School of Economics, University of the Philippines, Diliman, Quezon City, Philippines.
Department of Applied Economics, Erasmus School of Economics, Erasmus University Rotterdam, Rotterdam, Netherlands.
PLoS One. 2022 Oct 26;17(10):e0275798. doi: 10.1371/journal.pone.0275798. eCollection 2022.
Estimate associations between the health-related quality of life (HRQoL) and adiposity in a low-income population.
In a cluster random sample of 3796 Filipinos aged 40-70 years in Nueva Ecija province, we measured body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and six dimensions of HRQoL using the 20-item Short Form Health Survey. We stratified by sex and used nonparametric regression to graph mean HRQoL in each dimension by BMI, WC, and WHR. We used ordinary least squares regression to estimate differences in each HRQoL dimension by categories of BMI, WC, and WHR adjusted for sociodemographic characteristics and smoking.
Mean HRQoL was lowest for health perception (Males: 67.5 (SD = 15.9); Females: 66.7 (15.8)) and highest for role functioning (Males: 97.5 (12.9); Females: 97.4 (13.3)). Mean (SD) values of BMI, WC, and WHR were 22.1 (3.6), 84.8 cm (9.5), and 0.9 (0.1), respectively for males, and 23.7 (4.2), 86.5 cm (10.2), and 0.9 (0.1), respectively, for females. There was no evidence that higher BMI was associated with lower HRQoL. Adjusted mean social functioning was 4.92 (p = 0.076) higher for males with high BMI risk (8.6% prevalence) compared with acceptable BMI risk (50.3%). Mean social functioning was 3.61 (p = 0.012) and 5.48 (p = 0.017) lower for females with high WC (44.7%) and WHR (83.1%), respectively, compared with those with low WC (23.8%) and WHR (3.6%). Mean physical functioning was lower by 2.70 (p = 0.204) and 1.07 (p = 0.198) for males and females, respectively, with high compared with low WC. Mean physical functioning was 3.93 (p = 0.037) lower for males with high (7.6%) compared with low (38.8%) WHR. Mean role functioning was 1.09 (p = 0.124) and 2.46 (p = 0.158) lower for males with borderline and high WHR, respectively.
There is discordance between future adiposity-related health risk and current experience of HRQoL.
在一个低收入人群中估计健康相关生活质量（HRQoL）与肥胖之间的关联。
在新埃西哈省的一项 3796 名 40-70 岁菲律宾人的聚类随机样本中，我们使用 20 项短格式健康调查测量了身体质量指数（BMI）、腰围（WC）、腰臀比（WHR）和六个 HRQoL 维度。我们按性别分层，并使用非参数回归来描绘每个 BMI、WC 和 WHR 维度的平均 HRQoL 图。我们使用普通最小二乘回归来估计每个 HRQoL 维度在 BMI、WC 和 WHR 类别中的差异，这些类别根据社会人口统计学特征和吸烟情况进行了调整。
健康感知的平均 HRQoL 最低（男性：67.5（SD=15.9）；女性：66.7（15.8）），角色功能的平均 HRQoL 最高（男性：97.5（12.9）；女性：97.4（13.3））。男性的 BMI、WC 和 WHR 的平均值（SD）分别为 22.1（3.6）、84.8 厘米（9.5）和 0.9（0.1），女性分别为 23.7（4.2）、86.5 厘米（10.2）和 0.9（0.1）。没有证据表明较高的 BMI 与较低的 HRQoL 相关。与可接受的 BMI 风险（50.3%）相比，男性高 BMI 风险（8.6%的患病率）的社会功能调整后平均高出 4.92（p=0.076）。与低 WC（23.8%）和 WHR（3.6%）相比，女性高 WC（44.7%）和 WHR（83.1%）的社会功能平均分别低 3.61（p=0.012）和 5.48（p=0.017）。与低 WC 相比，男性和女性的身体功能分别低 2.70（p=0.204）和 1.07（p=0.198）。与低 WHR（38.8%）相比，男性的高 WHR（7.6%）的身体功能平均低 3.93（p=0.037）。男性的角色功能平均低 1.09（p=0.124）和 2.46（p=0.158），分别为边缘高和高 WHR。
未来与肥胖相关的健康风险与当前的 HRQoL 体验之间存在不一致。
