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Obesity and health-related quality of life: a cross-sectional analysis of the US population
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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“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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Metadata
- Authors
- Hassan, M. K., Joshi, A. V., Madhavan, S. S., & Amonkar, M. M.
- Affiliations
- West Virginia University (US)
- Corresponding author
- Hassan, M K
- Venue
- International Journal of Obesity
- Published
- 2003-09-26
- Volume
- 27
- Issue
- 10
- Pages
- 1227-1232
- ISSN
- 0307-0565 (ISSN-L)
- 1476-5497
- 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 › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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