Race and gender associations between obesity and nine health-related quality-of-life measures

Bentley, Tanya G. K.; Palta, Mari; Paulsen, Adam; Cherepanov, Dasha; Dunham, Nancy Cross; Feeny, David; Kaplan, Robert M.; Fryback, Dennis G.

doi:10.1007/s11136-011-9878-7

Cited by 64 publications

(64 citation statements)

References 54 publications

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Section: Discussionmentioning

confidence: 99%

“…The impact of obesity on psychological well-being may not be comparable between women and men 33. Obese women could be more likely than their male counterparts to experience poor psychological well-being such as body dissatisfaction, low self-esteem and depression,33 which may be more prominent in Korea than other countries in light of the Korean cultural background. Today's society values thinness for women's bodies and exerts an intense pressure on women to engage in appearance monitoring and surveillance for their attractiveness, mostly projecting attributes such as health 34 35.…”

Section: Discussionmentioning

confidence: 99%

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Gender differences in health-related quality of life associated with abdominal obesity in a Korean population

2014

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ObjectivesOverall obesity, as measured by body mass index (BMI), has been associated with a low level of health-related quality of life (HRQOL), but little is known about abdominal obesity. This cross-sectional study aimed to determine whether abdominal obesity, as measured by waist circumference (WC), would be significantly associated with HRQOL independent of overall obesity, and if so, whether the association would differ by gender among the Korean population.DesignCross-sectional study.SettingSouth Korea.ParticipantsUsing data from the 2007–2009 Korea National Health and Nutrition Examination Survey, a total of 13 754 men and women aged 19–65 years were selected, and information about height (cm), weight (kg), WC (cm) and the EuroQOL-5 Dimensions (EQ-5D) scores for HRQOL were taken.ResultsNot only an overall obesity (as categorised into obese, overweight or non-overweight groups based on BMI) but also an abdominal obesity (defined by WC ≥90 cm for men and ≥85 cm for women) was significantly associated with lower EQ-5D scores, after adjusting for age, gender, socioeconomic variables and a number of comorbidities. Even after adjusting BMI effect, the association between abdominal obesity and lower EQ-5D scores remained significant for women, but not for men.ConclusionsAmong the Korean population aged 19–65 years, abdominal obesity was associated with impaired HRQOL, independently of overall obesity. Furthermore, this association differed by gender, being significant only for women. Therefore, primary healthcare professionals should pay attention to gender differences in the impact of obesity on HRQOL when evaluating population-based health programmes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Gender differences in health-related quality of life associated with abdominal obesity in a Korean population

2014

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“…Although several studies have examined either sex-specific or alcohol-specific effects for HRQOL (13,19-21), this is the first study to examine the association between binge drinking intensity and HRQOL by sex. Adults who had high-intensity levels of binge drinking were more likely to report poor HRQOL than adults who had lower-intensity levels of binge drinking.…”

Section: Discussionmentioning

confidence: 99%

Binge Drinking Intensity and Health-Related Quality of Life Among US Adult Binge Drinkers

Wen¹,

Kanny²,

Thompson³

et al. 2012

Prev. Chronic. Dis.

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Introduction Binge drinking (men, ≥5 drinks, women, ≥4 on an occasion) accounts for more than half of the 79,000 annual deaths due to excessive alcohol use in the United States. The frequency of binge drinking is associated with poor health-related quality of life (HRQOL), but the association between binge drinking intensity and HRQOL is unknown. Our objective was to examine this association. Methods We used 2008-2010 Behavioral Risk Factor Surveillance System data and multivariate linear regression models to examine the association between binge drinking intensity (largest number of drinks consumed on any occasion) among US adult binge drinkers and 2 HRQOL indicators: number of physically and mentally unhealthy days. Results Among binge drinkers, the highest-intensity binge drinkers (women consuming ≥7 drinks and men consuming ≥8 drinks on any occasion) were more likely to report poor HRQOL than binge drinkers who reported lower levels of intensity (women who consumed 4 drinks and men who consumed 5 drinks on any occasion). On average, female binge drinkers reported more physically and mentally unhealthy days (2.8 d and 5.1 d, respectively) than male binge drinkers (2.5 d and 3.6 d, respectively). After adjustment for confounding factors, women who consumed ≥7 drinks on any occasion reported more mentally unhealthy days (6.3 d) than women who consumed 4 drinks (4.6 d). Compared with male binge drinkers across the age groups, female binge drinkers had a significantly higher mean number of mentally unhealthy days. Conclusion Our findings underscore the importance of implementing effective population-level strategies to prevent binge drinking and improve HRQOL.

