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Erschienen in: Quality of Life Research 10/2007

01.12.2007

The association between body mass index and health-related quality of life: data from CaMos, a stratified population study

verfasst von: Wilma M. Hopman, Claudie Berger, Lawrence Joseph, Susan I. Barr, Yongjun Gao, Jerilynn C. Prior, Suzette Poliquin, Tanveer Towheed, Tassos Anastassiades, CaMos Research Group

Erschienen in: Quality of Life Research | Ausgabe 10/2007

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Abstract

Background

Deviation from normal weight is associated with health risks, but less is known about the association between weight and health-related quality of life (HRQOL). We investigated this in the context of a population-based study, using a standard five-category weight classification system based on body mass index (BMI).

Methods

The Canadian Multicentre Osteoporosis Study is a randomly selected sample of men and women over 25 years of age from nine centres across Canada. Data were obtained by interview, and height and weight were measured and used to calculate BMI. HRQOL was measured using the SF-36. Multivariable linear regression was used to identify the association between BMI category and SF-36 scores after controlling for potential confounders.

Results

Complete data were available for 6302 women and 2792 men. Mean BMI for every age and gender group exceeded healthy weight guidelines. For women, being underweight, overweight or obese was associated with poorer HRQOL in most SF-36 outcomes while for men, this was associated with poorer HRQOL in some domains and with higher HRQOL in others.

Conclusions

A significant proportion of the population may be putting their health at risk due to excess weight, which may have a substantial negative effect on HRQOL, particularly in women. This underscores the need for continued public health efforts aimed at combating overweight and obesity.

