Abstract
Background: To evaluate the association between obesity and two aspects of health-related quality of life: self-perception of health and psychological well-being in patients enrolled in a health center.
 Methods. Descriptive cross-sectional study on 167 patients between 20 and 70 years old, with a body mass index ³ 30. A clinical interview was carried out to obtain the socio-demographic and clinical variables of each patient and the administration of 2 questionnaires: 1) Nottingham Health Profile (PSN) and 2) Psychological General Well-Being (PGWB) index.
 Results: Mean PSN scores indicated a moderate overall deterioration in perceived health in obese patients, the affected areas being "pain", "physical mobility" and "emotional reactions". The variables associated with a poorer score were female sex, age over 50 years, low educational level and the presence of psychiatric pathology or osteoarthritis. The mean total score on the PGWB indicates a small deterioration in psychological well-being. Female gender, anxiety, and a low educational level were also associated with worse scores.
 Conclusions: In our population, a profile of obese patients with poor quality of life is identified (women over 50 years of age with a low level of education and the presence of psychiatric pathology or osteoarthritis) on whom the advisability of taking priority action is raised.
 Keywords: Obesity. Quality of life. Health survey. Chronic diseases Perceived health. Psychological well-being.
Highlights
Obesity is the most prevalent metabolic disease in industrialized countries
The mean total score on the PGWB indicates a small deterioration in psychological well-being
The objective of this study is, firstly, to evaluate the association between obesity and two aspects of HRQL: general self-perception of health and psychological wellbeing through measurement scales in patients assigned to a primary care center and, secondly, try to identify the variables that are associated with a deterioration of that one
Summary
Obesity is the most prevalent metabolic disease in industrialized countries. Its importance lies both morbidity that is associated with mortality and involved 1. Research in the field of obesity was focused almost exclusively on two aspects: on the one hand, the association between overweight and morbidity and mortality and, on the other, its treatment 3. In recent years and as has happened with other chronic disorders, the study of health-related quality of life (HRQOL) or perceived health has aroused great interest 4 as an important complement for the comprehensive assessment of obese patients. To evaluate the association between obesity and two aspects of health-related quality of life: self-perception of health and psychological well-being in patients enrolled in a health center
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