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“…No collinear variables were identified based on the criteria that they change the standard error of the coefficient for exposure (food insecurity) by >10%. 22 Although disability and poor or fair health status are associated with obesity, 23 these conditions were not included in the logistic regression models because they could cause or result from obesity.…”

Section: Methodsmentioning

confidence: 99%

Food Insecurity Is Associated with Obesity among US Adults in 12 States

Pan¹,

Sherry²,

Njai³

et al. 2012

Journal of the Academy of Nutrition and Dietetics

254

157

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A redesigned food insecurity question that measured food stress was included in the 2009 Behavioral Risk Factor Surveillance System in the Social Context optional module. The objective of our study was to examine the association between food stress and obesity using this question as a surrogate for food insecurity. Our analytic sample included 66,553 adults from 12 states. Food insecurity was determined by response (always/usually/sometimes) to the question,"Howoften in the past 12 months would you say you were worried or stressed about having enough money to buy nutritious meals?" T tests were used to compare prevalence differences between groups, and logistic regression was used to examine the association between food insecurity and obesity. Among the 12 states, the prevalence of obesity was 27.1% overall, 25.2% among food secure adults, and 35.1% among food insecure adults. Food insecure adults had 32% increased odds of being obese compared to food secure adults. Compared with food secure adults, food insecure adults had significantly higher prevalence of obesity in the following population subgroups: adults ages ≥30 years, women, non-Hispanic whites, non-Hispanic blacks, adults with some college education or a college degree, a household income of <$25,000 or $50,000 to $74,999, and adults with none or two children in their households. One in three food insecure adults were obese. Food insecurity was associated with obesity in the overall population and most population subgroups. These findings are consistent with previous research and highlight the importance of increasing access to affordable healthy foods for all adults. Both obesity and food insecurity affect health, which is determined not merely by behavioral, biologic, and genetic factors, but also by a range of environmental and social determinants. 8 These include safe environments, adequate income, meaningful and valued social roles, secure housing, higher levels of education, and social support. 8 HHS Public AccessObesity and food insecurity are more prevalent among low-income populations. 5,8 Food insecure adults may rely on low-cost, high-energy foods, 5 which can lead to overconsumption of energy and result in obesity. In 1995 Dietz 9 proposed a relationship between obesity and hunger, the most severe form of food insecurity, based on a case report; since then, a number of studies [10][11][12][13][14][15] have examined the association between obesity and food insecurity among US adults. However, only two studies 16,17 have tested this relationship using data from the Behavioral Risk Factor Surveillance System (BRFSS). The food insecurity question included in BRFSS during the 1990s asked whether the respondent worries about having enough food for herself/himself or her/his family. A study based on this question found that food insecurity was associated with obesity in Washington State during 1995-1999. 16 In addition, Laraia and colleagues 17 analyzed the 1999 BRFSS data for Louisiana and New York and found that, at that time, self-rep...

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Race and gender associations between obesity and nine health-related quality-of-life measures

Cited by 64 publications

References 54 publications

Gender differences in health-related quality of life associated with abdominal obesity in a Korean population

Gender differences in health-related quality of life associated with abdominal obesity in a Korean population

Binge Drinking Intensity and Health-Related Quality of Life Among US Adult Binge Drinkers

Food Insecurity Is Associated with Obesity among US Adults in 12 States

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