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Literatur
2.
Zurück zum Zitat Health Canada. (2003). Canadian guidelines for body weight classification in adults. Ottawa: Health Canada Publications Centre, Publication ID 4645. Health Canada. (2003). Canadian guidelines for body weight classification in adults. Ottawa: Health Canada Publications Centre, Publication ID 4645.
3.
Zurück zum Zitat Raine, K. D. (2002). Overweight and obesity in Canada: A population health perspective. Ottawa: Canadian Institute for Health Information. Raine, K. D. (2002). Overweight and obesity in Canada: A population health perspective. Ottawa: Canadian Institute for Health Information.
4.
Zurück zum Zitat Trakas, K., Lawrence, K., & Shear, N. H. (1999). Utilization of health care resources by obese Canadians. CMAJ, 160, 1457–1462.PubMed Trakas, K., Lawrence, K., & Shear, N. H. (1999). Utilization of health care resources by obese Canadians. CMAJ, 160, 1457–1462.PubMed
5.
Zurück zum Zitat Ogden, C. L., Carroll, M. D., & Flegal, K. M. (2003). Epidemiologic trends in overweight and obesity. Endocrinology and Metabolism Clinics of North America, 32, 741–760.PubMedCrossRef Ogden, C. L., Carroll, M. D., & Flegal, K. M. (2003). Epidemiologic trends in overweight and obesity. Endocrinology and Metabolism Clinics of North America, 32, 741–760.PubMedCrossRef
6.
Zurück zum Zitat Katzmarzyk, P. T, Craig, C. L., & Bouchard, C. (2001). Underweight, overweight and obesity: Relationships with mortality in the 13-year follow-up of the Canadian Fitness Survey. Journal of Clinical Epidemiology, 54, 916–920.PubMedCrossRef Katzmarzyk, P. T, Craig, C. L., & Bouchard, C. (2001). Underweight, overweight and obesity: Relationships with mortality in the 13-year follow-up of the Canadian Fitness Survey. Journal of Clinical Epidemiology, 54, 916–920.PubMedCrossRef
7.
Zurück zum Zitat Flegal, K. M., Graubard, B. I., Williamson, D. F., & Gail, M. H. (2005). Excess deaths associated with underweight, overweight and obesity. JAMA, 293, 1861–1867.PubMedCrossRef Flegal, K. M., Graubard, B. I., Williamson, D. F., & Gail, M. H. (2005). Excess deaths associated with underweight, overweight and obesity. JAMA, 293, 1861–1867.PubMedCrossRef
8.
Zurück zum Zitat Rich-Edwards, J. W., Goldman, M. B., Willett, W. C., Hunter, D. J., Stampfer, M. J., Colditz, G. A., et al. (1994). Adolescent body mass index and infertility caused by ovulatory disorder. American Journal of Obstetrics and Gynecology, 171, 171–177.PubMed Rich-Edwards, J. W., Goldman, M. B., Willett, W. C., Hunter, D. J., Stampfer, M. J., Colditz, G. A., et al. (1994). Adolescent body mass index and infertility caused by ovulatory disorder. American Journal of Obstetrics and Gynecology, 171, 171–177.PubMed
9.
Zurück zum Zitat Gilmore, J. (1999). Body mass index and health. Statistics Canada Catalogue 82-003. Health Reports, 11, 31–43.PubMed Gilmore, J. (1999). Body mass index and health. Statistics Canada Catalogue 82-003. Health Reports, 11, 31–43.PubMed
10.
Zurück zum Zitat De Laet, C., Kanis, J. A., Odén, A., Johanson, H., Johnell, O., Delmas, P., et al. (2005). Body mass index as a predictor of fracture risk: A meta-analysis. Osteoporosis International, 16, 1330–1338.PubMedCrossRef De Laet, C., Kanis, J. A., Odén, A., Johanson, H., Johnell, O., Delmas, P., et al. (2005). Body mass index as a predictor of fracture risk: A meta-analysis. Osteoporosis International, 16, 1330–1338.PubMedCrossRef
11.
Zurück zum Zitat Maciejewski, M. L., Patrick, D. L., & Williamson, D. E. (2005). A structured review of randomized controlled trials of weight loss showed little improvement in health-related quality of life. Journal of Clinical Epidemiology, 58, 568–578.PubMedCrossRef Maciejewski, M. L., Patrick, D. L., & Williamson, D. E. (2005). A structured review of randomized controlled trials of weight loss showed little improvement in health-related quality of life. Journal of Clinical Epidemiology, 58, 568–578.PubMedCrossRef
12.
