Department of Internal Medicine, Hanyang University College of Medicine, South Korea.
Department of Internal Medicine, Hanyang University College of Medicine, South Korea.
Obes Res Clin Pract. 2010 Jan-Mar;4(1):e1-e82. doi: 10.1016/j.orcp.2009.07.003.
To investigate gender and age difference in impact of overweight on health-related quality of life (HRQOL) among Korean adults.
Cross-sectional obesity-related quality of life (QOL) scores were measured by a Korean obesity-related QOL scale (KOQOL) from 448 Korean adults aged 20-80 years. A body mass index (BMI) was categorized with normal-weight as BMI < 23 kg/m(2), overweight as BMI ≥ 23 kg/m(2) based on the alternative cutoff points for Asians. Each gender was respectively stratified by median age, 45 years for men and 50 years for women, to examine the obesity-related QOL by age groups.
Women had a poorer obesity-related QOL compared to men (p < 0.001). In the younger age group, overweight women had a poorer obesity-related QOL compared with normal-weight women (p < 0.001), however normal-weight and overweight men showed no difference in obesity-related QOL. In the older age group, overweight men showed better QOL on the domains of work-related and psychosocial health than those for normal-weight men, but overweight women still suffered from work-related and routine life QOL.
This study showed the impact of overweight on obesity-related QOL was different for gender and age group. We should consider the results to manage weight in overweight persons.
探讨韩国成年人中,超重对健康相关生活质量(HRQOL)的影响在性别和年龄方面的差异。
本研究采用韩国肥胖相关生活质量量表(KOQOL)对 448 名年龄在 20 至 80 岁的韩国成年人进行横断面肥胖相关生活质量评分。根据亚洲人的替代切点,将体质指数(BMI)分类为正常体重(BMI<23kg/m²)和超重(BMI≥23kg/m²)。分别以男性 45 岁和女性 50 岁的中位数年龄将每个性别进一步分层,以按年龄组检查肥胖相关的生活质量。
与男性相比,女性的肥胖相关生活质量较差(p<0.001)。在较年轻的年龄组中,超重女性的肥胖相关生活质量较正常体重女性差(p<0.001),而正常体重和超重男性的肥胖相关生活质量无差异。在年龄较大的年龄组中,超重男性在与工作和心理社会健康相关的领域的生活质量优于正常体重男性,但超重女性仍在工作和日常生活方面的生活质量受到影响。
本研究表明,超重对肥胖相关生活质量的影响因性别和年龄组而异。我们应该考虑这些结果来管理超重人群的体重。