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This study aimed to investigate the association between overweight and obesity in postmenopausal women and different aspects related to health such as quality of life, physical activity, sleep quality and level of physical activity. An observational cross-sectional study was carried out during 2021–2022 in Spain in postmenopausal women. Health-related quality of life was assessed using the 12-item short-form survey (SF-12). The Pittsburgh Sleep Quality Index (PSQI) was used to determine sleep quality, and the International Physical Activity Validated Questionnaire (IPAQ) was used for physical activity. A multivariate analysis was conducted using binary logistic regression to control the confounding bias. A total of 395 postmenopausal women participated: 64.6% ( n  = 255) were overweight or obese. Obesity was associated with higher odds of having a lower quality of life (adjusted odds ratio [aOR] = 2.88; 95% confidence interval [CI]: 1.51–5.49), including alterations in physical role and function, pain and vitality. Postmenopausal women with overweight/obesity had higher odds of cardiovascular problems (aOR = 2.09; 95% CI: 1.04–4.19/aOR = 4.44; 95% CI: 2.12–9.31), and women with obesity were more likely to develop endocrine problems (aOR = 2.29; 95% CI: 1.10–4.75). Finally, women with obesity had higher odds of suffering urinary incontinence (aOR = 2.10; 95% CI: 1.10–4.01) or fecal incontinence (aOR = 2.70; 95% CI: 1.35–5.39), and pelvic pain (aOR = 2.33; 95% CI: 1.18–4.59). Obesity in postmenopausal women negatively affects perceived quality of life, sleep quality, physical activity, the development of cardiovascular problems and pelvic floor-related problems.

Impact of overweight and obesity in postmenopausal women