Zurück zum Zitat Bish, C. L., Michels Blanck, H., Maynard, L. M., Serdula, M. K., Thompson, N. J., & Ketter Khan, L. (2006). Health-related quality of life and weight loss among overweight and obese adults, 2001 to 2002. Obesity, 14, 2042–2053.PubMed Bish, C. L., Michels Blanck, H., Maynard, L. M., Serdula, M. K., Thompson, N. J., & Ketter Khan, L. (2006). Health-related quality of life and weight loss among overweight and obese adults, 2001 to 2002. Obesity, 14, 2042–2053.PubMed
13.
Zurück zum Zitat Kruger, J., Bowles, H. R., Jones, D. A., Ainsworth, B. E., & Kohl, H. W. (2007). Health-related quality of life, BMI and psychical activity among US adults (≥118 years): National physical activity and weight loss survey. International Journal of Obesity, 31, 321–327.PubMedCrossRef Kruger, J., Bowles, H. R., Jones, D. A., Ainsworth, B. E., & Kohl, H. W. (2007). Health-related quality of life, BMI and psychical activity among US adults (≥118 years): National physical activity and weight loss survey. International Journal of Obesity, 31, 321–327.PubMedCrossRef
14.
Zurück zum Zitat Fine, J. T., Colditz, G. A., Coakley, E. H., Moseley, G., Manson, J. E., Willett, W. C., & Kawachi, I. (1999). A prospective study of weight change and health-related quality of life in women. JAMA, 282, 2136–2142.PubMedCrossRef Fine, J. T., Colditz, G. A., Coakley, E. H., Moseley, G., Manson, J. E., Willett, W. C., & Kawachi, I. (1999). A prospective study of weight change and health-related quality of life in women. JAMA, 282, 2136–2142.PubMedCrossRef
15.
Zurück zum Zitat Han, T. S., Tijhuis, M. A. R., Lean, M. E. J., & Seidell, J. C. (1998). Quality of life in relation to overweight and body fat distribution. American Journal of Public Health, 88, 1814–1820.PubMedCrossRef Han, T. S., Tijhuis, M. A. R., Lean, M. E. J., & Seidell, J. C. (1998). Quality of life in relation to overweight and body fat distribution. American Journal of Public Health, 88, 1814–1820.PubMedCrossRef
16.
Zurück zum Zitat World Health Organization. (2000) Obesity: Preventing and managing the global epidemic. Report of a WHO consultation on obesity. Geneva: World Health Organization. World Health Organization. (2000) Obesity: Preventing and managing the global epidemic. Report of a WHO consultation on obesity. Geneva: World Health Organization.
17.
Zurück zum Zitat Larsson, U., Karlsson, J., & Sullivan, M. (2002). Impact of overweight and obesity on health-related quality of life—A Swedish population study. International Journal of Obesity and Related Metabolic Disorders, 26, 417–424.PubMedCrossRef Larsson, U., Karlsson, J., & Sullivan, M. (2002). Impact of overweight and obesity on health-related quality of life—A Swedish population study. International Journal of Obesity and Related Metabolic Disorders, 26, 417–424.PubMedCrossRef
18.
Zurück zum Zitat Lean, M. E., Hans, T. S., & Seidell, J. C. (1999). Impairment of health and quality of life using new US federal guidelines for the identification of obesity. Archives of Internal Medicine, 159, 837–843.PubMedCrossRef Lean, M. E., Hans, T. S., & Seidell, J. C. (1999). Impairment of health and quality of life using new US federal guidelines for the identification of obesity. Archives of Internal Medicine, 159, 837–843.PubMedCrossRef
19.
Zurück zum Zitat Le Pen, C., Levy, E., Loos, F., Banzet, M. N., & Basdevant, A. (1998). “Specific” scale compared with “generic” scale: A double measurement of the quality of life in a French community sample of obese subjects. Journal of Epidemiology and Community Health, 52, 445–450.PubMed Le Pen, C., Levy, E., Loos, F., Banzet, M. N., & Basdevant, A. (1998). “Specific” scale compared with “generic” scale: A double measurement of the quality of life in a French community sample of obese subjects. Journal of Epidemiology and Community Health, 52, 445–450.PubMed
20.
Zurück zum Zitat Huang, I-C., Frangakis, C, & Wu, A. W. (2006). The relationship of excess body weight and health-related quality of life: Evidence from a population study in Taiwan. International Journal of Obesity, 30, 1250–1259.PubMedCrossRef Huang, I-C., Frangakis, C, & Wu, A. W. (2006). The relationship of excess body weight and health-related quality of life: Evidence from a population study in Taiwan. International Journal of Obesity, 30, 1250–1259.PubMedCrossRef
