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Quality of Life Research

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01-06-2016

Obesity, metabolic abnormality, and health-related quality of life by gender: a cross-sectional study in Korean adults

Authors: Youngran Yang, Jerald R. Herting, Jongsan Choi

Published in: Quality of Life Research | Issue 6/2016

Abstract

Purpose

This study sought to compare the association between health-related quality of life (HRQoL) and four body health types by gender.

Methods

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.

Results

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.

Conclusions

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.

Predicted values of the EQ-5D index = full health-disutility \(\begin{aligned} {\text{Full}}\;{\text{health}} & = 1.000 \\ & = 1 - \left(0.050 + 0.096*{\text{M}}2 + 0.418*{\text{M}}3 + 0.046*{\text{SC}}2 \right.\\ & \quad + \,0.136*{\text{SC}}3 + 0.051*{\text{UA}}2 + 0.208*{\text{UA}}3 + 0.037*{\text{PD}}2 \\ & \left.\quad + \,0.151*{\text{PD}}3 + 0.043*{\text{AD}}2 + 0.158*{\text{AD}}3 + 0.050*{\text{N}}3\right) \end{aligned}\)(M2, mobility level 2; M3, mobility level 3; SC2, self-care level 2; SC3, self-care level 3; UA2, usual activities level 2; UA3, usual activities level 3; PD2, pain or discomfort level 2; PD3, pain or discomfort level 3;AD2, anxiety or depression level 2; AD3, anxiety or depression level 3; N3, any dimension on level 3).

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Title: Obesity, metabolic abnormality, and health-related quality of life by gender: a cross-sectional study in Korean adults
Authors: Youngran Yang
Jerald R. Herting
Jongsan Choi
Publication date: 01-06-2016
Publisher: Springer International Publishing
Published in: Quality of Life Research / Issue 6/2016
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-015-1193-2

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Obesity, metabolic abnormality, and health-related quality of life by gender: a cross-sectional study in Korean adults

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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