2017
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2017
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-017-0671-3

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