21.
Zurück zum Zitat Swallen, K. C., Reither, E. N., Haas, S. A., & Meier, A. M. (2005). Overweight, obesity and health-related quality of life among adolescents: The national longitudinal study of adolescent health. Pediatrics, 115, 340–347.PubMedCrossRef Swallen, K. C., Reither, E. N., Haas, S. A., & Meier, A. M. (2005). Overweight, obesity and health-related quality of life among adolescents: The national longitudinal study of adolescent health. Pediatrics, 115, 340–347.PubMedCrossRef
22.
Zurück zum Zitat Brown, W. J., Mishra, G., Kenardy, J., & Dobson, A. (2000). Relationships between body mass index and well-being in young Australian women. International Journal of Obesity and Related Metabolic Disorders, 24, 1360–1368.PubMedCrossRef Brown, W. J., Mishra, G., Kenardy, J., & Dobson, A. (2000). Relationships between body mass index and well-being in young Australian women. International Journal of Obesity and Related Metabolic Disorders, 24, 1360–1368.PubMedCrossRef
23.
Zurück zum Zitat Yan, L. L., Daviglus, M. L., Liu K., Pirzada, A., Garside, D. B., Schiffer, L., Dyer, A. R., & Greenland, P. (2004). BMI and health-related quality of life in adults 65 years and older. Obesity Research, 12, 69–76.PubMed Yan, L. L., Daviglus, M. L., Liu K., Pirzada, A., Garside, D. B., Schiffer, L., Dyer, A. R., & Greenland, P. (2004). BMI and health-related quality of life in adults 65 years and older. Obesity Research, 12, 69–76.PubMed
24.
Zurück zum Zitat Borowiak, E., & Kostka, T. (2004). Predictors of quality of life in older people living at home and in institutions. Aging Clinical and Experimental Research, 16, 212–220.PubMed Borowiak, E., & Kostka, T. (2004). Predictors of quality of life in older people living at home and in institutions. Aging Clinical and Experimental Research, 16, 212–220.PubMed
25.
Zurück zum Zitat Lopez-Garcia, E., Banegas, J. R., Gutierrez-Fisac, J. L., Perez-Regadera, A. G., Ganan, L. D., & Rodriguez-Artalejo, F. (2003). Relationship between body weight and health-related quality of life among the elderly in Spain. International Journal of Obesity and Related Metabolic Disorders, 27, 701–709.PubMedCrossRef Lopez-Garcia, E., Banegas, J. R., Gutierrez-Fisac, J. L., Perez-Regadera, A. G., Ganan, L. D., & Rodriguez-Artalejo, F. (2003). Relationship between body weight and health-related quality of life among the elderly in Spain. International Journal of Obesity and Related Metabolic Disorders, 27, 701–709.PubMedCrossRef
26.
Zurück zum Zitat Ford, E. S., Moriarty, D. G., Zack, M. M., Mokdad, A. H., & Chapman, D. P. (2001). Self-reported body mass index and health-related quality of life: Findings from the behavioral risk factor surveillance system. Obesity Research, 9, 21–31.PubMed Ford, E. S., Moriarty, D. G., Zack, M. M., Mokdad, A. H., & Chapman, D. P. (2001). Self-reported body mass index and health-related quality of life: Findings from the behavioral risk factor surveillance system. Obesity Research, 9, 21–31.PubMed
27.
Zurück zum Zitat Hassan, M. K., Joshi, A. V., Madhavan, S. S., Amonkar, M. M. (2003). Obesity and health-related quality of life: A cross-sectional analysis of the US population. International Journal of Obesity, 27, 1227–1232.PubMedCrossRef Hassan, M. K., Joshi, A. V., Madhavan, S. S., Amonkar, M. M. (2003). Obesity and health-related quality of life: A cross-sectional analysis of the US population. International Journal of Obesity, 27, 1227–1232.PubMedCrossRef
28.
Zurück zum Zitat Gorber, S. C., Tremblay, M., Moher, D., & Gorber, B. (2007). A comparison of direct versus self-report measures for assessing height, weight and body mass index: A systematic review. Obesity Reviews, 8, 307–326.PubMedCrossRef Gorber, S. C., Tremblay, M., Moher, D., & Gorber, B. (2007). A comparison of direct versus self-report measures for assessing height, weight and body mass index: A systematic review. Obesity Reviews, 8, 307–326.PubMedCrossRef
