Song Hyun Jin, Lee Eui-Kyung, Kwon Jin-Won
Sungkyunkwan University, Suwon, South Korea.
Kyungpook National University, Daegu, South Korea
Asia Pac J Public Health. 2016 Mar;28(2):146-56. doi: 10.1177/1010539515626267. Epub 2016 Jan 24.
This study investigated the association between health-related quality of life (HRQoL) and obesity stratified by sex in 34 935 Korean adults. We used data from the Korea National Health and Nutrition Examination Survey, a cross-sectional, nationwide, population-based survey, from 2007 to 2012. Individuals with higher than average health value scores using the EQ-5D-3L to measure HRQoL were classified as being in good health. Multiple logistic regressions were used to determine the association between obesity and good health. Of the 34 935 adults, 28.0% (9767) were classified as obese, 3.8% (1326) as severely obese, and 23.6% (8249) as overweight. Through multiple logistic regressions after adjustments, women who were severely obese had 31% significantly lower HRQoL than women with normal weight (95% confidence interval = 1.12-1.53). However, the same trend was not found in men. Additional interventional studies would be needed to better understand the causality of the association between obesity and HRQoL in women.
本研究调查了34935名韩国成年人中按性别分层的健康相关生活质量(HRQoL)与肥胖之间的关联。我们使用了2007年至2012年韩国国家健康与营养检查调查的数据,这是一项全国性的基于人群的横断面调查。使用EQ-5D-3L量表测量HRQoL且健康价值得分高于平均水平的个体被归类为健康状况良好。采用多因素logistic回归分析来确定肥胖与健康状况良好之间的关联。在这34935名成年人中,28.0%(9767人)被归类为肥胖,3.8%(1326人)为重度肥胖,23.6%(8249人)为超重。经过调整后的多因素logistic回归分析显示,重度肥胖女性的HRQoL比体重正常的女性显著低31%(95%置信区间=1.12-1.53)。然而,在男性中未发现相同趋势。需要进一步的干预研究以更好地理解女性肥胖与HRQoL之间关联的因果关系。