Overweight, Medical Comorbidity and Health-related Quality of Life in a Community Sample of Women and Men

School of Biomedical & Health Science, University of Western Sydney, Campbelltown, New South Wales, Australia.
Obesity (Impact Factor: 3.73). 09/2009; 17(8):1627-34. DOI: 10.1038/oby.2009.27
Source: PubMed


Associations among gender, overweight and obesity, medical comorbidity, and health-related quality of life (HRQoL) were examined in a general population sample of 4,181 women and men aged 18-65 years. Anthropometric measurements and medical comorbidity were assessed as part of a computer-assisted physician interview. HRQoL was assessed with the Physical and Mental Component Summary scales of the Medical Outcomes Study Short Form (SF-36 PCS, MCS). General linear models were used to examine the associations among gender, weight status, medical comorbidity, and HRQoL. Controlling for age, social status, the occurrence of specific medical conditions, and the total number of medical conditions, mild obesity was associated with impairment in physical health functioning, as measured by the PCS, among women, whereas impairment in men's physical health was apparent only for moderate obesity. There was no association between weight status and psycho-social functioning, as measured by the MCS, in women, whereas overweight was associated with better perceived psycho-social functioning in men. The findings are consistent with the hypothesis that women suffer a disproportionately large share of the disease burden of overweight and obesity that is not due solely to differences in medical comorbidity. The possibility that aspects of emotional well-being may mediate the association between obesity and physical health functioning warrants further attention in this regard. The findings also indicate the need to stratify data by gender and to include more sensitive measures of psycho-social functioning in future studies.

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Available from: Bernhard T Baune, Oct 01, 2014
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    • "En este estudio, el ser mujer se asoció con una menor cvRs física y mental, esto es consistente con otros estudios, como el de Patiño et al.(2012) quienes sugieren que los puntajes más altos de cvRs los presentan los hombres, en la mayoría de las subescalas del SF-36. Los efectos adversos del sobrepeso y la obesidad en la salud física de mujeres, en parte se explica porque, en ellas, hay una mayor prevalencia de condiciones médicas, como limitaciones para realizar actividades diarias, síntomas respiratorios, dolor de articulaciones y padecimientos en cuello y espalda (Mond & Baune, 2009). Por otro lado, las diferencias en cvRs mental podrían estar relacionadas con la insatisfacción con la imagen corporal, la presencia de desórdenes alimenticios (Huang, Frangakis & Wu, 2006) y el estigma social existente hacia la obesidad (Muennig, Lubetkin, Jia, & Franks, 2006). "
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    • "Researchers have also begun to examine the relationship between specific behavioral features of eating disturbances and functional impairment. For example, ED behaviors such as binge eating (Hay, 2003; Mond et al., 2010), purging (Gonzalez-Pinto et al., 2004; Hay, 2003; Padierna et al., 2000), excessive exercise (Mond et al., 2006a), and associated physical conditions such as being overweight (Mond and Baune, 2009) may be correlated with impairment in QOL. "
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    ABSTRACT: We examined the relative contribution of different forms of eating disorder (ED) pathology to impairment in mental and physical health-related quality of life (QOL) in women with a wide range of ED symptoms. Female participants from an outpatient ED clinic (n = 53) and the local community (n = 214) completed measures of ED features and mental and physical health-related QOL. Across the sample, ED features were significantly associated with most mental and physical domains of QOL. In multiple regression analyses controlling for age and body mass index, ED features significantly predicted impairment in mental and physical QOL. Extreme shape and weight concern significantly and independently predicted most QOL subscales (β range = 0.19-0.44). The prominent contribution of shape and weight concern to both mental and physical QOL impairment underlines the importance of addressing body dissatisfaction in the treatment and prevention of EDs.
    The Journal of nervous and mental disease 07/2013; 201(7):592-7. DOI:10.1097/NMD.0b013e3182982bbe · 1.69 Impact Factor
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    • "Increased body weight is associated with impairments in health-related quality of life (HRQoL) [1]. Findings from population studies in different countries such as the U.S. [2,3], Sweden [4], Germany [5], and Taiwan [6] suggest that higher body mass index (BMI; kg/m2) is correlated with greater physical impairment in HRQoL. HRQoL, which refers to the effects of physical and mental health on everyday functioning, is increasingly regarded as a key outcome of health promotion programs and in clinical practice [7]. "
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    ABSTRACT: Background Weight bias is widespread and has numerous harmful consequences. The internalization of weight bias has been associated with significant psychological impairment. Other forms of discrimination, such as racial and anti-gay bias, have been shown to be associated with physical health impairment. However, research has not yet examined whether internalized weight bias is associated with physical as well as psychological impairment in health-related quality of life. Methods Participants included 120 treatment-seeking overweight and obese adults (mean body mass index = 35.09; mean age = 48.31; 68% female; 59% mixed or Asian ethnicity). Participants were administered measures of internalized weight bias and physical and mental health-related quality of life, and they were assessed for the presence of chronic medical conditions, use of prescription and non-prescription medications, and current exercise. Results Internalized weight bias was significantly correlated with health impairment in both physical (r = −.25) and mental (r = −.48) domains. In multivariate analyses controlling for body mass index, age, and other physical health indicators, internalized weight bias significantly and independently predicted impairment in both physical (β = −.31) and mental (β = −.47) health. Conclusions Internalized weight bias was associated with greater impairment in both the physical and mental domains of health-related quality of life. Internalized weight bias also contributed significantly to the variance in physical and mental health impairment over and above the contributions of BMI, age, and medical comorbidity. Consistent with the association between prejudice and physical health in other minority groups, these findings suggest a link between the effects of internalized weight-based discrimination and physical health. Research is needed on strategies to prevent weight bias and its internalization on both a societal and individual level.
    Journal of Eating Disorders 01/2013; 1(1). DOI:10.1186/2050-2974-1-3
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