29.
Zurück zum Zitat Danubio, M. E., Miranda, G., Vinciguerra, M. G., Vecchi, E., & Rufo, F. (2007). Comparison of self-reported and measured height and weight: Implications for obesity research among young adults. Economics and Human Biology, Apr 8 [Epub ahead of print]. Danubio, M. E., Miranda, G., Vinciguerra, M. G., Vecchi, E., & Rufo, F. (2007). Comparison of self-reported and measured height and weight: Implications for obesity research among young adults. Economics and Human Biology, Apr 8 [Epub ahead of print].
30.
Zurück zum Zitat McAdams, M. A., Van Dam, R. M., & Hu, F. B. (2007). Comparison of self-reported and measured BMI as correlates of disease markers in US adults. Obesity, 15, 188–196. PubMedCrossRef McAdams, M. A., Van Dam, R. M., & Hu, F. B. (2007). Comparison of self-reported and measured BMI as correlates of disease markers in US adults. Obesity, 15, 188–196. PubMedCrossRef
31.
Zurück zum Zitat Kreiger, N., Tenenhouse, A., Joseph, L., MacKenzie, T., Poliquin, S., Brown, J. P., Prior, J. C., & Rittmaster, R. S. (1999). The Canadian Multicentre Osteoporosis Study (CaMos): Background, rationale, methods. Canadian Journal on Aging, 18, 376–387. Kreiger, N., Tenenhouse, A., Joseph, L., MacKenzie, T., Poliquin, S., Brown, J. P., Prior, J. C., & Rittmaster, R. S. (1999). The Canadian Multicentre Osteoporosis Study (CaMos): Background, rationale, methods. Canadian Journal on Aging, 18, 376–387.
32.
Zurück zum Zitat Hopman, W. M., Towheed, T., Anastassiades, T., Tenenhourse, A., Poliquin, S., Berger, C., Joseph, L., et al. (2000). Canadian normative data for the SF-36 health survey. CMAJ, 163, 265–271.PubMed Hopman, W. M., Towheed, T., Anastassiades, T., Tenenhourse, A., Poliquin, S., Berger, C., Joseph, L., et al. (2000). Canadian normative data for the SF-36 health survey. CMAJ, 163, 265–271.PubMed
33.
Zurück zum Zitat Nadalin, V., Bentvelson, K., & Krieger, N. (2004). Reliability of self-reports: Data from the Canadian Multicentre Osteoporosis Study (CaMos). Chronic Diseases in Canada, 25, 28–31.PubMed Nadalin, V., Bentvelson, K., & Krieger, N. (2004). Reliability of self-reports: Data from the Canadian Multicentre Osteoporosis Study (CaMos). Chronic Diseases in Canada, 25, 28–31.PubMed
34.
Zurück zum Zitat Ware, J. E. (1993). SF-36 health survey manual and interpretation guide. Boston: The Health Institute, New England Medical Centre. Ware, J. E. (1993). SF-36 health survey manual and interpretation guide. Boston: The Health Institute, New England Medical Centre.
35.
Zurück zum Zitat Ware, J. E., Kosinski, M., & Keller, S. D. (1994). SF-36 physical and mental health summary scales: A user’s manual. Boston: The Health Institute, New England Medical Centre. Ware, J. E., Kosinski, M., & Keller, S. D. (1994). SF-36 physical and mental health summary scales: A user’s manual. Boston: The Health Institute, New England Medical Centre.
36.
Zurück zum Zitat Hopman, W. M., Berger, C., Joseph, L., Towheed, T., van den Kerkhof, E., et al. (2006). The natural progression of health-related quality of life: Results of a five-year prospective study of SF-36 scores in a normative population from the Canadian Multicentre Osteoporosis Study (CaMos). Quality of Life Research, 15, 527–536.PubMedCrossRef Hopman, W. M., Berger, C., Joseph, L., Towheed, T., van den Kerkhof, E., et al. (2006). The natural progression of health-related quality of life: Results of a five-year prospective study of SF-36 scores in a normative population from the Canadian Multicentre Osteoporosis Study (CaMos). Quality of Life Research, 15, 527–536.PubMedCrossRef
37.
Zurück zum Zitat Jia, H., & Lubetkin, E. I. (2005). The impact of obesity on health-related quality of life in the general adult US population. Journal of Public Health, 27, 156–164.PubMedCrossRef Jia, H., & Lubetkin, E. I. (2005). The impact of obesity on health-related quality of life in the general adult US population. Journal of Public Health, 27, 156–164.PubMedCrossRef
