Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Erlangen, Germany.
Psychosomatics. 2009 Sep-Oct;50(5):474-82. doi: 10.1176/appi.psy.50.5.474.
Obesity is a major public health problem that is associated with substantial morbidity and mortality.
The authors investigated the associations between health-related quality of life (HRQL) and Body Mass Index (BMI), gender, age, mental and somatic disorders, as well as therapy-seeking status.
A cross-sectional controlled study assessed 640 male and female individuals, clustered into four weight categories.
Linear-regression analyses revealed that higher BMI, higher age, and higher numbers of current somatic and mental disorders negatively predicted the physical dimension of HRQL. Higher numbers of both mental and somatic disorders as well as female gender and younger age seemed to be independent negative predictors of mental HRQL, whereas BMI was not associated with mental HRQL. Therapy status was not related to mental or physical HRQL.
Physical and mental disorders are important detrimental factors for both physical and mental dimensions of HRQL.
肥胖是一个主要的公共卫生问题,与大量的发病率和死亡率有关。
作者研究了健康相关生活质量(HRQL)与体重指数(BMI)、性别、年龄、精神和躯体障碍以及寻求治疗的状态之间的关系。
一项横断面对照研究评估了 640 名男性和女性个体,分为四个体重类别。
线性回归分析显示,较高的 BMI、较高的年龄和更多的当前躯体和精神障碍负性预测了 HRQL 的生理维度。更多的精神和躯体障碍以及女性性别和较年轻的年龄似乎是心理 HRQL 的独立负性预测因素,而 BMI 与心理 HRQL 无关。治疗状况与心理或生理 HRQL 无关。
躯体和精神障碍是影响 HRQL 的生理和心理维度的重要有害因素。