Department of Family Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Metab Syndr Relat Disord. 2020 Sep;18(7):347-352. doi: 10.1089/met.2020.0028. Epub 2020 May 19.
Obesity is a risk factor for many health issues, as are metabolic abnormalities; all may affect mental health and one's health-related quality of life. Therefore, we investigated the association between obesity subtypes, considering both body weight and metabolic abnormalities, and the mental health and quality of life of a Korean population. We used data from the 2016 Korean National Health and Nutrition Examination Survey, a cross-sectional survey of Korean civilians, and data on a total of 6057 participants were analyzed. Obesity subtypes were classified as metabolically healthy but obese (MHO); metabolically abnormal but of normal weight (MANW); and metabolically abnormal and obese (MAO). MHO was positively associated with mobility problems, pain/discomfort, and stress compared with metabolically healthy and of normal weight (MHNW) control. MAO was positively associated with problems in terms of not only mobility problems, pain/discomfort, and stress but also self-care and usual activity problems, and improper sleep duration, compared with the MHNW control. MANW showed no associations with the mental health problems or quality of life. With or without metabolic abnormalities, obesity is associated with mental health problems and decreased quality of life.
肥胖是许多健康问题的一个风险因素，代谢异常也是如此；所有这些都可能影响心理健康和一个人的健康相关生活质量。因此，我们研究了肥胖亚型（同时考虑体重和代谢异常）与韩国人群心理健康和生活质量之间的关系。我们使用了 2016 年韩国国民健康与营养调查的数据，这是一项对韩国平民的横断面调查，共分析了 6057 名参与者的数据。肥胖亚型被分为代谢健康但肥胖（MHO）；代谢异常但体重正常（MANW）；以及代谢异常和肥胖（MAO）。与代谢健康和体重正常（MHNW）对照组相比，MHO 与行动问题、疼痛/不适和压力呈正相关。与 MHNW 对照组相比，MAO 不仅与行动问题、疼痛/不适和压力呈正相关，而且与自我护理和日常活动问题以及睡眠时长不当呈正相关。MANW 与心理健康问题或生活质量没有关联。无论是否存在代谢异常，肥胖都与心理健康问题和生活质量下降有关。
