Larsson U, Karlsson J, Sullivan M
The Nordic School of Public Health, Göteborg, Sweden.
Int J Obes Relat Metab Disord. 2002 Mar;26(3):417-24. doi: 10.1038/sj.ijo.0801919.
To investigate the impact of overweight and obesity on health-related quality-of-life (HRQL) in the general population in western Sweden.
Cross-sectional survey.
A total of 5633 men and women aged 16-64 y born in Sweden.
Scale and summary component scores of the SF-36 Health Survey.
Obese men aged 16-34 y rated their HRQL lower than normal-weight men did on all four physical health scales of the SF-36 and on two of the four mental health scales. Obese women in the same age group rated their health worse than normal-weight women on three of the physical health scales. Thus, in younger men and women the analysis indicated a clearer negative association between obesity and physical health than between obesity and mental health. Obese women aged 35-64 y rated their health worse on all scales than normal-weight women did, while obese men in this age group rated their health worse on only two SF-36 subscales-physical functioning and general health perception. The massively obese men and women suffered from a poor level of HRQL.
Not only does the level of obesity affect HRQL, the impact of overweight and obesity also differs by age and sex. The importance of aspects of both physical and mental health should be fully recognised.
调查超重和肥胖对瑞典西部普通人群健康相关生活质量（HRQL）的影响。
横断面调查。
共有5633名16 - 64岁出生在瑞典的男性和女性。
SF - 36健康调查的量表及汇总成分得分。
16 - 34岁的肥胖男性在SF - 36的所有四个身体健康量表以及四个心理健康量表中的两个量表上，对其HRQL的评分低于正常体重男性。同一年龄组的肥胖女性在三个身体健康量表上对自身健康的评价比正常体重女性差。因此，在年轻男性和女性中，分析表明肥胖与身体健康之间的负相关比肥胖与心理健康之间的负相关更明显。35 - 64岁的肥胖女性在所有量表上对自身健康的评价都比正常体重女性差，而该年龄组的肥胖男性仅在SF - 36的两个子量表——身体功能和总体健康感知上对自身健康的评价较差。极度肥胖的男性和女性的HRQL水平较低。
不仅肥胖程度会影响HRQL，超重和肥胖的影响还因年龄和性别而异。身心健康各方面的重要性都应得到充分认识。
