Holmgren Marianne, de Munter Jeroen, Rasmussen Finn, Sandberg Magnus, Ahlström Gerd
Department of Health Sciences, Lund University, P.O. Box 157, Lund SE-221 00, Sweden.
Statistics Sweden, P.O. Box 24300, Stockholm SE-104 51, Sweden.
Healthcare (Basel). 2017 Oct 24;5(4):79. doi: 10.3390/healthcare5040079.
Obesity is more common in individuals with mobility disability than in those without this condition. Individuals with mobility disability also have lower health-related quality of life (HRQoL) and are limited in their participation in society. Therefore, this study aimed to investigate the body mass index (BMI) status and the association of overweight or obesity on HRQoL and participation in society among those with mobility disability in comparison to those without mobility disability. This cross-sectional study was based on a health survey conducted in Sweden in 2012 ( = 18,322; age, 18-64 years). Logistic regression with and without interaction analysis was applied. Effect modification by overweight status was significant for, moderate pain. For obesity, effect modification was seen for low general health, pain (moderate and severe), and not participating in work. BMI was higher among those with mobility disability, but no associations between overweight or obesity and HRQoL or participation in society were observed for those with mobility disability. Overweight and obesity did not add an additional burden to mobility disability, probably because mobility disability is associated with low HRQoL and low participation in society. Despite these results, population obesity prevention strategies are still needed.
与无行动障碍者相比，行动障碍者中肥胖更为常见。行动障碍者的健康相关生活质量（HRQoL）也较低，并且在社会参与方面受到限制。因此，本研究旨在调查行动障碍者与无行动障碍者相比的体重指数（BMI）状况以及超重或肥胖与HRQoL和社会参与之间的关联。这项横断面研究基于2012年在瑞典进行的一项健康调查（n = 18322；年龄18 - 64岁）。应用了有无交互分析的逻辑回归。超重状态对中度疼痛有显著的效应修正。对于肥胖，在总体健康状况差、疼痛（中度和重度）以及不参与工作方面观察到效应修正。行动障碍者的BMI较高，但未观察到行动障碍者中超重或肥胖与HRQoL或社会参与之间存在关联。超重和肥胖并未给行动障碍增加额外负担，这可能是因为行动障碍与低HRQoL和低社会参与相关。尽管有这些结果，仍需要针对人群的肥胖预防策略。
