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Cited by 314Obesity, Physical Activity, DietObesity and Health PracticesPhysical Activity and Health

Obesity and health-related quality of life: a cross-sectional analysis of the US population

Hassan, M K, Joshi, A V, Madhavan, S S, Amonkar, M M·2003·International Journal of Obesity
DOI 10.1038/sj.ijo.0802396
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Abstract

Objective To examine the relationship between body mass index (BMI) and health-related quality-of-life (HRQL), in the presence of dietary controls and/or exercise in a national sample in the United States.Methods BMI and its association with HRQL domains (physical, mental and activity limitations) were examined using the Centers' for Disease Control and Prevention's 2000 Behavioral Risk Factor Surveillence System (BRFSS) data, after adjusting for various sociodemographic factors, self-reported health-status, and diet/exercise behavior.Results Based on World Health Organization's (WHO) classification of obesity, the study sample (N=182 372) included approximately 43.7% nonoverweight, 36% overweight, 14% obese, and 7% severely obese respondents. Exercise and dietary modifications were used by 17.5% of overweight, 15.2% of obese, and 12.5% of severely obese individuals. Logistic regression results using nonoverweight BMI as the reference category showed that severely obese (OR=1.87, 95% CI 1.64-2.12) and obese (OR=1.21, 95% CI 1.09-1.33) were more likely to experience greater than 14 unhealthy days affecting the physical health domain. Severely obese (OR=1.41, 95% CI 1.26-1.59) and obese (OR=1.17, 95% CI 1.07-1.28) were also more likely to experience greater than 14 unhealthy days affecting the mental health domain. Similarly, severely obese (OR=1.73, 95% CI 1.50-1.99) and obese (OR=1.22, 95% CI 1.08-1.37) were more likely to experience greater than 14 days with activity limitations. Exercise and dietary controls were associated with better HRQL across all three domains.Conclusion The study highlights the relationship between BMI and HRQL in the United States. The study also underlines the positive correlation of exercise and dietary modifications with HRQL.

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  • Decreased QoL in adults with asthma is associated with depression or high BMI, both of which have been consistently associated with activity limitation.

    “Furthermore, it is not surprising that decreased QoL in adults with asthma is associated with depression or high BMI, both of which have been consistently associated with activity limitation (e.g. refs 70,71).”

    From A systematic review of psychological, physical health factors, and quality of life in adult asthma (2019) · cites this paper as [71]

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Authors
Hassan, M. K., Joshi, A. V., Madhavan, S. S., & Amonkar, M. M.
Affiliations
West Virginia University (US)
Corresponding author
Hassan, M K
ORCID
Venue
International Journal of Obesity
Publisher
Springer Science and Business Media LLC
Published
2003-09-26
Volume
27
Issue
10
Pages
1227-1232
ISSN
  • 0307-0565 (ISSN-L)
  • 1476-5497
DOI
10.1038/sj.ijo.0802396
OpenAlex
W1991249763
Cited by
314
References
23
Citations by year
2026: 3 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 7 · 2021: 11 · 2020: 15 · 2019: 15 · 2018: 12 · 2017: 13 · 2016: 18 · 2015: 17 · 2014: 27 · 2013: 15 · 2012: 14
FWCI
12.87
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • International Journal of Obesity (publishedVersion)
  • PubMed (publishedVersion)
Funders
Centers for Disease Control and Prevention
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
Keywords
obesity, health-related quality of life, body mass index, morbid obesity, physical health, mental health, activity limitation, physical activity, dietary change, overweight, United States population
MeSH terms
Analysis of Variance, Cross-Sectional Studies, Female, Health Status, Humans, Male, Mental Health, Middle Aged, Obesity, Quality of Life, Risk Factors, United States, Exercise, Body Mass Index, Prevalence

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