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- Title
Obesity, metabolic abnormality, and health-related quality of life by gender: a cross-sectional study in Korean adults.
- Authors
Yang, Youngran; Herting, Jerald; Choi, Jongsan; Herting, Jerald R
- Abstract
<bold>Purpose: </bold>This study sought to compare the association between health-related quality of life (HRQoL) and four body health types by gender.<bold>Methods: </bold>The study included 6217 men and 8243 women over 30 years of age chosen from a population-based survey. Participants were grouped by body mass index and metabolic abnormality into four types: metabolically healthy normal weight, metabolically abnormal but normal weight (MANW), metabolically healthy obesity (MHO), and metabolically abnormal obesity (MAO). HRQoL was measured using the EQ-5D health questionnaire. The outcomes encompassed five dimensions (mobility, self-care, usual activity, pain/discomfort, and anxiety/depression), and the impaired HRQoL dichotomized by the EQ-5D preference score. Complex sample multivariate binary logistic regression analyses were conducted to adjust for sociodemographic variables, lifestyle factors, and disease comorbidity.<bold>Results: </bold>Among men, those in the MANW group presented worse conditions on all dimensions and the impaired HRQoL compared to other men. However, no significant effect remained after adjusting for relevant covariates. For women, those in the MAO group had the most adversely affected HRQoL followed by those females in the MHO group. The domain of mobility and impaired HRQoL variable of the MAO and MHO groups remained significant when controlling for all covariates in the model.<bold>Conclusions: </bold>The MANW is the least favorable condition of HRQoL for men, suggesting that metabolic health may associate with HRQoL more than obesity for males. In women, the MAO and MHO groups had the most adversely affected HRQoL, implying that MHO is not a favorable health condition and that obesity, in general, may be strongly associated with HRQoL in women.
- Subjects
SOUTH Korea; OBESITY; METABOLIC disorders; QUALITY of life; SEX differences (Biology); BODY mass index; KOREANS; DISEASES; OBESITY &; psychology; MENTAL health; SOMATOTYPES; MENTAL depression; COMPARATIVE studies; HEALTH status indicators; RESEARCH methodology; MEDICAL cooperation; MULTIVARIATE analysis; QUESTIONNAIRES; RESEARCH; HEALTH self-care; SEX distribution; LOGISTIC regression analysis; SYMPTOMS; EVALUATION research; METABOLIC syndrome; CROSS-sectional method; PSYCHOLOGY
- Publication
Quality of Life Research, 2016, Vol 25, Issue 6, p1537
- ISSN
0962-9343
- Publication type
journal article
- DOI
10.1007/s11136-015-1193-2