38.
Zurück zum Zitat Doll, H. A., Peterson, S. E., & Stewart-Brown, S. L. (2000). Obesity and physical and emotional well-being: Associations between body mass index, chronic illness and the physical and mental components of the SF-36 questionnaire. Obesity Research, 8, 160–170.PubMed Doll, H. A., Peterson, S. E., & Stewart-Brown, S. L. (2000). Obesity and physical and emotional well-being: Associations between body mass index, chronic illness and the physical and mental components of the SF-36 questionnaire. Obesity Research, 8, 160–170.PubMed
39.
Zurück zum Zitat Sach, T. H., Barton, G. R., Doherty, M., Muir, K. R., Jenkinson, C., & Avery, A. J. (2007). The relationship between body mass index and health-related quality of life: Comparing the EQ-5D, EuroQuol VAS and SF-6D. International Journal of Obesity, 31, 189–196.PubMedCrossRef Sach, T. H., Barton, G. R., Doherty, M., Muir, K. R., Jenkinson, C., & Avery, A. J. (2007). The relationship between body mass index and health-related quality of life: Comparing the EQ-5D, EuroQuol VAS and SF-6D. International Journal of Obesity, 31, 189–196.PubMedCrossRef
40.
Zurück zum Zitat Singer, M. A., Hopman, W. M., & MacKenzie, T. A. (1999). Psychological adjustment in four chronic medical conditions. Quality of Life Research, 8, 687–691.PubMedCrossRef Singer, M. A., Hopman, W. M., & MacKenzie, T. A. (1999). Psychological adjustment in four chronic medical conditions. Quality of Life Research, 8, 687–691.PubMedCrossRef
41.
Zurück zum Zitat Heo, M., Faith, M. S., & Pietrobelli, A. (2002). Resistance to change of adult body mass index. International Journal of Obesity, 26, 1404–1405.PubMedCrossRef Heo, M., Faith, M. S., & Pietrobelli, A. (2002). Resistance to change of adult body mass index. International Journal of Obesity, 26, 1404–1405.PubMedCrossRef
42.
Zurück zum Zitat Le Petit, C., & Berthelot, J. M. (2005). Obesity: A growing issue. Healthy today, health tomorrow? Findings from the National Population Health Survey 2005 (Catalogue 82618MWE2005003). Ottawa: Statistics Canada. Le Petit, C., & Berthelot, J. M. (2005). Obesity: A growing issue. Healthy today, health tomorrow? Findings from the National Population Health Survey 2005 (Catalogue 82618MWE2005003). Ottawa: Statistics Canada.
43.
Zurück zum Zitat Hopman, W. M., Leroux, C., Berger, C., Joseph, L., Barr, S. I., et al. (2007). Changes in body mass index in Canadians over a five-year period: Results of a prospective, population-based study. BMC Public Health, 7(1), 150 [Epub ahead of print]. Hopman, W. M., Leroux, C., Berger, C., Joseph, L., Barr, S. I., et al. (2007). Changes in body mass index in Canadians over a five-year period: Results of a prospective, population-based study. BMC Public Health, 7(1), 150 [Epub ahead of print].
44.
Zurück zum Zitat Daviglus, M. L., Liu, K., Yan, L. L., Pirzada, A., Garside, D. B., Schiffer, L., Dyer, A. R., Greenland, P., & Stamler, J. (2003). Body mass index in middle age and health-related quality of life in older age: The Chicago heart association detection project in industry study. Archives of Internal Medicine, 163, 2448–2455.PubMedCrossRef Daviglus, M. L., Liu, K., Yan, L. L., Pirzada, A., Garside, D. B., Schiffer, L., Dyer, A. R., Greenland, P., & Stamler, J. (2003). Body mass index in middle age and health-related quality of life in older age: The Chicago heart association detection project in industry study. Archives of Internal Medicine, 163, 2448–2455.PubMedCrossRef
Metadaten
Titel
The association between body mass index and health-related quality of life: data from CaMos, a stratified population study
verfasst von
Wilma M. Hopman
Claudie Berger
Lawrence Joseph
Susan I. Barr
Yongjun Gao
Jerilynn C. Prior
Suzette Poliquin
Tanveer Towheed
Tassos Anastassiades
CaMos Research Group
Publikationsdatum
01.12.2007
Verlag
Springer Netherlands
Erschienen in
Quality of Life Research / Ausgabe 10/2007
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-007-9273-6

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