Laferrère Blandine, Zhu ShanKuan, Clarkson Jennifer R, Yoshioka Marianne R M, Krauskopf Katherine, Thornton John C, Pi-Sunyer F Xavier
New York Obesity Research Center, St. Luke's/Roosevelt Hospital Center, New York 10025, USA.
Obes Res. 2002 Dec;10(12):1270-5. doi: 10.1038/oby.2002.172.
To investigate the health-related quality of life (HR-QOL) in African-American (AA) and white (W) obese women.
Participants were 145 obese women (80 AA and 65 W; 87 premenopausal and 58 postmenopausal) who completed the Medical Outcomes Study short form, the Brief Symptom Inventory, the Life Distress Inventory, the Satisfaction With Life Scale, and the Rosenberg Self-Esteem Scale before entering a weight-loss study. The mean age of the subjects was 46.3 +/- 11.1 years and the mean body mass index was 35.2 +/- 4.2 kg/m(2).
Although AA women were slightly heavier (95.3 +/- 10.3 kg vs. 91.5 +/- 11.6 kg, p < 0.05) and less educated (14.2 +/- 3.7 years vs. 15.7 +/- 3.7 years, p < 0.05) than the W women in the sample, there was no difference between the two ethnic groups in any of the reported HR-QOL variables. Menopausal status had a significant effect on HR-QOL, with premenopausal women being more distressed (p = 0.002), having more limitations in social activity (p = 0.007), and having less vitality (p < 0.001) than the postmenopausal women. This was especially true in the AA women.
These data show no difference in HR-QOL between AA and W obese women and suggest that menopausal status may have an impact on HR-QOL, especially in AA women.
调查非裔美国（AA）肥胖女性和白人（W）肥胖女性的健康相关生活质量（HR-QOL）。
参与者为145名肥胖女性（80名非裔美国人、65名白人；87名绝经前女性和58名绝经后女性），她们在进入减肥研究前完成了医学结局研究简表、简明症状量表、生活困扰量表、生活满意度量表和罗森伯格自尊量表。受试者的平均年龄为46.3±11.1岁，平均体重指数为35.2±4.2kg/m²。
尽管样本中的非裔美国女性比白人女性略重（95.3±10.3kg对91.5±11.6kg，p<0.05）且受教育程度较低（14.2±3.7年对15.7±3.7年，p<0.05），但在报告的任何HR-QOL变量中，两个种族群体之间没有差异。绝经状态对HR-QOL有显著影响，绝经前女性比绝经后女性更痛苦（p = 0.002），社交活动受限更多（p = 0.007），活力更低（p<0.001）。在非裔美国女性中尤其如此。
这些数据表明非裔美国肥胖女性和白人肥胖女性在HR-QOL方面没有差异，并表明绝经状态可能对HR-QOL有影响，尤其是在非裔美国女性中。
